Comparison Between Traditional Vestibular Rehabilitation Therapy And Virtual Reality In Management Of Patients With Chronic Dizziness
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: Virtual Reality treatment, Traditional Vestibular Rehabilitation Therapy.
- Who it may be relevant to
- Registry conditions: Chronic Dizziness. Basic parameters: 18 years — 70 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
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
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 \[9,10\].
Interventions
- Procedure Virtual Reality treatment
Exercises delivered via a VR system simulating balance tasks and environments - Procedure Traditional Vestibular Rehabilitation Therapy
Customized vestibular exercises (gaze stabilization, balance, habituation, gait training).
Primary outcome measures
- cure rate [Time frame: baseline]
Eligibility criteria
Inclusion criteria
- • 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).
Exclusion criteria
- 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
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
- Open label
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07210840 · TVRT vs Virtual Reality Dizzin