Circuit Training on Vertigo, Oscillopsia and Dizziness in Vestibular Hypo Function Hypo- Functions

NCT04261283 | Completed DMC

• 1 other identifier: REC/Lhr/20/2001 Asna Waseem
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

In this research, the main purpose is to determine the effects of Circuit Training consisting of Structured Vestibular rehabilitation Program under the strict supervision of Neuro-Therapist versus Medicines and General (simple) Rehabilitation (only Home-based) in community-dwelling population of people diagnosed with Vestibular disorders. A booklet consisting of general instructions, simple vestibular exercises which are to be made a part of daily routine, specific diet plan and specific precautions to be taken by patients reporting with vertigo, oscillopsia and dizziness will also be provided to all the patients. This is a community service addition, added so that everyone in the society can have easy access to the instructions, will be cost effective, and will reduce their visits to the therapist.

Conditions

Vestibular Disorder

Keywords

Dizziness; Exercise; Vestibular; Vertigo

Outcome Measures

Primary Outcomes (3)

• Visual Vertigo Analogue Scale

  changes from the baseline,this scale is used to measure the intensity of symptoms, 0-10 cm line zero anchor representing no dizziness and 10 anchor representing extreme dizziness or activity avoided due to dizziness

  4 week

• Vertigo Handicap Questionnaire

  changes from the baseline, this scale is used to assess the disability level in vestibular impairment. 25 Items measuring Four dimensions(restriction of Activity, social Anxieties, fear of Vertigo, severity of episodes). Item scaling is on 5 points likert scale from 0 (no handicap) to 4 (maximum handicap)

  4 week

• Dizziness Handicap Inventory

  changes from the baseline, this test is used to determine the physical, functional and emotional components of Dizziness. Item Scores are summed, there is a maximum score of 100 (28 points for physical, 36 for emotional and 36 for functional and a minimum score of 0. The higher the score, the greater the perceived handicap due to dizziness. Answers are graded: 0 (no), 2 (sometimes), 4 (Yes)

  4 week

Secondary Outcomes (2)

• Vestibular Disorders Activities of Daily Living Scale

  4 week

• Berg Balance Scale

  4 week

Study Arms (2)

Circuit Training

EXPERIMENTAL

Specific exercise are designed in circuit training

Other: Experimental

Control Group

ACTIVE COMPARATOR

Conventional treatment

Other: Active Comparator

Interventions

Experimental OTHER

The Circuit Training will be consisting of: 1. Habituation Exercises 2. Exercises for the gaze stability (The two exercises are specifically for the patients who reported a high score on oscillopsia severity questionnaire 3. Exercises to improve Saccade Latency. 4. Adaptation Exercises 5. Substitution Exercises 6. Postural Control Exercises 7. General Conditioning Activities 8. Cawthorne-Cooksey Exercises 9. Ocular Motor Exercises 10. Gait Exercises 11. Treatment to Decrease Sensitivity to Motion in the Environment

Circuit Training

Active Comparator OTHER

Medicines as prescribed by the ear, nose, and throat (ENT) specialist and Home-based exercise Programme (Simple and general vestibular rehabilitation exercises) will be recommended to the patients to perform. ( Not under the supervision of neuro-therapist)

Control Group

Eligibility Criteria

• Age: 25 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• patients diagnosed with Vestibular Disorders/
• patient with Dysfunctions by ENT specialist.

You may not qualify if:

• Patients diagnosed with BPPV.
• Central nervous system (CNS) involvement (significant neurological disorders)
• Musculoskeletal (MSK) system deficits (orthopedic disorders)
• Uncontrolled hypertension (HTN)
• Heart diseases
• Psychosocial abnormalities
• Psychiatric disorders

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, Pakistan

Location

Related Publications (4)

• Johansson M, Akerlund D, Larsen HC, Andersson G. Randomized controlled trial of vestibular rehabilitation combined with cognitive-behavioral therapy for dizziness in older people. Otolaryngol Head Neck Surg. 2001 Sep;125(3):151-6. doi: 10.1067/mhn.2001.118127.

  PMID: 11555746 BACKGROUND

• Herdman SJ, Blatt PJ, Schubert MC. Vestibular rehabilitation of patients with vestibular hypofunction or with benign paroxysmal positional vertigo. Curr Opin Neurol. 2000 Feb;13(1):39-43. doi: 10.1097/00019052-200002000-00008.

  PMID: 10719648 BACKGROUND

• Giray M, Kirazli Y, Karapolat H, Celebisoy N, Bilgen C, Kirazli T. Short-term effects of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction: a randomized controlled study. Arch Phys Med Rehabil. 2009 Aug;90(8):1325-31. doi: 10.1016/j.apmr.2009.01.032.

  PMID: 19651266 BACKGROUND

• Kristiansen L, Magnussen LH, Juul-Kristensen B, Maeland S, Nordahl SHG, Hovland A, Sjobo T, Wilhelmsen KT. Feasibility of integrating vestibular rehabilitation and cognitive behaviour therapy for people with persistent dizziness. Pilot Feasibility Stud. 2019 May 20;5:69. doi: 10.1186/s40814-019-0452-3. eCollection 2019.

  PMID: 31139431 BACKGROUND

MeSH Terms

Conditions

Vestibular Diseases; Dizziness; Motor Activity; Vertigo

Condition Hierarchy (Ancestors)

Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior; Nervous System Diseases

Study Officials

• Arshad Nawaz AN Malik, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Coding will be used and assessor will not have access to treatment allocation
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Two groups

Study Record Dates

• First Submitted: December 18, 2019
• First Posted: February 7, 2020
• Study Start: July 1, 2020
• Primary Completion: December 30, 2020
• Study Completion: December 30, 2020
• Last Updated: March 30, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)