The Effect of Proprioseptive Vestibular Rehabilitation in Patients With Peripheral Vestibular Hypofunction

Study Overview
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Brief Summary
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The aim of this study was to investigate the effect of proprioceptive vestibular rehabilitation on balance, functional mobility, posture, sensory profile and quality of life in patients with vertigo due to peripheral vestibular hypofunction.

Detailed Description
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Peripheral vestibular system; It forms the part extending from the structures in the inner ear to the vestibular nuclei in the brainstem. Peripheral vestibular hypofunction is a chronic disease affecting one or both sides of the vestibular system, which occurs when the function of the vestibular organs, vestibular nerve, or both is reduced or destroyed. Many patients with peripheral vestibular hypofunction develop symptoms such as dizziness, vertigo, imbalance, gait disturbance. Many different exercise methods have been tried so far to relieve these symptoms and increase the functionality of the patient. In this study, we aimed to examine the effect of proprioceptive vestibular rehabilitation on balance, quality of life, posture, sensory profile and functional mobility in patients with vertigo due to peripheral vestibular hypofunction aged 18-65 years. Patients with vertigo due to peripheral vestibular hypofunction between the ages of 18-65 will be included in our study. The population of the research will be created by the cluster sampling method and the randomization of the patients to be recruited will be determined using the research ramdomizer computer program; Patients will be divided into 3 groups as experimental and control groups. A randomized controlled, single-blind study will be planned. Group I (experiment): Glance stabilization exercises, Cawthorne Cooksey Exercises and Proprioceptive vestibular rehabilitation exercises, Group II (experiment): Glance stabilization exercises and Cawthorne Cooksey Exercises and Group III (control): no exercise will be given, they will be asked to continue daily life. Exercises will be applied to each group for 8 weeks, 4 days a week, 30 minutes, in the presence of 1 set of physiotherapists and as a home exercise program every day of the week. Individuals will be evaluated before and 8 weeks after the treatment. Tinetti Balance Test for balance assessment, One leg stand test; timed up and go test for functional mobility assessment; Dizziness Disability Inventory for quality of life; mobile posture assessment application for posture assessment; Adult / Adolescent Sensory profile will be used for sensory assessment. Pre- and post-treatment and intergroup evaluations will be compared, and the effectiveness of proprioceptive vestibular rehabilitation on balance, functional mobility, posture, sensory profile and quality of life, and its superiority over standard exercises will be interpreted.

Official Title
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The Effect of Proprioseptive Vestibular Rehabilitation on the Balance, Functional Mobility, Posture, Sensory Profile and Quality of Life in Patients With Vertigo Due to Peripheral Vestibular Hypofunction

Conditions
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Vertigo, Peripheral, Vestibular Disease

Intervention / Treatment
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* Other: Proprioceptive vestibular exercise
* Other: Standard vestibular rehabilitation exercises
* Other: Controlled


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Between 18-65 years Diagnosis of vertigo according to the clinical examination performed by an Otorhinolaryngologist, Vestibular Evoked Myogenic Potentials (VEMP), Video Head Impulse Test (VHIT) Patients with Unilateral Peripheral Hypofunction After giving detailed information about the research, agreeing to participate in the study. Exclusion Criteria: Severe hearing / vision impairment-loss Patients with neurological, orthopedic, circulatory system problems that may cause vertigo, dizziness and balance disorders Having severe hypertension / diabetes Previous participation in a vestibular rehabilitation program Being healthy Patients using drugs that may affect the treatment negatively Refusing to participate in a clinical trial Patients who cannot adapt to the training program Patients who discontinued their treatment Patients with different diagnoses that may disrupt the treatment during the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Experimental, Randomized Controlled Study
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Grup I<br>Proprioceptive vestibular rehabilitation exercises, Cawthorne Cooksey Exercises and Gaze Stabilization exercises, | Other: Proprioceptive vestibular exercise<br>* To assess effects of proprioceptive vestibular exercises training in patients with peripheral vestibular hypofunctions<br>* Other names: Gaze stabilization exercises;|
| Experimental: Grup II<br>Cawthorne Cooksey Exercises and Gaze Stabilization exercises | Other: Standard vestibular rehabilitation exercises<br>* To assess effects of standard vestibular rehabilitation exercises in patients with peripheral vestibular hypofunctions<br>* Other names: Cawthorne Cooksey Exercises, Gaze Stabilization Exercises;|
| Other: Grup III<br>No intervention will be made, patients will be asked to continue their daily life | Other: Controlled<br>* First and last measurement will be taken. There will be no intervention. study will include 9 patients.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dizziness handicap inventory | It used to assess the quality of life in patients with vertigo | 8 weeks | 
| Tinetti balance test | It used to asses the balance (questionnaire, score) | 8 weeks | 
| Time up and go test | It used to assses the functionality (sec) | 8 weeks | 
| Adolescent/Adult Sensory Profile | In the test, 6 different sensory processing processes are evaluated. Includes assessments of taste/smell process, movement process, visual processing, touch process, activity level and auditory processing. Each item is scored with likert measurements between 1 and 5 points determined by the person. | 8 weeks | 
| Mobile application for Posture Analyze | It used to assess Posture (Degree) | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Vertigo, Peripheral Vestibular Hypofunction, Exercises, Balance, Functional Mobility, Quality of Life