NCT04154969

Brief Summary

This study evaluate the effect of Vestibular rehabilitation program as part of physical therapy during rehabilitation post stroke. half of participants will receive vestibular exercise as part of the physiotherpy session, while the other half will receive a conservative physiotherapy session.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P50-P75 for not_applicable stroke

Timeline
Completed

Started Nov 2019

Typical duration for not_applicable stroke

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 5, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 7, 2019

Completed
3 days until next milestone

Study Start

First participant enrolled

November 10, 2019

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2022

Completed
Last Updated

September 10, 2021

Status Verified

September 1, 2021

Enrollment Period

3.1 years

First QC Date

November 5, 2019

Last Update Submit

September 1, 2021

Conditions

Keywords

balancegaitpost stroke rehabilitation

Outcome Measures

Primary Outcomes (5)

  • Dynamic Gait Index

    scoring walking while performing deferent tasks, such as walking around obstacle, turn head while walking.

    10 minute

  • 10 Meters Walking Test

    timing walking 10 meters walking

    1 minute

  • Timed Up and Go test

    getting up from a chair, walk for 3 meters and back to the chair.

    1 minute

  • Activities-specific Balance Confidence Scale

    questionnaire for balance confidence in deferent daily tasks

    5 minute

  • Dynamic visual acuity test

    assessing the Vestibulo-ocular reflex by quantifying the visual acuity during head movement

    5 minute

Study Arms (2)

intervention

EXPERIMENTAL

daily physiotherapy session as part of the rehab plan, which includes 10 minutes of vestibular exercize.

Other: Physiotherapy including Vestibular rehabilitation

control

ACTIVE COMPARATOR

daily physiotherapy session as part of the rehab plan

Other: conventional Physiotherapy

Interventions

vestibular exercise (VOR TX1)

intervention

conventional Physiotherapy

control

Eligibility Criteria

Age65 Years+
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • within 0-3 months of a stroke (ischemic or hemorrhagic; anterior or posterior circulation; not vertebro-basilar stroke).

You may not qualify if:

  • any significant medical illness or blood pressure at rest\>110/200 mmHg; a Mini-Mental State Exam score \<24, global; a receptive aphasia or an inability to follow 2-point commands; unable to walk 16 meters with no physical assistance.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sheba Medical Center

Ramat Gan, Israel

RECRUITING

Related Publications (29)

  • GBD 2016 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017 Sep 16;390(10100):1260-1344. doi: 10.1016/S0140-6736(17)32130-X.

    PMID: 28919118BACKGROUND
  • ICDC. Stroke Registry Report for 2015-2016.; 2016. https://www.health.gov.il/publicationsfiles/stroke_registry_report_2014-2015.pdf.

    BACKGROUND
  • Ifrah A, Arditi T, Sever L, Tanne D, Koton S. National acute stroke israeli survey (NASIS) 2010. Natl Acute Stroke Isr Surv 2010. 2010;(ICDC):1-43.

    BACKGROUND
  • Tramontano M, Martino Cinnera A, Manzari L, Tozzi FF, Caltagirone C, Morone G, Pompa A, Grasso MG. Vestibular rehabilitation has positive effects on balance, fatigue and activities of daily living in highly disabled multiple sclerosis people: A preliminary randomized controlled trial. Restor Neurol Neurosci. 2018;36(6):709-718. doi: 10.3233/RNN-180850.

    PMID: 30412513BACKGROUND
  • Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, Brach J, Chandler J, Cawthon P, Connor EB, Nevitt M, Visser M, Kritchevsky S, Badinelli S, Harris T, Newman AB, Cauley J, Ferrucci L, Guralnik J. Gait speed and survival in older adults. JAMA. 2011 Jan 5;305(1):50-8. doi: 10.1001/jama.2010.1923.

    PMID: 21205966BACKGROUND
  • Bonan IV, Marquer A, Eskiizmirliler S, Yelnik AP, Vidal PP. Sensory reweighting in controls and stroke patients. Clin Neurophysiol. 2013 Apr;124(4):713-22. doi: 10.1016/j.clinph.2012.09.019. Epub 2012 Oct 22.

    PMID: 23088814BACKGROUND
  • Geurts AC, de Haart M, van Nes IJ, Duysens J. A review of standing balance recovery from stroke. Gait Posture. 2005 Nov;22(3):267-81. doi: 10.1016/j.gaitpost.2004.10.002. Epub 2004 Dec 7.

    PMID: 16214666BACKGROUND
  • Sober SJ, Sabes PN. Flexible strategies for sensory integration during motor planning. Nat Neurosci. 2005 Apr;8(4):490-7. doi: 10.1038/nn1427. Epub 2005 Mar 27.

    PMID: 15793578BACKGROUND
  • Keshner EA, Kenyon RV, Langston J. Postural responses exhibit multisensory dependencies with discordant visual and support surface motion. J Vestib Res. 2004;14(4):307-19.

    PMID: 15328445BACKGROUND
  • Keshner EA, Kenyon RV. The influence of an immersive virtual environment on the segmental organization of postural stabilizing responses. J Vestib Res. 2000;10(4-5):207-19.

    PMID: 11354434BACKGROUND
  • Ferre ER, Walther LE, Haggard P. Multisensory interactions between vestibular, visual and somatosensory signals. PLoS One. 2015 Apr 13;10(4):e0124573. doi: 10.1371/journal.pone.0124573. eCollection 2015.

