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

Официальное название

Combined Effects of Vestibular Rehabilitation and Dual Task Training Exercises on Balance, Gait and Quality of Life in Patients With Vestibular Disorders

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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
• Другое 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

Первичные конечные точки

• Timed Up and Go test [Срок оценки: 8 week]
• Dynamic Gait Index [Срок оценки: 8 week]
• Vestibular Rehabilitation Benefit Questionnaire [Срок оценки: 8 week]

Вторичные конечные точки (1)

• Dizziness Handicap Inventory [Срок оценки: 8 week]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Fatima Memorial Hospital — Lahore

Публикации

• 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

Идентификаторы

NCT: NCT06797141 · REC/RCR & AHS/24/0257

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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