Peripheral Vestibular Disorder, Vestibular Disorder
Conditions
Keywords
vestibular disorders, cervical exercises, vertigo, vestibular exercises
Brief summary
70 patients with peripheral vestibular disorders will be included in the study. Half of the subjects will receive vestibular rehabilitation exercises and the other half will receive additional cervical exercises. Results from the two groups will be compared.
Detailed description
70 patients with a diagnosis of peripheral vestibular disease will be enrolled in the study. Patient selection will be carried out in the physiatry, otorhinolaryngology and neurology outpatient clinics of our university hospital. Eligible patients will be informed about the study and those that accept to take part in the study will be referred to an investigator for history taking and physical examination. Demographic data, medical history and examination findings will be recorded. After initial assessment, all patients will receive a short education regarding vestibular exercises that they will be asked to do at home. A second investigator will be responsible for the randomization of subjects into two groups according to a computer generated randomization table and that same investigator will prescribe the second group additional cervical exercises to do in addition to the vestibular rehabilitation exercises. After one months, patients will be reassessed and their measurements will be recorded. Statistical analyses will be carried out to compare the outcome scores of the two groups.
Interventions
OTHEROnly vestibular rehabilitation
Vestibular adaptation exercises, static and dynamic balance exercises, proprioceptive and conditioning exercises.
OTHERCervical exercises in addition to vestibular rehabilitation
Cervical range of motion exercises, stretching exercises for the trapezius muscle, isometric and isotonic strengthening exercises in addition to conventional vestibular rehabilitation exercises.
Sponsors
Ege University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
Investigator responsible for clinical assessment will be blinded to subject's intervention group
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* A diagnosis of peripheral vestibular disease * Being older than 18 years of age
Exclusion criteria
* Psychostimulant or psychotropic drug use that might alter vestibular functions * Severe neurological, psychiatric or orthopedic disorder that might alter patients' ability to comply with the exercise program.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Romberg test at 4 weeks | Baseline and 4th week visit | A balance test that challenges the vestibular, proprioceptive and visual systems. Subject is asked to stand erect with eyes open/closed, on a hard/smooth surface and with feet side by side/ in tandem.Normally a person is expected to be able to stand in these positions for 30 seconds. |
| Change from baseline Dynamic gait index at 4 weeks | Baseline and 4th week visit | An inventory that assesses individual's ability to modify balance while walking in the presence of external demands. Highest possible score is 24 points and lower scores indicate worse outcome. |
| Change from baseline Functional gait assessment at 4 weeks | Baseline and 4th week visit | An index that is used to assess postural stability during walking and assesses an individual's ability to perform multiple motor tasks while walking. Highest score is 30 points and higher scores denote better outcome. |
| Change from baseline The activities-specific balance confidence (ABC) scale at 4 weeks | Baseline and 4th week visit | A questionnaire that measures an individual's confidence during ambulatory activities. The scale is scored from 0 to 100. 100 indicates better outcome. |
| Change from baseline Dizziness handicap inventory at 4 weeks | Baseline and 4th week visit | A 25-item self-report questionnaire that quantifies the impact of dizziness on daily life by measuring self-perceived handicap. The scale is scored from 0 to 100. 100 indicates better outcome. |
| Change from baseline Gait speed at 4 weeks | Baseline and 4th week visit | Gait speed is the time one takes to walk a specified distance on level surfaces over a short distance. Gait speed has different reference values according to age and sex. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Visual analog scale for dizziness at 4 weeks | Baseline and 4th week visit | Patient reported level of dizziness on a scale from 0 to 10 centimeters. 10 indicates severe dizziness. |
| Change from baseline Visual analog scale for neck pain at 4 weeks | Baseline and 4th week visit | Patient reported level of neck pain on a scale from 0 to 10 centimeters. 10 denotes severe pain and 0 denotes lack of pain. |
Countries
Turkey (Türkiye)
Outcome results
None listed