None listed
Conditions
Brief summary
The main aim of the project is to compare the response to treatment of patients with vestibular dysfunction between those receiving a standard program of Vestibular Rehabilitation (VR) versus those receiving the standard VR plus additional exercises that specifically target the otolith structures of the inner ear.The research hypotheses are: 1. That additional otolith training exercises will improve the short term effectiveness of a customized program of vestibular rehabilitation, and 2. That the improved short term outcomes from vestibular rehabilitation with additional otolith training exercises will be maintained in the longer term.
Interventions
The overall duration of the treatment intervention is 9 weeks. Participants undergo a full subjective assessment of their condition at baseline and then complete self administered questionnaires that rate their perception of the problem and how this impacts on daily function and quality of life in the week prior to arriving for baseline assessment in Week 0 below.
Week 0 (90 minutes) - Physiotherapist 1 will perform a baseline balance and gait assessment for each participant.
Based on the asse
The overall duration of the treatment intervention is 9 weeks. Participants undergo a full subjective assessment of their condition at baseline and then complete self administered questionnaires that rate their perception of the problem and how this impacts on daily function and quality of life in the week prior to arriving for baseline assessment in Week 0 below. Week 0 (90 minutes) - Physiotherapist 1 will perform a baseline balance and gait assessment for each participant. Based on the assessment findings, participants will be given a tailored home exercise program consisting of habituation, gaze stability, and balance exercises. Participants will be asked to complete these exercises taking 10-15 minutes, three times daily for the duration of the 9 week rehabilitation. All participants will be asked to fill in a home exercise diary in order to record completion of the exercise programme. Weeks 1 and 5 (30 minute review session) - Physiotherapist 2 will review and modify exercises as necessary. Review sessions will take approximately half an hour. A compliance measure for adherence to exercise programmes will be taken at these times for both groups. At weeks 1 and 5, those participants in the intervention group of standard plus otolith specific vestibular rehabilitation program will be given added exercises to those above involving linear movement of head and/or movement of head position to change orientation with respect to gravity (eg side tilt or bouncing while sitting on a compliant surface). These exercises may add a further 5 minutes to their exercise program. Week 9 (60 minute review session) – Physiotherapist 1 will repeat the balance and gait assessment and questionnaires. 6 months following baseline assessment (60 minutes) - Physiotherapist 1 will review the exercises and repeat objective outcome measures and questionnaires.
Sponsors
Royal Victorian Eye and Ear Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
dizziness provoked or aggravated by movement,or, reduced participation in activities of daily life due to imbalance or dizziness due to a unilateral peripheral vestibular dysfunction which may or may not be confirmed by laboratory vestibular function tests
Exclusion criteria
Bilateral vestibular dysfunction, vestibular dysfunction of central origin, confounding neurological or orthopaedic or musculoskeletal conditions which may affect the participants ability to reliably complete the exercise program, insufficient English or cognitive ability to reliably complete the assessment.
Outcome results
None listed