Vestibular Function Disorder
Conditions
Keywords
Vestibular Disorders, Vestibular Rehabilitation, Dual Task Exercises, Quality of Life, Gait
Brief summary
Patients with vestibular disorders often experience cognitive-motor interference which can adversely affect their motor performance, significantly impair daily functioning, increase instability, reducing quality of life and increasing the risk of falls. Vestibular rehabilitation is a well-established therapeutic approach for managing vestibular disorders in reducing symptoms and improving balance and mobility. Similarly, Dual Task Training improves cognitive-motor integration by enhancing both cognitive and motor functions and has shown promising results in other populations. This study is aimed to determine the combined effects of both interventions as it might provide a more comprehensive and effective treatment, ultimately improving patient outcomes and quality of life.
Detailed description
In previous studies, vestibular rehabilitation is well-documented in enhancing balance, gait, reducing dizziness and improving quality of life through specific exercises aimed at improving vestibular function. Similarly, dual task training has shown promise in improving functional mobility and cognitive processing. However, no randomized control trial to date has systematically investigated the potential synergistic effects of these two interventions when applied together which leaves a critical gap in understanding whether the integration of dual task training into vestibular rehabilitation could yield superior outcomes for patients suffering from vestibular disorders. This research could provide valuable insights and potentially enhance therapeutic strategies for this population.
Interventions
OTHERVestibular Rehabilitation and Dual task Training and Traditional Physical Therapy
Group A will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 30 minutes and Dual Task Training for 20 minutes along with routine physical therapy of 10 minutes. Treatment session will be given 5 days per week for 8 weeks. Patients will be instructed to perform 2 sets of 5 repetition each Gaze Stability exercises: Horizontal and Vertical Head movements keep their eyes fixed on a stationary target, Following a slowly moving target keeping head still Balance Exercises:Maintain balance while performing neck rotations and shifting their weight forward, backward, and side to side.Sit to stand on chair Gait Training: Walking at varying speeds, walking forwards and backwards, sideways walking, walk in circles, and walking with horizontal and vertical head movements Dual Task exercises comprising of primary and secondary tasks Conventional Cawthorne Cooksey exercises :Up and down eye and Head movements, pick up things from ground, Walk up and down
OTHERVestibular Rehabilitation and Traditional Physical Therapy
Group B will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 40 minutes along with routine physical therapy of 20 minutes. Treatment session will be given 5 days per week for 8 weeks. Gaze Stability exercises: Horizontal and Vertical Head movements keep their eyes fixed on a stationary target, Following a slowly moving target keeping head still Balance Exercises:Maintain balance while performing neck rotations and shifting their weight forward, backward, and side to side.Sit to stand on chair Gait Training: Walking at varying speeds, walking forwards and backwards, sideways walking, walk in circles, and walking with horizontal and vertical head movements Conventional Cawthorne Cooksey exercises :Up and down eye and Head movements, pick up things from ground, Walk up and down
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients complaining of dizziness for longer than 3 months * Patients with history of at least 1 bout of dizziness per month * Patients with history of at least 1 fall in previous 6 months * Diagnosed Patients as having vestibular disorder by an otolaryngologist * Mini Mental State Examination (MMSE) score greater than 24
Exclusion criteria
* Patients with Meniere disease and bilateral vestibular disorders * Patients with central nervous system disorders, and psychiatric disorders * Patients having visual impairment that could not be treated with lenses or glasses * Dizziness not resulting from vestibular disorder or use of Medication for Dizziness * Movement limitation due to orthopedic problems * Those who were unable to sign informed consent form
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go test | 8 week | The instrument is used to assess dynamic balance including pace, distance, mechanism of turn, type of chair and number of trials. The time required to perform this test is measured. If more than 12 sec is taken in the completion of this test then it indicates high risk of fall |
| Dynamic Gait Index | 8 week | Dynamic Gait Index (DGI) contains eight items measured on 4-point ordinal scale (3: Normal, 2: Mild Impairment, 1: Moderate impairment, 0: Severe Impairment). |
| Vestibular Rehabilitation Benefit Questionnaire | 8 week | The Vestibular Rehabilitation Benefit Questionnaire (VRBQ) is 22 items subjective tool used to evaluate vestibular symptoms and their impact on quality of life in vestibular disorders. It is categorized into 3 subscales Dizziness and anxiety, Motion-provoked dizziness and Quality of life. Its score interpretation indicates 0%: no deficit & 100%: significant deficit. Score above 0% signifies the presence of symptoms, loss of function, or reduced quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dizziness Handicap Inventory | 8 week | It is a 25 item self-reported tool used to assess the level of disability experienced by individuals with dizziness, vertigo, or imbalance. It evaluates the impact of dizziness on functional, emotional, and physical aspects of the individual's life. It takes only 10 minutes to complete this tool. Patients rate their perceived disability due to dizziness by responding to each question with yes, sometimes, or no. The answers are scored as follows: No = 0 points, Sometimes = 2 points, and Yes = 4 points. A higher total score, out of a possible 100 points, indicates a greater level of perceived disability. Patients scoring over 10 points should be referred for further evaluation. |
Countries
Pakistan
Outcome results
None listed