Comparative Effects of Virtual Reality and Vestibular Exercises on Balance Gait in Older Adults

NCT06407726 | Completed DMC

• 1 other identifier: REC/RCR & AHS/23/0280
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effects of virtual reality and vestibular exercises on balance, gait, and activities of daily living in older adults.

Conditions

Old Age; Vestibular Disorder; Balance; Exercise

Keywords

Old Age; Vestibular Disorder; Balance; Exercise

Outcome Measures

Primary Outcomes (3)

• The Dynamic Gait Index (DGI)

  The Dynamic Gait Index (DGI) is a clinical tool assessing balance during walking under different external conditions. It uses a four-point ordinal scale, with a total score of 24. Scores below 19 indicate a higher risk of falls in older adults, while scores above 22 suggest safe ambulation. The DGI has demonstrated validity as a measure of functional mobility and strongly predicts falls

  6 months

• Berg Balance Scale

  Berg Balance Scale: is a clinical tool assessing static and dynamic balance through 14 functional tasks, each scored from 0 to 4, with a maximum score of 56. Scores below 45 indicate a higher risk of falling. It has demonstrated excellent validity, correlating well with the Timed Up-and-Go test. It also exhibits excellent test-retest reliability, making it a widely accepted tool for measuring balance and mobility.

  6 months

• Modified Barthel Index

  Modified Barthel Index is widely accepted measure of physical disability, assessing activities of daily living. Scoring ranges from 0 to 20, with lower scores indicating increased disability. The total score reflects the patient's independence in daily activities, with changes of more than two points indicating a probable genuine change. The index has demonstrated validity, with scores between 0.73 and 0.77 compared to a motor ability index for stroke patients.It also exhibits high inter-rater and test-retest reliability,Higher scores indicates maximum recovery

  6 months

Study Arms (2)

participants will receive Virtual Reality intervention with conventional treatment,

EXPERIMENTAL

Participants will receive 40-minute sessions five days per week for six weeks of Virtual Reality intervention and conventional therapy.

Other: virtual reality training group

participants will receive Vestibular Exercises with conventional treatment.

ACTIVE COMPARATOR

Participants will receive 40-minute sessions five days per week for six weeks of Vestibular Exercises and conventional therapy.

Other: vestibular exercise group

Interventions

virtual reality training group OTHER

Participants will receive 40-minute sessions five days per week for six weeks of Virtual Reality intervention and conventional therapy.

participants will receive Virtual Reality intervention with conventional treatment,

vestibular exercise group OTHER

Participants will receive 40-minute sessions five days per week for six weeks of Vestibular Exercises and conventional therapy.

participants will receive Vestibular Exercises with conventional treatment.

Eligibility Criteria

• Age: 60 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Older adults with or without any assistive device.
• Participants with a Mini-Mental State Examination score greater than 24.
• Participants with a value greater than 10 secs on the Time Up and Go Test.

You may not qualify if:

• Severe visual or vestibular impairments (e.g., Meniere's disease, labyrinthitis).
• Significant musculoskeletal impairments (e.g., arthritis, joint contractures).
• Unstable medical conditions (e.g., uncontrolled hypertension, cardiovascular disease).
• History of epilepsy or seizures.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Fedral, 44000, Pakistan

Location

Related Publications (3)

• Tornero-Quinones I, Saez-Padilla J, Espina Diaz A, Abad Robles MT, Sierra Robles A. Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living. Int J Environ Res Public Health. 2020 Feb 5;17(3):1006. doi: 10.3390/ijerph17031006.

  PMID: 32033397 BACKGROUND

• Nobrega-Sousa P, Gobbi LTB, Orcioli-Silva D, Conceicao NRD, Beretta VS, Vitorio R. Prefrontal Cortex Activity During Walking: Effects of Aging and Associations With Gait and Executive Function. Neurorehabil Neural Repair. 2020 Oct;34(10):915-924. doi: 10.1177/1545968320953824. Epub 2020 Aug 31.

  PMID: 32865134 BACKGROUND

• Lockie RG, Dawes JJ, Kornhauser CL, Holmes RJ. Cross-Sectional and Retrospective Cohort Analysis of the Effects of Age on Flexibility, Strength Endurance, Lower-Body Power, and Aerobic Fitness in Law Enforcement Officers. J Strength Cond Res. 2019 Feb;33(2):451-458. doi: 10.1519/JSC.0000000000001937.

  PMID: 28445229 BACKGROUND

MeSH Terms

Conditions

Vestibular Diseases; Motor Activity

Condition Hierarchy (Ancestors)

Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases; Behavior

Study Officials

• Zeest hashmi, MSNMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be randomized through lottery method and allocated into two groups. Group A (n=22) participants will receive Virtual Reality intervention with conventional treatment, while Group B (n=22) will receive Vestibular Exercises with conventional treatment.

Study Record Dates

• First Submitted: May 6, 2024
• First Posted: May 9, 2024
• Study Start: May 1, 2024
• Primary Completion: September 1, 2024
• Study Completion: September 1, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)