Vertigo, Dizziness, Benign Paroxysmal Positional Vertigo, Labyrinthitis
Conditions
Keywords
Dizziness, Vertigo, Benign Paroxysmal Positional Vertigo, Labyrinthitis, Osteopathic Manipulative Treatment, Vestibular Rehabilitation Therapy
Brief summary
Western University of Health Sciences is seeking men and women to participate in a study on the effectiveness of Osteopathic Manipulative Treatment (OMT) and Vestibular Rehabilitation Therapy (VRT) in patients with vertigo. The purpose of this study is to examine the efficacy of OMT in the treatment of individuals with vertigo, alone and in combination with Vestibular Rehabilitation Therapy (VRT). Because of the health care costs associated with vertigo, the cost effectiveness of OMT and VRT will also be examined.
Interventions
OTHEROsteopathic Manipulative Treatment (OMT)
Direct action OMT procedures, including HVLA, involve the application of a force in the direction of restricted joint motion in order to resolve somatic dysfunction. Indirect techniques, including counterstrain, balanced ligamentous tension and myofascial release, entail applying a force away from the restrictive barrier of a joint or soft tissue structure.
Participants categorized as having a peripheral motion hypersensitivity will receive habituation exercises that reproduce the provocative motion, seated and standing balance exercises with gaze stabilization, kinesthetic and proprioceptive retraining. Participants will be given a monthly exercise log at onset and will be asked to report exercise levels at subsequent follow up periods.
Sponsors
Western University of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 79 Years
Healthy volunteers
Yes
Inclusion criteria
* Symptoms of dizziness or a diagnosis of vertigo for longer than 3 months duration * Able to tolerate 30 minutes of sitting and standing * Able to transfer from sitting to standing and move independently * Able tolerate manual therapy and exercise
Exclusion criteria
* Severe traumatic injury * Bleeding disorders and anticoagulation (Coumadin) therapy * Currently receiving VRT, vision therapy, or manual medicine (OMT, Chiropractic, etc.) or received manual medicine within the past three months * Down syndrome * Ehlers-Danlos syndrome * Endolymphatic Hydrops * Legal blindness in one or both eyes * Menieres disease * Neurological conditions (including Peripheral Neuropathy, Stroke, traumatic brain injury, cerebral aneurysm, and Multiple Sclerosis) * Rheumatoid Arthritis * Spinal trauma or history of cervical spine surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in Computerized Dynamic Posturography (CDP) at 12 weeks | Baseline to 12 weeks | Computerized dynamic posturography (CDP), also called test of balance (TOB), is a non-invasive specialized clinical assessment technique used to quantify the central nervous system adaptive mechanisms (sensory, motor and central) involved in the control of posture and balance, both in normal (such as in physical education and sports training) and abnormal conditions (particularly in the diagnosis of balance disorders and in physical therapy and postural re-education). |
| Change from Baseline in Dizziness Handicap Inventory (DHI) at 12 weeks | Baseline to 12 weeks | The Dizziness Handicap Inventory (DHI) is a questionnaire that was developed to measure the self-perceived level of handicap associated with the symptom of dizziness. |
| Change from Baseline in Computerized Dynamic Posturography (CDP) at 1 week | Baseline to 1 week | Computerized dynamic posturography (CDP), also called test of balance (TOB), is a non-invasive specialized clinical assessment technique used to quantify the central nervous system adaptive mechanisms (sensory, motor and central) involved in the control of posture and balance, both in normal (such as in physical education and sports training) and abnormal conditions (particularly in the diagnosis of balance disorders and in physical therapy and postural re-education). |
| Change from Baseline in Computerized Dynamic Posturography (CDP) at 3 weeks | Baseline to 3 weeks | Computerized dynamic posturography (CDP), also called test of balance (TOB), is a non-invasive specialized clinical assessment technique used to quantify the central nervous system adaptive mechanisms (sensory, motor and central) involved in the control of posture and balance, both in normal (such as in physical education and sports training) and abnormal conditions (particularly in the diagnosis of balance disorders and in physical therapy and postural re-education). |
| Change from Baseline in Dizziness Handicap Inventory (DHI) at 1 week | Baseline to 1 week | The Dizziness Handicap Inventory (DHI) is a questionnaire that was developed to measure the self-perceived level of handicap associated with the symptom of dizziness. |
| Change from Baseline in Dizziness Handicap Inventory (DHI) at 3 weeks | Baseline to 3 weeks | The Dizziness Handicap Inventory (DHI) is a questionnaire that was developed to measure the self-perceived level of handicap associated with the symptom of dizziness. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in Neuro-Optometric Evaluation at 3 weeks | Baseline to 3 weeks | Evaluation of visual acuity and refractive status, oculomotor function and visual field status. |
| Change from Baseline in Neuro-Optometric Evaluation at 12 weeks. | Baseline to 12 weeks | Evaluation of visual acuity and refractive status, oculomotor function and visual field status. |
| Change from Baseline in Neuro-Optometric Evaluation at 1 week | Baseline to 1 week | Evaluation of visual acuity and refractive status, oculomotor function and visual field status. |
Countries
United States
Outcome results
None listed