Investigation of The Effect of Web-Based System With Oculomotor and Optokinetic Stimulation on Rehabilitation in Vestibular Hypofunction
1 other identifier
interventional
20
1 country
1
Brief Summary
The aim of this study was to investigate of the effect of web-based System with oculomotor and optokinetic stimulation on rehabilitation in vestibular hypofunction. In the literature, studies on vestibular rehabilitation in unilateral hypofunction are very limited and there is no study about it.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2019
Shorter than P25 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
January 17, 2019
CompletedFirst Submitted
Initial submission to the registry
July 22, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 10, 2019
CompletedFirst Posted
Study publicly available on registry
October 21, 2019
CompletedMarch 18, 2020
March 1, 2020
7 months
July 22, 2019
March 17, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Change In Results of Head Thrust Test
It tests the vestibulo-ocular reflex (VOR).The examiner holds the patient's head steady in the midline. The patient is instructed to maintain gaze on the nose of the examiner. The examiner then quickly turns the patient's head about 10-15 degrees to one side and observes the ability of the patient to keep the eyes locked on the examiner's nose. the test can also be performed by starting with the head turned to the side, and then making the quick movement back to the midline. If the patient's eyes stay locked on the examiner's nose (i.e., no corrective saccade) , then the peripheral vestibular system is assumed to be intact. Thus in a patient with acute dizziness, the absence of a corrective saccade suggests a Central Neural System(CNS) localization. If, however, the patient's eyes move with the head and then the patient makes a voluntary eye movement back to the examiner's nose (i.e., corrective saccade), then this suggests a lesion of the peripheral vestibular system and not the CNS
Eight weeks.
Change In Results of Balance Tests At 8 Weeks.
Periodic balance tests are standing on romberg, semi-tandem, tandem, one-leg positions with eyes open and closed in seconds and are recorded by timekeeper.
Eight weeks.
Change In Levels of Oculomotor Functions
Oculomotor functions are Saccade and Pursuit. They are assessed by software with normal oculomotor frequencies in Hertz.
Eight weeks.
Change In Results of Head Shake Test at 8 weeks.
The head-shaking test allows determination of an asymmetry between the two horizontal canals \[1\]. The head of the patient is shaken in the horizontal plane for 20 s and at the end of the stimulation the induced eye movements are observed. If the post head shaking nystagmus is shown, test is positive.
Eight weeks.
Change In Results of Unterberger Test at 8 weeks
The Unterberger stepping test is a simple means of identifying which labyrinth may be dysfunctional in a peripheral vertigo. The purpose of the Unterberger Test (UT) is to measure asymmetrical vestibulospinal reflex tone resulting from labyrinthine dysfunction. The UT is a low cost evaluation for dizzy patients; however, when compared with gold standard caloric irrigation unilateral weakness (UW) value ≥25%, the UT has not been shown to be a sensitive tool for identifying unilateral vestibular hypofunction
Eight weeks.
Secondary Outcomes (2)
Kinesiophobia Assessment
Before and after eight weeks treatment programmes
Quality of Life Assessment: Dizziness Handicap Inventory
Before and after eight weeks treatment programmes
Study Arms (2)
Conventional vestibular rehabilitation
ACTIVE COMPARATORConventional vestibular rehabilitation
Vestibular rehabilitation with software
ACTIVE COMPARATORInterventions
Vestibular Exercises and Software in vestibular rehabilitation
Eligibility Criteria
You may qualify if:
- Unilateral vestibulopathy between the ages of 18-75,
- No visual disability
You may not qualify if:
- Mental retardation,
- Inadequate communication in Turkish;
- Having neurological problems,
- Bilateral vestibular hypofunction
- There is a serious orthopedic problem that will prevent standing and walking.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Istanbul Medipol University Physiotherapy and Rehabilitation Doctoral Programme
Istanbul, Turkey (Türkiye)
Related Publications (1)
Ertunc Gulcelik G, Tarakci D, Gedik Soyuyuce O, Gence Gumus Z, Korkut N, Algun ZC. Research on the Effects of a Web-Based System With Oculomotor and Optokinetic Stimuli on Vestibular Rehabilitation. Am J Phys Med Rehabil. 2021 Jun 1;100(6):555-562. doi: 10.1097/PHM.0000000000001584.
PMID: 32889859DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MSc PT (Specialist Physiotherapist)
Study Record Dates
First Submitted
July 22, 2019
First Posted
October 21, 2019
Study Start
January 17, 2019
Primary Completion
August 1, 2019
Study Completion
September 10, 2019
Last Updated
March 18, 2020
Record last verified: 2020-03