RecruitingNot ApplicableNCT07272473

Effects of Cervical Mobilization on Dizziness, Balance, and Joint Position Sense in Patients With Meniere's Disease

Sponsor

Abant Izzet Baysal University

Enrollment

33 participants

Start Date

Sep 20, 2025

Study Type

INTERVENTIONAL

Conditions

Meniere Disease

Summary

The study will employ a stratified randomization method. Patients presenting to the Afyonkarahisar Health Sciences University Health Application and Research Center, Ear, Nose, and Throat Outpatient Clinic, with a definitive diagnosis of Meniere's disease, unilateral or bilateral involvement, and who consent to participate in the study will be divided into three groups. The control group will receive only their routine Betahistine. Their usual treatment will remain unchanged. The first study group will receive 20 minutes of Vestibular Rehabilitation (VR) and 10 minutes of cervical mobilization in addition to their routine Betahistine. The second study group will receive 30 minutes of VR in addition to Betahistine. The study will last 6 weeks. Participants will be assessed using a sociodemographic information questionnaire, the Dizziness Handicap Inventory (DHI), the Vertigo Symptom Scale (VSS), the Neck Disability Index (NDI), the International Tinnitus Inventory (ITI), balance assessment with the K-Force Plates, and joint position sense and proprioception assessment with the Kinvent Physio K-Move. All assessments will be conducted twice, before and after treatment.

Eligibility

Min Age: 18 YearsMax Age: 60 Years

Inclusion Criteria5

Definitive clinical diagnosis of unilateral or bilateral Meniere's disease
Age between 18 and 60 years
Presence of fluctuating symptoms or chronic imbalance for at least 3 months
Cognitive ability to participate in balance rehabilitation tasks (Mini Mental State Examination score ≥ 24)
Willingness to participate in the study and provide informed consent

Exclusion Criteria8

Diagnosis of vertigo not associated with Meniere's disease
Presence of another acute medical condition
Neurological, psychological, or cognitive dysfunction
History of orthopedic surgery within the last 3 months
Planned surgical intervention during the rehabilitation program
Cervical spine instability
Acute cervical trauma
Vertebral artery insufficiency

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Interventions

OTHERVestibular Rehabilitation + Cervical Mobilization

Treatment will be administered twice a week for 6 weeks, consisting of 20 minutes of vestibular rehabilitation and 10 minutes of cervical mobilization, each lasting 30 minutes. Vestibular rehabilitation will include adaptation exercises, habituation exercises, and compensation exercises. For cervical mobilization, participants will first undergo 3-4 minutes of suboccipital relaxation while lying supine to help them relax, then 2-3 minutes of cervical traction will be applied, and then, while sitting, they will mobilize the C1 and C2 vertebrae using the Mulligan concept.

OTHERvestibular rehabilitation

Vestibular rehabilitation will be applied for 30 minutes, twice a week, for 6 weeks. Adaptation exercises, habituation exercises, and compensation exercises will be applied as vestibular rehabilitation.