Effectiveness of Gaze Stability Exercises on Balance and Activities of Daily Living Among Patients Suffering Vertigo With Vestibular Neuritis in Saudi Arabia

NCT04842474 | Unknown

• 1 other identifier: NadaSalehAldawsary
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Gaze stability exercise is a medical procedure for persons with unilateral vestibular disturbances such as vestibular neuritis or persons who have had tumors of their 8th nerve. They are a crucial part of the vestibular dysfunction rehabilitation protocols in health centers. These activities which involve turning one's eyes at different angles while having their eyes focused on an optotype are aimed at helping improve the vestibular ocular reflex (VOR), visual acuity during head movements and also reducing vertigo and dizziness. Study aim: This review will be establishing the effectiveness of applying gaze stability with balance exercises procedure among participants who are suffering vertigo due to vestibular neuritis. Methods: Twenty volunteers between the age of 25-59 years old, diagnosed, and confirmed to be suffering from vestibular neuritis and vertigo will be used in this study. Gaze stability exercises will be performed while patients are in a seated position. Each exercise will last for 30 seconds and be done in phases that included; eyeball movement, saccadic eye movement, pursuit eye movement, vergence eye movement, and vestibular-ocular reflex exercise. Balance exercises will be performed in a standing position including both static and dynamic training with or without closing eyes. The following outcome measures for each participant will be assessed pre-and post-treatment after completing four weeks of intervention. They include; Arabic version of Activities-Specific Balance Confidence Scale (A-ABC scale), Arabic version of Dizziness Handicap Inventory (A-DHI), Berg Balance Scale (BBS), and Katz Index of Independence in Activities of Daily Living (Katz ADL). The findings will then be subjected to statistical methods and data analysis using the SPSS toolkit. In this study we hypothesis that practicing gaze stability and balance exercises will have a positive influence on balance and activities of daily living among vestibular neuritis patients.

Conditions

Vertigo; Vertigo, Peripheral; Vertigo Labyrinthine; Migraine

Keywords

vertigo; vestibular neuritis; gaze stability exercise; balance exercise; vestibular rehabilitation

Outcome Measures

Primary Outcomes (4)

• Arabic version of Activities-Specific Balance Confidence Scale (A-ABC scale)

  measure patient self-confidence for doing activities without losing balance. Minimum 0%, maximum 100%, lower value means lower self confidence to do activity without loose balance

  Change from baseline A-ABC at 4 weeks

• Arabic version of the Dizziness handicap inventory questionnaire (A-DHI)

  To assess the impact of dizziness on activities, It is ordinal scale including Yes, sometimes, No answers.

  Change from baseline A-DHI at 4 weeks

• Berg Balance Scale (BBS)

  to evaluate static balance and fall risk in adult. minimum 0, maximum 56, lower score means less balance and higher score indicates better balance.

  Change from baseline BBS at 4 weeks

• Katz Index of Independence in Activities of Daily Living (Katz ADL)

  to define problems in performing ADLs. minimum 0 patient is dependent, maximum 6 patient is independent.

  Change from baseline Katz ADL at 4 weeks

Study Arms (1)

Gaze stability and balance exercises

EXPERIMENTAL

Gaze stability exercises will be performed while patients are in a seated position. Each exercise will last for 30 seconds and be done in phases that included; eyeball movement, saccadic eye movement, pursuit eye movement, vergence eye movement, and vestibular-ocular reflex exercise. Balance exercises will be performed in a standing position including both static and dynamic training with or without closing eyes.

Other: Gaze stability exercises and balance exercises

Interventions

Gaze stability exercises and balance exercises OTHER

Gaze stability exercises will be performed while patients are in a seated position. Each exercise will last for 30 seconds and be done in phases that included; eyeball movement, saccadic eye movement, pursuit eye movement, vergence eye movement, and vestibular-ocular reflex exercise. Balance exercises will be performed in a standing position including both static and dynamic training with or without closing eyes.

Gaze stability and balance exercises

Eligibility Criteria

• Age: 25 Years - 59 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• A convenience volunteers of adults of 25-59 years old are diagnosed with vestibular neuritis and vertigo.
• Participants should not be either with a previous history of neurological diseases or brain surgery affecting equilibrium.
• Both male and female are cognitively intact.
• Subjects with medical issues, e.g., hypertension and diabetes, are undertaking medication regularly.
• Independent participants or those requiring reasonable assistance, but with balance disturbance in daily living activities and transferring.
• Having Berg Balance Scale between 21-56 are included in the study.

You may not qualify if:

• Subjects with the inability to follow instructions or completely dependent on the assistive device during mobility.
• Participants with chronic dizziness diagnosed specifically with benign paroxysmal positional vertigo (BPPV), or Meniere's disease.

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

King Saud University

Riyadh, Saudi Arabia

RECRUITING

MeSH Terms

Conditions

Vertigo; Migraine Disorders; Vestibular Neuronitis

Condition Hierarchy (Ancestors)

Vestibular Diseases; Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Headache Disorders, Primary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Vestibulocochlear Nerve Diseases; Retrocochlear Diseases; Cranial Nerve Diseases

Study Officials

• Maha M Almarwani, PHD

  King Saud University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nada S Aldawsary, MSc

CONTACT

00966 543485121; 442204518@student.ksu.edu.sa

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Master student

Model Details: Gaze stability exercises are included in five phases: eyeball movement, saccadic eye movement, pursuit eye movement, vengeance eye movement, and vestibular-ocular reflex exercise. Gaze stability exercises will be performed while patients are seated, and each exercise lasts for 30 seconds. Balance exercises, both static and dynamic with or without closing eyes, are recommended to improve postural stability. In the first two weeks, patients will perform balance exercises with opening eyes, and then in the next couple of weeks, participants will do the same exercises with closing eyes. It involves standing on a firm surface with feet apart, heel stand, toe stand, marching on a firm surface, semi tandem stand, walking forward and backward with a normal support base. It will be applied twice each alternative day with ten repetitions for a total treatment period of four weeks.

Study Record Dates

• First Submitted: April 2, 2021
• First Posted: April 13, 2021
• Study Start: February 7, 2021
• Primary Completion: January 1, 2022
• Study Completion: January 1, 2022
• Last Updated: April 13, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)