    PMID: 25875819BACKGROUND
  • Bonan IV, Colle FM, Guichard JP, Vicaut E, Eisenfisz M, Tran Ba Huy P, Yelnik AP. Reliance on visual information after stroke. Part I: Balance on dynamic posturography. Arch Phys Med Rehabil. 2004 Feb;85(2):268-73. doi: 10.1016/j.apmr.2003.06.017.

    PMID: 14966712BACKGROUND
  • Ferre ER, Day BL, Bottini G, Haggard P. How the vestibular system interacts with somatosensory perception: a sham-controlled study with galvanic vestibular stimulation. Neurosci Lett. 2013 Aug 29;550(100):35-40. doi: 10.1016/j.neulet.2013.06.046. Epub 2013 Jul 1.

    PMID: 23827220BACKGROUND
  • Tramontano M, Bergamini E, Iosa M, Belluscio V, Vannozzi G, Morone G. Vestibular rehabilitation training in patients with subacute stroke: A preliminary randomized controlled trial. NeuroRehabilitation. 2018;43(2):247-254. doi: 10.3233/NRE-182427.

    PMID: 30040765BACKGROUND
  • Clendaniel RA. The effects of habituation and gaze stability exercises in the treatment of unilateral vestibular hypofunction: a preliminary results. J Neurol Phys Ther. 2010 Jun;34(2):111-6. doi: 10.1097/NPT.0b013e3181deca01.

    PMID: 20588098BACKGROUND
  • Balci BD, Akdal G, Yaka E, Angin S. Vestibular rehabilitation in acute central vestibulopathy: a randomized controlled trial. J Vestib Res. 2013;23(4-5):259-67. doi: 10.3233/VES-130491.

    PMID: 24284606BACKGROUND
  • Yeole UL, Raut RV. Effect of proprioceptive exercise program versus vestibular rehabilitation therapy on risk of fall in elderly. 2018;3(December):117-122.

    BACKGROUND
  • Maas EF, Huebner WP, Seidman SH, Leigh RJ. Behavior of human horizontal vestibulo-ocular reflex in response to high-acceleration stimuli. Brain Res. 1989 Oct 9;499(1):153-6. doi: 10.1016/0006-8993(89)91145-1.

    PMID: 2804663BACKGROUND
  • Grossman GE, Leigh RJ, Bruce EN, Huebner WP, Lanska DJ. Performance of the human vestibuloocular reflex during locomotion. J Neurophysiol. 1989 Jul;62(1):264-72. doi: 10.1152/jn.1989.62.1.264.

    PMID: 2754477BACKGROUND
  • Lamontagne A, Fung J. Gaze and postural reorientation in the control of locomotor steering after stroke. Neurorehabil Neural Repair. 2009 Mar-Apr;23(3):256-66. doi: 10.1177/1545968308324549. Epub 2008 Dec 5.

    PMID: 19060133BACKGROUND
  • Marchetti GF, Whitney SL, Blatt PJ, Morris LO, Vance JM. Temporal and spatial characteristics of gait during performance of the Dynamic Gait Index in people with and people without balance or vestibular disorders. Phys Ther. 2008 May;88(5):640-51. doi: 10.2522/ptj.20070130. Epub 2008 Feb 21.

    PMID: 18292216BACKGROUND
  • Mitsutake T, Sakamoto M, Ueta K, Oka S, Horikawa E. Effects of vestibular rehabilitation on gait performance in poststroke patients: a pilot randomized controlled trial. Int J Rehabil Res. 2017 Sep;40(3):240-245. doi: 10.1097/MRR.0000000000000234.

    PMID: 28542112BACKGROUND
  • Grossman GE, Leigh RJ, Abel LA, Lanska DJ, Thurston SE. Frequency and velocity of rotational head perturbations during locomotion. Exp Brain Res. 1988;70(3):470-6. doi: 10.1007/BF00247595.

    PMID: 3384048BACKGROUND
  • Scheffer AC, Schuurmans MJ, van Dijk N, van der Hooft T, de Rooij SE. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing. 2008 Jan;37(1):19-24. doi: 10.1093/ageing/afm169.

    PMID: 18194967BACKGROUND
  • Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995 Jan;50A(1):M28-34. doi: 10.1093/gerona/50a.1.m28.

    PMID: 7814786BACKGROUND
  • Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

    PMID: 1991946BACKGROUND
  • Bohannon RW. Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. Age Ageing. 1997 Jan;26(1):15-9. doi: 10.1093/ageing/26.1.15.

    PMID: 9143432BACKGROUND
  • Longridge NS, Mallinson AI. The dynamic illegible E-test. A technique for assessing the vestibulo-ocular reflex. Acta Otolaryngol. 1987 Mar-Apr;103(3-4):273-9.

    PMID: 3577760BACKGROUND
  • Verbecque E, Van Criekinge T, Vanloot D, Coeckelbergh T, Van de Heyning P, Hallemans A, Vereeck L. Dynamic Visual Acuity test while walking or running on treadmill: Reliability and normative data. Gait Posture. 2018 Sep;65:137-142. doi: 10.1016/j.gaitpost.2018.07.166. Epub 2018 Jul 19.

    PMID: 30558920BACKGROUND

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Central Study Contacts

Yochay Noach, B.PT

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Prof. Dan Justo

Study Record Dates

First Submitted

November 5, 2019

First Posted

November 7, 2019

Study Start

November 10, 2019

Primary Completion

December 1, 2022

Study Completion

December 1, 2022

Last Updated

September 10, 2021

Record last verified: 2021-09

Data Sharing

IPD Sharing
Will not share

Locations