Vestibular Rehabilitation Verses Virtual Reality on Dizziness, Balance and Gait in Subacute Stroke

NCT04771169 | Completed DMC

• 1 other identifier: REC/00830 Vishal Sana
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

There is paucity of literature in studying the comparative effects of Vestibular Rehabilitation and Virtual Reality. This study will determine the effects of these interventions on dizziness, balance and gait. This study will also deduce the role of vestibular rehabilitation and Virtual reality in subacute stroke patients

Conditions

Vestibular Rehabilitation

Keywords

Dizziness; balance; Subacute stroke

Outcome Measures

Primary Outcomes (2)

• Timed up and Go test (TUG):

  Timed Up and Go test (TUG) is used to assess balance and mobility in patients with stroke. An older adult who takes ≥12 seconds to complete the TUG is at risk for falling.

  Change from Baseline mobility and balance to 8 Weeks

• Dynamic Gait Index:

  DGI quantifies the dynamic balance instability and is a performance based tool. It evaluates the ability of the individual to modify gait in response to changing functions during walking. Its total score is 24.

  Change from Baseline gait and balance to 8 Weeks

Secondary Outcomes (1)

• Dizziness Handicap Inventory

  Change from Baseline dizziness and balance to 8 Weeks

Study Arms (2)

Vestibular Training Group

EXPERIMENTAL

This Group will receive vestibular Adaptation and Balance exercises

Other: vestibular Training Group

Virtual Reality Group

ACTIVE COMPARATOR

This Group will receive virtual reality training by using exergaming.

Other: Virtual Reality Group

Interventions

vestibular Training Group OTHER

this Group will receive vestibular Adaptation \& Balance exercises

Vestibular Training Group

Virtual Reality Group OTHER

This Group will receive Virtual Reality Training by using exergaming.

Virtual Reality Group

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subacute stroke patients. 1 to 6 months
• Both male and female subacute stroke patients with age 40-70 years.
• Patients with positive Head Thrust Test.
• Patients with Vestibular Disorders.
• Modified Rankin scale score 1-4
• Score \>25 on MMSE

You may not qualify if:

• Patients presented with neurological condition unrelated to stroke.
• Patients that cannot provide informed consent for study participation.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan General Railway Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Related Publications (6)

• Chavez LM, Huang SS, MacDonald I, Lin JG, Lee YC, Chen YH. Mechanisms of Acupuncture Therapy in Ischemic Stroke Rehabilitation: A Literature Review of Basic Studies. Int J Mol Sci. 2017 Oct 28;18(11):2270. doi: 10.3390/ijms18112270.

  PMID: 29143805 BACKGROUND

• Chung EJ, Kim JH, Lee BH. The effects of core stabilization exercise on dynamic balance and gait function in stroke patients. J Phys Ther Sci. 2013 Jul;25(7):803-6. doi: 10.1589/jpts.25.803. Epub 2013 Aug 20.

  PMID: 24259857 BACKGROUND

• Osoba MY, Rao AK, Agrawal SK, Lalwani AK. Balance and gait in the elderly: A contemporary review. Laryngoscope Investig Otolaryngol. 2019 Feb 4;4(1):143-153. doi: 10.1002/lio2.252. eCollection 2019 Feb.

  PMID: 30828632 BACKGROUND

• Yom C, Cho HY, Lee B. Effects of virtual reality-based ankle exercise on the dynamic balance, muscle tone, and gait of stroke patients. J Phys Ther Sci. 2015 Mar;27(3):845-9. doi: 10.1589/jpts.27.845. Epub 2015 Mar 31.

  PMID: 25931744 BACKGROUND

• Kim WI, Choi YK, Lee JH, Park YH. The effect of muscle facilitation using kinesio taping on walking and balance of stroke patients. J Phys Ther Sci. 2014 Nov;26(11):1831-4. doi: 10.1589/jpts.26.1831. Epub 2014 Nov 13.

  PMID: 25435710 BACKGROUND

• Lee MM, Shin DC, Song CH. Canoe game-based virtual reality training to improve trunk postural stability, balance, and upper limb motor function in subacute stroke patients: a randomized controlled pilot study. J Phys Ther Sci. 2016 Jul;28(7):2019-24. doi: 10.1589/jpts.28.2019. Epub 2016 Jul 29.

  PMID: 27512255 BACKGROUND

MeSH Terms

Conditions

Dizziness

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Misbah Ghous, MSNMPT

  Riphah International University Islamabad

  PRINCIPAL INVESTIGATOR

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: SPONSOR

Study Record Dates

• First Submitted: February 24, 2021
• First Posted: February 25, 2021
• Study Start: September 1, 2021
• Primary Completion: December 31, 2021
• Study Completion: December 31, 2021
• Last Updated: February 9, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)