Comparison Between Traditional Vestibular Rehabilitation Therapy And Virtual Reality In Management Of Patients With Chronic Dizziness

NCT07210840 | Not Yet Recruiting DMC

• 1 other identifier: TVRT vs Virtual Reality Dizzin
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Chronic dizziness is a common and often debilitating condition, especially among older adults. It typically presents as a persistent sensation of unsteadiness, spinning, or motion lasting weeks or months. Most cases stem from vestibular system disorders, such as vestibular neuritis, benign paroxysmal positional vertigo (BPPV), Menière's disease, and bilateral vestibulopathy \[1,2\]. Symptoms may persist beyond the acute phase due to the brain's incomplete adaptation or maladaptive behaviors, like avoiding movement. Psychological factors, such as anxiety and stress, can worsen or prolong symptoms \[3\]. While many vestibular disorders resolve over time, some patients experience chronic symptoms due to poor central compensation or fear-based movement avoidance \[2\]. Chronic dizziness significantly impacts daily life-leading to imbalance, increased fall risk, reduced mobility, and emotional distress. Proper management is crucial to improving safety, independence, and quality of life \[4\]. Initial treatments may include medications or maneuvers like the Epley technique for BPPV. If symptoms persist, Vestibular Rehabilitation Therapy (VRT) is often recommended. VRT is a personalized exercise program aimed at enhancing the brain's ability to adapt, habituate, or compensate through substitution \[6-8\]. Recently, Virtual Reality (VR) has emerged as an innovative tool in vestibular rehab. It provides engaging, interactive environments for practicing balance and visual-vestibular tasks. Studies suggest that VR is feasible, well-tolerated, and effective, particularly for patients with persistent or visually-induced dizziness \[9,10\].

Conditions

Chronic Dizziness

Outcome Measures

Primary Outcomes (1)

• cure rate

  the clinical effectiveness of treatment in management of patients with chronic dizziness due to vestibular disorders.

  baseline

Study Arms (2)

Group A

ACTIVE COMPARATOR

Traditional Vestibular Rehabilitation Therapy

Procedure: Traditional Vestibular Rehabilitation Therapy

Group B

ACTIVE COMPARATOR

Virtual Reality treatment

Procedure: Virtual Reality treatment

Interventions

Virtual Reality treatment PROCEDURE

Exercises delivered via a VR system simulating balance tasks and environments

Group B

Traditional Vestibular Rehabilitation Therapy PROCEDURE

Customized vestibular exercises (gaze stabilization, balance, habituation, gait training).

Group A

Eligibility Criteria

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

You may qualify if:

• Adults aged 18-70 years.
• Patients diagnosed with chronic dizziness (duration \>3 months) due to peripheral vestibular disorders (e.g., vestibular neuritis, BPPV, unilateral vestibular hypofunction).

You may not qualify if:

• Presence of central vestibular disorders (e.g., multiple sclerosis, cerebellar ataxia,
• stroke).
• Patients in acute phase
• Presence of severe visual impairment
• Presence of motor disabilities that prevent safe participation in rehabilitation exercises.
• Cognitive impairment or psychiatric illness that decrease ability to follow instructions

Sponsors & Collaborators

• Assiut University: lead

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: residant doctor at Assiut university hospital

Study Record Dates

• First Submitted: September 30, 2025
• First Posted: October 7, 2025
• Study Start: November 1, 2025
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): December 1, 2027
• Last Updated: October 7, 2025

Record last verified: 2025-09