Use of a Vibrotactile Balance Belt System for Vestibular Rehabilitation in the Pediatric Population
1 other identifier
interventional
34
1 country
1
Brief Summary
The investigators aim to compare rehabilitation progress between control patients who will undergo routine vestibular rehabilitation exercises and experimental patients who will undergo exercises using a vibrotactile balance belt (SKBRS - Sensory Kinetics Balance Rehabilitation System) in addition to their routine vestibular rehabilitation regimen during recovery from diseases affecting the vestibular system. The results of this pilot study will help to determine if the vibrotactile balance belt is a useful supplement to traditional vestibular rehabilitation techniques in children suffering from vestibular impairment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2016
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2016
CompletedFirst Submitted
Initial submission to the registry
March 4, 2016
CompletedFirst Posted
Study publicly available on registry
March 30, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 3, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2023
CompletedApril 11, 2023
April 1, 2023
6 years
March 4, 2016
April 10, 2023
Conditions
Outcome Measures
Primary Outcomes (3)
Change in BESS Score from baseline to 3 months
The investigators will measure the change in BESS score between the first vestibular rehabilitation session and the last session (3 months later).
0-3 months
Change in CTSIB Score from baseline to 3 months
The investigators will measure the change in CTSIB score between the first vestibular rehabilitation session and the last session (3 months later).
0-3 months
Change in DGI Score from baseline to 3 months
The investigators will measure the change in DGI score between the first vestibular rehabilitation session and the last session (3 months later).
0-3 months
Secondary Outcomes (2)
Change in subjective symptoms from baseline to 3 months
0-3 months
Sensory Kinetics Balance Rehabilitation System Feedback
3 months
Study Arms (2)
Standard Vestibular Rehabilitation
ACTIVE COMPARATORSubjects will undergo weekly vestibular rehabilitation sessions for 3 months (a total of 12 sessions of an hour each). During these sessions, standard balance training exercises will be done at the discretion of the physical therapists.
Vestibular Rehabilitation/Balance Belt
EXPERIMENTALSubjects will undergo weekly vestibular rehabilitation sessions for 3 months (a total of 12 sessions). They will undergo standard balance training exercises with the physical therapists like the control group, but will also undergo an additional 15 minutes of Balance Belt exercises during each session.
Interventions
With this device, a subject stands on a force platform on the ground, which measures his/her center of pressure. Additionally, there is laptop displaying the video-based exercise programs and a camera that senses the subject's linear sway, roll, and pitch. Information about the subject's position is transmitted via Bluetooth technology to a non-invasive vibrotactile belt which fits comfortably around the subject's waist, over his/her clothing. Using the Sensory Kinetics software, the subject will play a series of games projected on the laptop screen, which prompt him/her to sway in various directions while keeping both feet planted on the force platform.
This is the standard three-month vestibular rehabilitation therapy that patients are routinely referred to at Boston Children's Hospital.
Eligibility Criteria
You may qualify if:
- Referred for vestibular rehabilitation due to balance impairment at Boston Children's Hospital.
- English speaking
- Understanding of how to use the device
- Intention to complete full 3 months of vestibular rehabilitation
You may not qualify if:
- Patients with developmental delay to a degree that prevents them from understanding how to use the device or that prevents them from being able to provide feedback on their experience with the device.
- Patients who are unable to stand for the 15 minutes necessary to complete the SKBRS exercises
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Boston Children's Hospital Waltham
Waltham, Massachusetts, 02453, United States
Related Publications (4)
Wall C 3rd. Application of vibrotactile feedback of body motion to improve rehabilitation in individuals with imbalance. J Neurol Phys Ther. 2010 Jun;34(2):98-104. doi: 10.1097/NPT.0b013e3181dde6f0.
PMID: 20588096BACKGROUNDWall C 3rd, Wrisley DM, Statler KD. Vibrotactile tilt feedback improves dynamic gait index: a fall risk indicator in older adults. Gait Posture. 2009 Jul;30(1):16-21. doi: 10.1016/j.gaitpost.2009.02.019. Epub 2009 Apr 2.
PMID: 19345107BACKGROUNDWall C 3rd, Oddsson LE, Horak FB, Wrisley DW, Dozza M. Applications of vibrotactile display of body tilt for rehabilitation. Conf Proc IEEE Eng Med Biol Soc. 2004;2004:4763-5. doi: 10.1109/IEMBS.2004.1404318.
PMID: 17271374BACKGROUNDWall C 3rd, Lyford ND, Sienko KH, Balkwill MD. The design and development of a production prototype balance belt. Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:3524-8. doi: 10.1109/IEMBS.2011.6090585.
PMID: 22255100BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jacob R Brodsky, MD
Boston Children's Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate in Otolaryngology
Study Record Dates
First Submitted
March 4, 2016
First Posted
March 30, 2016
Study Start
March 1, 2016
Primary Completion
March 3, 2022
Study Completion
January 1, 2023
Last Updated
April 11, 2023
Record last verified: 2023-04
Data Sharing
- IPD Sharing
- Will not share