Effective repositioning maneuvers for dizziness after stroke
Official title: Effectiveness of Epley Maneuver Versus Semont Maneuver on Dizziness and Balance in Stroke Survivors With Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial
Run by Ibadat International University, Islamabad · NCT07887191 · Data updated 2026-11-12
This study tests whether the Epley maneuver works better or worse than the Semont maneuver for reducing dizziness and improving balance in stroke survivors with posterior canal BPPV.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Ibadat International University, Islamabad Academic / other |
| Locations | 1 site (Rawalpindi, Punjab Province) |
| Status | Recruiting |
| Started | June 3, 2026 |
| Main results expected | November 30, 2026 |
| Study ends | December 5, 2026 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT07887191 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with a history of stroke who have posterior canal BPPV confirmed by Dix-Hallpike testing and are able to sit or walk with or without support and participate in treatment sessions.
✕Probably not a fit
Patients who do not have posterior canal BPPV or who cannot safely undergo the repositioning maneuvers may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this randomized trial, adults who have had a stroke and are diagnosed with posterior canal BPPV will be assigned to receive either the Epley or the Semont maneuver. Dizziness severity and balance will be measured at baseline, 2 weeks, and 4 weeks using the DHI, BBS, and Dix-Hallpike test. The goal is to see which maneuver more effectively relieves vertigo symptoms and improves stability over a short follow-up period. Results may help physiotherapists choose the more beneficial treatment for this patient group.
Why it matters
Potential benefit: If successful, this could help clinicians pick the most effective maneuver to reduce dizziness and improve balance in stroke survivors with posterior canal BPPV.
How similar studies have gone: Previous research supports repositioning maneuvers for BRPV in the general population, but evidence specifically in stroke survivors is limited, making this a relatively targeted investigation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age: above 18years Diagnosed with stroke survivors Diagnosed with posterior canal BPPV via Dix-Hallpike Test Functional status: Able to sit or walk with/without support, follow instructions, and participate in treatment sessions Willing to participate Exclusion Criteria: * Other vestibular disorders (e.g., Meniere's disease (inner ear disorder causing vertigo, hearing loss, and tinnitus)) Diagnosed cognitive impairment (unable to follow instructions) Medically unstable patients Severe cervical spine disorders (e.g., instability, fracture) Spinal conditions restricting head movement Completely bed-bound patients Any contraindication to Dix Hallpike repositioning maneuvers
Where it's running
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Afirm
Rawalpindi, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Somiya Naz, BSPT, PPDPT, PHD Scholar — Ibadat International University
- Study coordinator: Dr. Somiya Naz, BSPT, PPDPT, PHD Scholar
- Email: dr.somiyanaz@gmail.com
- Phone: 923315163093
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.