StrokeNCT07887191
Effectiveness of Epley Maneuver Versus Semont Maneuver on Dizziness and Balance in Stroke Survivors With Posterior Canal BPPV
A study testing Epley Maneuver and Semont Maneuver in people with Stroke, run by Ibadat International University, Islamabad at 1 site in Pakistan.
Trial summary
This randomized controlled trial aims to compare the effectiveness of the Epley maneuver and the Semont maneuver in reducing dizziness and improving balance in stroke survivors diagnosed with posterior canal benign paroxysmal positional vertigo (BPPV). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Stroke
- What is being tested?
- Epley Maneuver and Semont Maneuver
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 sitePakistan
- Study dates
- 3 Jun 2026to 5 Dec 2026
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
Who cannot join
- 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
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Pakistan1 site, 1 recruiting
- Recruiting
AFIRM
Rawalpindi, Punjab Province, 46000
Hira Asif, DPT, MSPT*, 923165824558, Hira.asif11022@gmail.com
Somiya Naz, BSPT, PPDPT, PhD Scholar, 923315163093, dr.somiyanaz@gmail.com
About this study
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
This randomized controlled trial aims to compare the effectiveness of the Epley maneuver and the Semont maneuver in reducing dizziness and improving balance in stroke survivors diagnosed with posterior canal benign paroxysmal positional vertigo (BPPV). Forty participants will be randomly allocated to either intervention or comparator group. Outcomes will be assessed using the Dizziness Handicap Inventory (DHI), Berg Balance Scale (BBS), and Dix-Hallpike test at baseline, 2 weeks, and 4 weeks.
Read the detailed description
Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder and frequently affects the posterior semicircular canal. Stroke survivors with BPPV often experience dizziness, impaired balance, and an increased risk of falls. The Epley and Semont maneuvers are evidence-based repositioning techniques used to treat posterior canal BPPV. However, evidence comparing these two maneuvers specifically in stroke survivors is limited. This randomized controlled trial will compare their effectiveness in reducing dizziness and improving balance over a 4-week intervention period with follow-up assessments. The findings may help guide physiotherapists in selecting the most effective treatment for this population.
- Conditions
- Stroke
- Being tested
- Epley Maneuver, Semont Maneuver
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Epley ManeuverOther
Epley Maneuver: Participants will be randomly allocated to either the Epley maneuver group or the Semont maneuver group. The affected side will be identified using the Dix-Hallpike test before treatment. Participants in the Epley group will receive the canalith repositioning maneuver involving sequential head and body movements to facilitate the movement of displaced otoconia from the posterior semicircular canal into the utricle.
Semont ManeuverOther
Participants in the Semont group will receive the liberatory maneuver involving rapid sequential movements between side-lying positions while maintaining the prescribed head rotation.
| Study group | Role | What they receive |
|---|---|---|
| Epley Maneuver Group | Experimental | Epley Maneuver. Participants will receive the Epley repositioning maneuver performed by a trained physiotherapist, 4 repetitions per session, 2-4 sessions per week for 4 weeks. Receives: Other: Epley Maneuver |
| Semont Maneuver Group | Active comparator | Semont Maneuver. Participants will receive the Semont repositioning maneuver performed by a trained physiotherapist, 4 repetitions per session, 2-4 sessions per week for 4 weeks. Receives: Other: Semont Maneuver |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dizziness Handicap Inventory
To assess the severity and impact of dizziness and balance in physical aspects of daily life. The questionnaire consists of 25 items scored as 0 (no), 2 (sometimes), and 4 (yes), yielding a total score ranging from 0 to 100. Higher scores indicate greater dizziness-related handicap. Total scores will be interpreted as mild (0-30), moderate (31-60), or severe (61-100) handicap
Measured: Baseline, 2 weeks, and 4 weeks
Berg Balance Scale
The scale consists of 14 tasks, each scored from 0 to 4, yielding a total score ranging from 0 to 56. Higher scores indicate better balance performance, whereas lower scores indicate greater balance impairment
Measured: Baseline, 2 weeks, and 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Oct 2026
- Study start3 Jun 2026
- Primary completion30 Nov 2026 (estimated)
- Study completion5 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Ibadat International University, Islamabad
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Somiya Naz, Ibadat International University, Islamabad
- Investigators
- Somiya Naz, BSPT, PPDPT, PHD Scholar, Principal investigator, IBADAT INTERNATIONAL UNIVERSITY
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07887191
- Sponsor's protocol ID
- IIUI/RERC/ADT/2026/06/336
- Status last verified
- Oct 2026
- First submitted
- 14 Oct 2026
- Last updated
- 21 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No