Musculoskeletal Pain, Rehabilitation, Vestibular Disease
Conditions
Keywords
vestibular disease, musculoskeletal pain, prognosis, vestibular rehabilitation
Brief summary
This project is aimed at patients with dizziness believed to be due to conditions in the balance organ in the inner ear (vestibular diseases). Dizziness can be bothersome and influence postural control negatively, and can cause secondary musculoskeletal disorders. Dizziness can also result in reduced work capacity. The purpose of the project is to strengthen the knowledge base regarding symptom burden, prognosis and treatment of prolonged dizziness. The hypothesis is that musculoskeletal pain at baseline is a prognostic factor for prolonged dizziness.
Detailed description
Patients referred to an tertiary otorhinolarynglogical clinic due to dizziness will be invited to participate in the study. The aims are to examine the prevalence, extent and distribution of musculoskeletal pain in patients with prolonged dizziness, and to investigate the associations between musculoskeletal pain, dizziness symptoms, psychological and physical function and health-related quality of life. Furthermore, the aim is to monitor the natural course of the dizziness symptoms and functional status in these patients, and examine risk factors for prolonged disability after 6 and 12 months. The hypothesis is that muscle pain and distress at baseline may be independently associated with prolonged complaints at follow-up. Finally, patients who still are dizzy and have pain after 12 months will be invited to participate in one of two group interventions a) modified vestibular rehabilitation and b) virtual reality / exergaming. The interventions will be feasibility studies with a pre-post design.
Interventions
BEHAVIORALVestibular exercises combined with body awareness exercises and cognitive therapy
The intervention is group based and is a combination of information/education, vestibular exercises (head movements and gaze stability exercises) body awareness exercises and cognitive therapy
BEHAVIORALExergaming
The intervention consists of different balance exercises using non-immersive virtual reality
Sponsors
Haukeland University Hospital
Western Norway University of Applied Sciences
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
After 1 year participants who still have dizziness complaints will be offered one of two interventions: 1. Group-based vestibular rehabilitation combining cognitive intervention, vestiular exercises and body awareness therapy 2. Exergaming intervention with virtual reality exercises using data games and videos, and other balance exercises.
Eligibility
Sex/Gender
ALL
Age
18 Years to 67 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients referred to an otorhinolaryngological university clinic due to suspected vestibular disorders (dizziness) * Patients must be bothered with dizziness at the time of consultation
Exclusion criteria
* Patients uable to fill in questionnaires due language barriers * Patients not able to undergo diagnostic and testing procedures * Patients with vestibular Schwannoma * Patients with diving-related inner ear injuries
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dizziness Handicap Inventory. 0-100 (high score worst) | Baseline, 26 weeks, 1 year, through study completion, an average 18 months | Baseline status and change in dizziness handicap |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nordic Pain Questionnaire. 0-10 (high score worst) | Baseline, 26 weeks, 1 year, through study completion, an average 18 months | Baseline status and change in musculoskeletal pain |
| Vertigo Symptom Scale. 0-60 (high score worst) | Baseline, 26 weeks, 1 year, through study completion, an average 18 months | Baseline status and change in vertigo symptoms |
| RAND-12 health related quality of life. 0-60 (high score better) | Baseline, 26 weeks, 1 year | Baseline status and change in health related quality of life |
| Hospital Anxiety and Depression Scale. 0-42 (high score worst) | Baseline, 26 weeks, 1 year | Baseline status and change in anxiety and depression symptoms |
| Dizziness Catastrophising Scale. 0-52 (high score worst) | Baseline, 26 weeks, 1 year, through study completion, an average 18 months | Baseline status and change in catastrophising thoughts about the dizziness |
| Posturography. Body sway while standing on a force platform. | Baseline,1 year, through study completion, an average 18 months | Baseline status and change after intervention |
| Four tests of Body flexibility derived from the Global Physiotherapy Examination- 52 | Baseline,1 year, through study completion, an average 18 months | Baseline status and change after intervention |
| Walking test preferred speed, 6 m (m/s) | Baseline,1 year, through study completion, an average 18 months | Baseline status and change after intervention |
| Walking test fast speed, 6 m (m/s) | Baseline,1 year, through study completion, an average 18 months | Baseline status and change after intervention |
| Grip Strength | Baseline | Baseline |
Countries
Norway
Outcome results
None listed