Helpfulness of the Vibration Test Performed in Room Light on Clients With Inner Ear Problems

NCT02626052 | Completed

• 1 other identifier: 2015.11.19.F1
• Study Type: observational
• Target: 256
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to explore the diagnostic values associated with both a positive and negative Skull Vibration Induced Nystagmus Test (SVINT) performed in room light (with fixation). The hypotheses include: 1. A positive room light SVINT will be identified in individuals with moderate to severe vestibular asymmetries. 2. A positive room light SVINT will be present when 10 beats or more (counted over 10 seconds) of nystagmus are found with fixation blocked.

Conditions

Vestibular Disease

Keywords

Skull vibration induced nystagmus test; mastoid vibration test

Outcome Measures

Primary Outcomes (1)

• Primary Vibration Test

  Under room light, the presence or absence of nystagmus is determined. If nystagmus is present, then the direction of nystagmus is determined. When fixation is blocked, the presence or absence of nystagmus is determined. If nystagmus is present, then the direction of nystagmus is determined. The number of beats per 10 sec is also determined.

  Baseline

Secondary Outcomes (5)

• Dizziness Handicap Inventory

  Baseline; last day of physical therapy, an average of 4 weeks

• Global Rating of Change

  Baseline; last day of physical therapy, an average of 4 weeks

• Patient Acceptable Symptom State

  Baseline; last day of physical therapy, an average of 4 weeks

• Spontaneous Nystagmus Test

  Baseline

• Gazehold Nystagmus Test

  Baseline

Interventions

Dizziness Handicap Inventory BEHAVIORAL

A standardized questionnaire used to quantify symptoms of dizziness.

Global Rating of Change BEHAVIORAL

A standardized questionnaire used to review the overall outcome of the participants condition with physical therapy.

Patient Acceptable Symptom State BEHAVIORAL

A standardized questionnaire used to determine whether meaningful progress has been made

Spontaneous Nystagmus Test PROCEDURE

An observational test procedure used to identify involuntary eye movements caused by inner ear and/or brain dysfunction. The test is performed both in room light and with fixation blocked with a Micromedical Technologies infrared lens.

Gazehold Nystagmus Test PROCEDURE

An observational test procedure used to identify involuntary eye movements caused by inner ear and/or brain dysfunction. The test is performed both in room light and with fixation blocked with a Micromedical Technologies infrared lens.

Primary Vibration Test PROCEDURE

A test used to identify asymmetry that may be present in the vestibular system through 60-100 MHz vibration applied to the mastoid bone. A WAHL massager is used to stimulate the inner ear by vibrating the mastoid bone. The test is performed both in room light and with fixation blocked with a Micromedical Technologies infrared lens.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients with complaints of dizziness, vertigo, and/or imbalance referred to the hospital outpatient physical therapy department.

You may qualify if:

• Clients 18 years and older with complaint of dizziness, vertigo, and/or imbalance who are willing to proceed with procedures of study.

You may not qualify if:

• Conditions that warrant immediate referral to the Emergency Department or Primary Care Physician (undiagnosed and unstable disorders relating to cardiac, neurologic, metabolic, etc, dysfunction); no history of dizziness, vertigo, and/or balance problems.
• Clients with conditions that therapists believe may be aggravated by testing including, but not limited to: variants of head injuries, migraines, seizure disorders, panic/anxiety, claustrophobia, severe headache and/or nausea, and hypersensitivity to sensory stimuli

Sponsors & Collaborators

• Aultman Health Foundation: lead

MeSH Terms

Conditions

Vestibular Diseases

Condition Hierarchy (Ancestors)

Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases

Study Officials

• Andy Beltz, PT

  Aultman Health Foundation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 1, 2015
• First Posted: December 10, 2015
• Study Start: December 1, 2015
• Primary Completion: January 26, 2017
• Study Completion: January 26, 2017
• Last Updated: January 18, 2020

Record last verified: 2020-01