Disturbance; Balance, Labyrinth, Vestibular Diseases
Conditions
Keywords
Balance, Rehabilitation, Vestibular
Brief summary
Patients with a unilateral vestibular loss often complain of dizziness and imbalance. Movement usually increases these symptoms often resulting in patients avoiding these movements, causing further limitations in their activities of daily living. Vestibular Rehabilitation (VR) involves a series of adaptation and balance exercises to improve symptoms of postural stability. There is evidence that stroke patients gain benefit in their rehabilitation from using gaming consoles (Nintendo Wii Balance) and we believe that similar advantages can be shown for balance patients. We plan a 3 arm study. As there is a considerable wait list for VR, the first arm will receive a Wii console and instructions to use it on the wait list and during VR. The second arm will receive a Wii console and instructions at the end of the waiting list and will use it during VR only and the control group will receive no Wii. All will spend the same time on the wait list and will receive identical assessments and VR
Detailed description
None required
Interventions
OTHERUse of Nintendo Wii Balance Gaming system
Use of Nintendo Wii Balance Gaming system
Sponsors
University Health Network, Toronto
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Unilateral vestibular loss * Uncompensated * Present for \>6 months
Exclusion criteria
* Age \<18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dizziness Handicap Index | t=0 (at initial assessment) | Dynamic Gait index assessed by questionnaire at initial assessment (t=0) and then at 6 (midway through wait list), 12 (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation) All groups compared at baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Clinical Test of Sensory Interaction on Balance | t=0 (at initial assessment), t=6 weeks, t=12 weeks, t=18 weeks | mCTSIB assessed by blinded assessor at initial assessment (t=0)and then at 12 (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation) |
| Activity Specific Balance Confidence Scale | t=0 (at initial assessment), t=6 weeks, t=12 weeks, t=18 weeks | Activity Specific Balance Confidence Scale assessed by questionnaire at initial assessment (t=0)and then at 6 (midway through wait list), 12 (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation) |
| Dynamic Gait Index score | t=0 (at initial assessment), t=12 weeks, t=18 weeks | Dynamic Gait index assessed by blinded assessor at initial assessment (t=0)and then at 12 weeks (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation) |
Countries
Canada
Outcome results
None listed