Combined Effects of Vestibular Rehabilitation With Dual Task Training in Vestibular Disorders
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Vestibular Rehabilitation and Dual task Training and Traditional Physical Therapy, Vestibular Rehabilitation and Traditional Physical Therapy.
- Who it may be relevant to
- Registry conditions: Vestibular Function Disorder. Basic parameters: 40 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Combined Effects of Vestibular Rehabilitation and Dual Task Training Exercises on Balance, Gait and Quality of Life in Patients With Vestibular Disorders
Overview
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.
Detailed description
In previous studies, vestibular rehabilitation is well-documented in enhancing balance, gait, reducing dizziness and improving quality of life through specific exercises aimed at improving vestibular function. Similarly, dual task training has shown promise in improving functional mobility and cognitive processing. However, no randomized control trial to date has systematically investigated the potential synergistic effects of these two interventions when applied together which leaves a critical gap in understanding whether the integration of dual task training into vestibular rehabilitation could yield superior outcomes for patients suffering from vestibular disorders. This research could provide valuable insights and potentially enhance therapeutic strategies for this population.
Interventions
- Other Vestibular Rehabilitation and Dual task Training and Traditional Physical Therapy
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 Bal - Other Vestibular Rehabilitation and Traditional Physical Therapy
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, backw
Primary outcome measures
- Timed Up and Go test [Time frame: 8 week]
- Dynamic Gait Index [Time frame: 8 week]
- Vestibular Rehabilitation Benefit Questionnaire [Time frame: 8 week]
Secondary outcome measures (1)
- Dizziness Handicap Inventory [Time frame: 8 week]
Eligibility criteria
Inclusion criteria
- 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
Exclusion criteria
- 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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Fatima Memorial Hospital — Lahore
Publications
- 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
- 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
- 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
- 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
Identifiers
NCT: NCT06797141 · REC/RCR & AHS/24/0257