Combined Effects of Vestibular Rehabilitation With Dual Task Training in Vestibular Disorders

NCT06797141 | Enrolling By Invitation

• 1 other identifier: REC/RCR & AHS/24/0257
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with vestibular disorders often experience cognitive-motor interference which can adversely affect their motor performance, significantly impair daily functioning, increase instability, reducing quality of life and increasing the risk of falls. Vestibular rehabilitation is a well-established therapeutic approach for managing vestibular disorders in reducing symptoms and improving balance and mobility. Similarly, Dual Task Training improves cognitive-motor integration by enhancing both cognitive and motor functions and has shown promising results in other populations. This study is aimed to determine the combined effects of both interventions as it might provide a more comprehensive and effective treatment, ultimately improving patient outcomes and quality of life.

Conditions

Vestibular Function Disorder

Keywords

Vestibular Disorders; Vestibular Rehabilitation; Dual Task Exercises; Quality of Life; Gait

Outcome Measures

Primary Outcomes (3)

• Timed Up and Go test

  The instrument is used to assess dynamic balance including pace, distance, mechanism of turn, type of chair and number of trials. The time required to perform this test is measured. If more than 12 sec is taken in the completion of this test then it indicates high risk of fall

  8 week

• Dynamic Gait Index

  Dynamic Gait Index (DGI) contains eight items measured on 4-point ordinal scale (3: Normal, 2: Mild Impairment, 1: Moderate impairment, 0: Severe Impairment).

  8 week

• Vestibular Rehabilitation Benefit Questionnaire

  The Vestibular Rehabilitation Benefit Questionnaire (VRBQ) is 22 items subjective tool used to evaluate vestibular symptoms and their impact on quality of life in vestibular disorders. It is categorized into 3 subscales Dizziness and anxiety, Motion-provoked dizziness and Quality of life. Its score interpretation indicates 0%: no deficit \& 100%: significant deficit. Score above 0% signifies the presence of symptoms, loss of function, or reduced quality of life

  8 week

Secondary Outcomes (1)

• Dizziness Handicap Inventory

  8 week

Study Arms (2)

Vestibular Rehabilitation and Dual Task Training and Traditional Physical Therapy

EXPERIMENTAL

Group A will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 30 minutes and Dual Task Training for 20 minutes along with routine physical therapy of 10 minutes. Treatment session will be supervised by physical therapist and will be given 5 days per week for 8 weeks

Other: Vestibular Rehabilitation and Dual task Training and Traditional Physical Therapy

Vestibular Rehabilitation and Traditional Physical Therapy

ACTIVE COMPARATOR

Group B will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 40 minutes along with routine physical therapy of 20 minutes. Treatment session will be supervised by physical therapist and will be given 5 days per week for 8 weeks.

Other: Vestibular Rehabilitation and Traditional Physical Therapy

Interventions

Vestibular Rehabilitation and Dual task Training and Traditional Physical Therapy OTHER

Group A will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 30 minutes and Dual Task Training for 20 minutes along with routine physical therapy of 10 minutes. Treatment session will be given 5 days per week for 8 weeks. Patients will be instructed to perform 2 sets of 5 repetition each Gaze Stability exercises: Horizontal and Vertical Head movements keep their eyes fixed on a stationary target, Following a slowly moving target keeping head still Balance Exercises:Maintain balance while performing neck rotations and shifting their weight forward, backward, and side to side.Sit to stand on chair Gait Training: Walking at varying speeds, walking forwards and backwards, sideways walking, walk in circles, and walking with horizontal and vertical head movements Dual Task exercises comprising of primary and secondary tasks Conventional Cawthorne Cooksey exercises :Up and down eye and Head movements, pick up things from ground, Walk up and down

Vestibular Rehabilitation and Dual Task Training and Traditional Physical Therapy

Vestibular Rehabilitation and Traditional Physical Therapy OTHER

Group B will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 40 minutes along with routine physical therapy of 20 minutes. Treatment session will be given 5 days per week for 8 weeks. Gaze Stability exercises: Horizontal and Vertical Head movements keep their eyes fixed on a stationary target, Following a slowly moving target keeping head still Balance Exercises:Maintain balance while performing neck rotations and shifting their weight forward, backward, and side to side.Sit to stand on chair Gait Training: Walking at varying speeds, walking forwards and backwards, sideways walking, walk in circles, and walking with horizontal and vertical head movements Conventional Cawthorne Cooksey exercises :Up and down eye and Head movements, pick up things from ground, Walk up and down

Vestibular Rehabilitation and Traditional Physical Therapy

Eligibility Criteria

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

You may qualify if:

• Patients complaining of dizziness for longer than 3 months
• Patients with history of at least 1 bout of dizziness per month
• Patients with history of at least 1 fall in previous 6 months
• Diagnosed Patients as having vestibular disorder by an otolaryngologist
• Mini Mental State Examination (MMSE) score greater than 24

You may not qualify if:

• Patients with Meniere disease and bilateral vestibular disorders
• Patients with central nervous system disorders, and psychiatric disorders
• Patients having visual impairment that could not be treated with lenses or glasses
• Dizziness not resulting from vestibular disorder or use of Medication for Dizziness
• Movement limitation due to orthopedic problems
• Those who were unable to sign informed consent form

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Fatima Memorial Hospital

Lahore, Punjab Province, 54600, Pakistan

Location

Related Publications (4)

• Choi WY, Gold DR. Vestibular Disorders: Pearls and Pitfalls. Semin Neurol. 2019 Dec;39(6):761-774. doi: 10.1055/s-0039-1698752. Epub 2019 Dec 17.

  PMID: 31847047 BACKGROUND

• Aedo-Sanchez C, Riquelme-Contreras P, Henriquez F, Aguilar-Vidal E. Vestibular dysfunction and its association with cognitive impairment and dementia. Front Neurosci. 2024 Mar 27;18:1304810. doi: 10.3389/fnins.2024.1304810. eCollection 2024.

  PMID: 38601091 BACKGROUND

• Strupp M, Dlugaiczyk J, Ertl-Wagner BB, Rujescu D, Westhofen M, Dieterich M. Vestibular Disorders. Dtsch Arztebl Int. 2020 Apr 24;117(17):300-310. doi: 10.3238/arztebl.2020.0300.

  PMID: 32530417 BACKGROUND

• Staab JP. Persistent Postural-Perceptual Dizziness. Semin Neurol. 2020 Feb;40(1):130-137. doi: 10.1055/s-0039-3402736. Epub 2020 Jan 14.

  PMID: 31935771 BACKGROUND

MeSH Terms

Conditions

Vestibular Diseases

Condition Hierarchy (Ancestors)

Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases

Study Officials

• Hira Jabeen, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 3, 2024
• First Posted: January 28, 2025
• Study Start: November 1, 2024
• Primary Completion: March 1, 2025
• Study Completion: July 1, 2025
• Last Updated: January 28, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)