Concussion, Dizziness, Vertigo
Conditions
Keywords
Vestibular, Rehabilitation
Brief summary
Investigators will use a stationary bike protocol to investigate whether patients with post concussion syndrome benefit from adding exertion training to a vestibular rehabilitation program. Investigators examine the effect of aerobic exercise testing and training on individuals with concussion who are currently experiencing symptoms and examine the effect of aerobic exercise in combination with traditional vestibular rehabilitation.
Detailed description
This is a randomized controlled single blind pilot study testing the hypothesis that the combination of aerobic exercise plus vestibular rehabilitation will result in greater reduction of symptoms of dizziness and imbalance compared to vestibular rehabilitation alone.
Interventions
OTHERVestibular Rehabilitation + Aerobic Exercise
Subjects in the experimental group will undergo traditional Vestibular Rehabilitation as well as participate in an aerobic exercise training program.
OTHERVestibular Rehabilitation
The control group will receive standard care which includes participation in vestibular physical therapy treatments 1-2 times per week.
Sponsors
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. History of concussion \>14 days, \<6 months 2. One or more of the following symptoms after most recent head injury: headache, dizziness, fatigue, irritability, insomnia, concentration or memory difficulty) 3. Age range - 18-70 4. Access to stationary bicycle 5. Ability to read and write sixth grade English
Exclusion criteria
1. Inability to participate in aerobic exercise for any reason 2. Pre-existing or current neurological or autonomic disease including persistent symptoms form previous concussion 3. Major depressive disorder 4. Litigation 5. Increased cardiac risk 6. Currently taking, Beta Blockers, or Anticonvulsants
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Visual Analog Scale (VAS) of Dizziness Score | change in VAS of Dizziness Score from initial evaluation to week 6 | — |
| Changes in Dizziness Handicap Inventory (DHI) Score | change in DHI Score from initial evaluation to week 6 | 25-item scale that addresses the functional, emotional, and physical components of dizziness. Higher scores indicate greater handicap (range, 0 - 100) |
| Change in the number of symptoms on checklist of the Sports Concussion Assessment Tool | change in symptoms from initial evaluation to week 6 | — |
| Changes in balance Error Scoring System (BESS) score | change in (BESS) Score from initial evaluation to week 6 | requires participants to maintain balance with eyes closed with their hands on their iliac crests under six different surface conditions. Number of errors in each trial are added together to obtain a total score (out of 60). |
| Changes in Dynamic Visual Acuity (DVA) Score | change in DVA Score from initial evaluation to week 6 | instrumented, objective assessment of vestibulo-ocular reflex (VOR) function in response to head movement. The Dynamic Visual Acuity Test assesses visual acuity during head movement relative to baseline static visual acuity |
| Changes in Sport Concussion Assessment Tool (SCAT-3) Score | change in (SCAT-3) from initial evaluation to week 6 | 22 item postconcussion symptom scale using a seven point Likert rating. This scale provides an assessment of symptoms endorsed, along with a severity score. The maximum symptom score is 22, the symptom severity score is obtained by summing the rated symptom score for each symptom (maximum score 132). |
| Functional Gait Assessment | change in gait from initial evaluation to week 6 | 10-item test that measures gait with a narrow base of support, gait with eyes closed, ambulating backwards, as well as ambulation with head turns. The maximum score is 30. Higher scores indicate better performance. |
Countries
United States
Outcome results
None listed