Effects of Balance Training With Gaze Stabilization Exercises in Elderly Patients With Chronic Dizziness

NCT04751006 | Completed DMC

• 1 other identifier: IRB-UOL-FAHS/718-XII/2020
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Effects of balance training with and without gaze stabilization exercises on clinical outcomes in elderly patients with chronic dizziness: A Randomized Controlled Trial

Conditions

Chronic Dizziness

Outcome Measures

Primary Outcomes (3)

• Berg Balance Scale

  Balance was measured using Berg Balance Scale

  6 Weeks

• Disability Handicapped Inventory

  Precieved Disability was measured using Disability Handicapped Invertory

  6 Weeks

• Activity Specific Balance Confidence

  Risk of Fall Prevention was measured using Activity Specific Balance Confidence

  6 Weeks

Study Arms (2)

Gaze Group

EXPERIMENTAL

Participants performed balance training with gaze stabilization exercises

Other: Gaze Stabilization Exercises

Control Group

OTHER

Participants performed balance training with saccade eye exercises

Other: Balance Training

Interventions

Gaze Stabilization Exercises OTHER

Gaze group performed balance exercises with gaze stability exercise.Gaze stability exercises included two types of exercises vestibular adaptation and substitution exercises. In Adaptation exercises individual need to fixate on a visual target during horizontal and vertical head movement with a purpose of increasing gaze stability and a long term gain to vestibular system. Subsitution exercises are planned to use other eye movement stratigies to substitute vestibular function and sustained visual fixation. During Substitution exercises individual need to perfomed eye head movement between target with a purpose of clear sighting during these tasks. Balance exercises consist of both static and dynamic balance exercises with weekly progression making balance exercises more challenging.

Gaze Group

Balance Training OTHER

Participants performed balance training with saccade eye exercises.balance exercises included both static and dynamic balance exercises with a purpose of increasing mobility and stability of a posture by weekly progression. These exercises included standing on firm and foam surface with eyes open or close, heel stand, toe stand, marching on firm surface, forward and backward walking with normal base of support with weekly progression. Each task was performed for 5 repetitions with weekly progression in each task.

Control Group

Eligibility Criteria

• Age: 65 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Geriatric population
• Both Gender
• H/O chronic dizziness with normal vestibular function
• H/O age related balance impairment
• H/O impaired balance having a Berg Balance Scale (BBS) score between 35-45
• Participant have sufficient cognitive and communication skills

You may not qualify if:

• H/O insufficient communication skills to follow instructions
• H/O impaired vestibular function
• H/O Visual impairment
• H/O Severe hearing loss
• H/O mental disorder that could restrains the ability to concentrate during therapy
• H/O Other systematic diseases
• Any history of marked musculoskeletal impairment, lower limb injury, surgery other than age related changes and balance disorder due to other neurological conditions like Parkinsonism, stroke, multiple sclerosis etc. were excluded from the study

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

Univeristy Of Lahore

Lahore, Punjab Province, 5400, Pakistan

Location

Related Publications (4)

• Geraghty AWA, Essery R, Kirby S, Stuart B, Turner D, Little P, Bronstein A, Andersson G, Carlbring P, Yardley L. Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness: A Randomized Controlled Trial in Primary Care. Ann Fam Med. 2017 May;15(3):209-216. doi: 10.1370/afm.2070.

  PMID: 28483885 BACKGROUND

• Hall CD, Heusel-Gillig L, Tusa RJ, Herdman SJ. Efficacy of gaze stability exercises in older adults with dizziness. J Neurol Phys Ther. 2010 Jun;34(2):64-9. doi: 10.1097/NPT.0b013e3181dde6d8.

  PMID: 20588090 BACKGROUND

• Jahn K. The Aging Vestibular System: Dizziness and Imbalance in the Elderly. Adv Otorhinolaryngol. 2019;82:143-149. doi: 10.1159/000490283. Epub 2019 Jan 15.

  PMID: 30947233 BACKGROUND

• Maciaszek J, Osinski W. Effect of Tai Chi on body balance: randomized controlled trial in elderly men with dizziness. Am J Chin Med. 2012;40(2):245-53. doi: 10.1142/S0192415X1250019X.

  PMID: 22419420 RESULT

Study Officials

• Syeda Nida Fatima

  University of Lahore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 10, 2021
• First Posted: February 11, 2021
• Study Start: March 5, 2020
• Primary Completion: December 5, 2020
• Study Completion: December 8, 2020
• Last Updated: February 11, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)