Gait, Unsteady, Vestibular Disorder
Conditions
Brief summary
Specific aim: To determine whether optokinetic stimulation can improve gait abnormalities. Hypothesis: Optokinetic stimulation stimulates the vestibular system and can improve vestibular induced gait disorders.
Detailed description
This is a pilot study designed to determine whether or not the optokinetic stimulation improves gait in patients with gait abnormalities, specifically vestibular induced gait disorders. The study population will consist of patients already receiving a gait assessment through the Brain Fit Club (BFC) at Beth Israel Deaconess Medical Center. This gait assessment involves walking and posture evaluations. Patients will complete a gait assessment as part of their normal BFC evaluation. Those who consent to participate in the study will then complete a gait assessment while receiving optokinetic stimulation. The investigators will compare baseline gait and postural control before and during OKS stimulation.
Interventions
Optokinetic stimulation
Sponsors
Study design
Intervention model description
Patients undergoing a clinical gait assessment will be recruited for this study. Those that consent to participate will complete their clinical gait assessment as part of their normal evaluation. Subjects will then complete a gait assessment while wearing experiencing optokinetic stimulation. The investigators will compare baseline gait and postural control before and during OKS stimulation.
Eligibility
Inclusion criteria
* Receiving a gait assessment through the BFC * Ages 21-75
Exclusion criteria
* Left hemiparesis * Requires a cane or walker * Documented evidence of falls or instability to the left * Reduced vision * Moderate or severe dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gait - (measured using a wireless 3D accelerometer) | After 5 minutes of OKS | Change in walking balance (lateral step deviation) as measured using a wireless 3D accelerometer |
| Posture - (measured using a stationary force platform) | After 5 minutes of OKS | Change in standing balance (left-right deviation) as measured using a stationary force platform. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Speed | After 5 minutes of OKS | Change in gait speed |
Countries
United States