Effects Of Mental Imagery Along With Vestibular Rehabilitation On Young Adults With Vestibular Hypofunction

NCT07064096 | Recruiting

• 1 other identifier: Sulman amjad
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 2

Brief Summary

The objective of the study is to determine the effects of cawthorne cooksey exercises with addition of mental imagery on vertigo,dizziness and balance in young adults with vestibular hypofunctionThe study will be randomized control trial including 2 experimental groups with estimated 22 participants in each group.

Conditions

Vestibular Hypofunction

Keywords

VESTIBULAR REHAB WITH MENTAL IMAGERY; BALANCE; VERTIGO AND DIZZINESS

Outcome Measures

Primary Outcomes (3)

• Vertigo Symptom Scale

  The Vertigo Symptom Scale (VSS) is a self-report questionnaire designed to assess the severity and frequency of vertigo-related symptoms over the past month

  8 week

• • Dizziness Handicap Inventory

  The Dizziness Handicap Inventory (DHI) is a self-reported questionnaire designed to evaluate the impact of dizziness on a person's daily life, emotional well-being, and functional ability. It is widely used in clinical practice for assessing vestibular dysfunction and tracking progress in rehabilitation. Purpose of DHI is to Measures how dizziness affects daily activities.

  8 week

• Mini-BESTest (Mini Balance Evaluation Systems Test)

  The Mini-BESTest is a shortened version of the Balance Evaluation Systems Test (BESTest). It is designed to assess dynamic balance and identify impairments in postural control across different systems. This test is particularly useful for evaluating balance deficits in vestibular disorders

  8 week

Study Arms (2)

Conventional treatment

ACTIVE COMPARATOR

cawthorne cooksey exercises

Other: cawthorne cooksey exercise

participatory Group

EXPERIMENTAL

cawthorne cooksey exercises in addition of mental imagery

Other: mental imagery

Interventions

cawthorne cooksey exercise OTHER

Cawthorne Cooksey exercises -Start with low to moderate intensity. Cawthorne Cooksey exercise Training Phase1-In bed exerercises:- Eye movements: 1)Up and down 2)Side to side 3)Moving finger away from face -Phase2-Sitting: Eye movements as above. Head movements at firsts low, then quick later with eyes closed -bending forward and backward -turning from side to side. --Shoulder shrugging and circling -Bending forward and picking up objects from the ground - Phase 3 - Standing: -Eye, Head, Shoulder movements -Throwing ball from hand to hand, hand under knee -Switch to sitting to standing and turning around in between. -Phase 4 - Walk: with eyes closed and open: -Across room -Slope and Stairs

Also known as: cawthorne cooksey exercises

Conventional treatment

mental imagery OTHER

The mental imagery intervention in this study is a structured, guided cognitive training program designed to enhance the effects of vestibular rehabilitation in young adults with unilateral vestibular hypofunction. Mental imagery (MI) involves the internal visualization and mental rehearsal of physical movements without actual motor output, engaging similar neural pathways as actual execution.

participatory Group

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with unilateral vestibular hypofunction
• Head thrust test positive
• Age group 20-40
• DHI score 16 above
• VSS score 11-30

You may not qualify if:

• With any other associated neurological disorder that effect vestibular rehabilitation
• Having bilateral vestibular hypofunction
• Patients having any other associated disease that affects balance or cause vertigo other that vestibular

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Alnasir Hospital Gujar Khan

Gujar Khān, Punjab Province, 447150, Pakistan

RECRUITING

Riphah International University

Islamabad, Pakistan

RECRUITING

Related Publications (3)

• Liu KP, Chan CC, Lee TM, Hui-Chan CW. Mental imagery for promoting relearning for people after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2004 Sep;85(9):1403-8. doi: 10.1016/j.apmr.2003.12.035.

  PMID: 15375808 BACKGROUND

• Ellis AW, Schone CG, Vibert D, Caversaccio MD, Mast FW. Cognitive Rehabilitation in Bilateral Vestibular Patients: A Computational Perspective. Front Neurol. 2018 Apr 27;9:286. doi: 10.3389/fneur.2018.00286. eCollection 2018.

  PMID: 29755404 BACKGROUND

• van Esch BF, Nobel-Hoff GE, van Benthem PP, van der Zaag-Loonen HJ, Bruintjes TD. Determining vestibular hypofunction: start with the video-head impulse test. Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3733-3739. doi: 10.1007/s00405-016-4055-9. Epub 2016 Apr 25.

  PMID: 27113255 BACKGROUND

Study Officials

• Nadia azhar, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nadia Azhar, MSNMPT

CONTACT

00923335281431; Nadia.azhar@riphah.edu.pk

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

Model Details: Interventional model

Study Record Dates

• First Submitted: July 3, 2025
• First Posted: July 14, 2025
• Study Start: July 1, 2025
• Primary Completion: December 30, 2025
• Study Completion: December 30, 2025
• Last Updated: July 14, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)