Vestibular Dysfunction: Prevalence in specialised rehabilitation units and the need for routine vestibular screening on admission

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12622001188729

Enrollment

Registered

2022-09-06

Start date

2023-01-02

Completion date

2023-06-30

Last updated

2022-09-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This trial aims to determine the prevalence of vestibular dysfunction in patients admitted to a specialist rehabilitation unit. Who is it for? Patients aged 18 or above, current inpatients of BIRU or GARU wards at Princess Alexandra Hospital, Queensland Study details All participants will complete the Vestibular Screening Test and then complete objective vestibular testing. All participants from the same ward will be tested consecutively on the same day. It is hoped that this study will demonstrate the prevalence of vestibular dysfunction within patients of the specialised wards. It is also hoped that the outcomes of this project may have implications for physiotherapists working in subacute rehabilitation units to include vestibular screening as part of their standardised initial physiotherapy assessment on admission. A timely and routine vestibular screening assessment could be a worthwhile adjunct to the standard physiotherapy assessment to guide early and appropriate intervention and achieve optimal rehab outcomes.

Interventions

The prevalence of vestibular dysfunction will be observed in two specialist rehabilitation units (general rehabilitation unit and brain injury rehabilitation unit). Participants will be assessed by a research team member in the physiotherapy gym of their unit. Participants will complete the subjective and objective outcome measures, taking approximately 30 min in total. Participants will be assessed only once.

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

Partients will be eligible to participate if they are; adults (at least 18 years of age) and current inpatient of BIRU or GARU ward at Princess Alexandra Hospital on the day of vestibular screening assessment .

Exclusion criteria

- Non-English speaking background (NESB) requiring the use of an interpreter to access health services - Medically unwell and medical clearance not provided on the day of assessment Significant cervical spine pathology or contraindications to positional or head impulse testing, including: • Recent cervical spine fracture or cervical disc prolapse • Atlanto-axial subluxation or instability • Aplasia of odontoid process • Carotid sinus syncope • Arnold Chiari malformation • Vascular dissection syndromes • Recent neck trauma that restricts rotation/ torsion • Severe rheumatoid arthritis • Known and verified VBI • Nerve root compression

Outcome results