Inactivity, Balance Problems and Fall Risk in Institutionalized Frail Elderly

Study Overview
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Brief Summary
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The overall objective of the research is to identify the prevalence and incidence of BPPV and the impact on balance problems, fall risk and inactivity in frail elderly. The investigators will demonstrate the importance of early diagnosis and treatment in this patient group.

Official Title
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Inactivity, Balance Problems and Fall Risk in Institutionalized Frail Elderly: What is the Impact of Benign Paroxysmal Positional Vertigo (BPPV) and Treatment Effectiveness?

Conditions
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Institutional Frail Elderly

Intervention / Treatment
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* Other: evaluation and treatment maneuver for BPPV


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Institutionalized in a nursing home for at least 3 months Able to understand and follow simple instructions Able to stand independently for 30 seconds Willing to participate in the study Exclusion Criteria: diagnosis of progressive neurological diseases (such as Amyotrophic Lateral Sclerosis) resulting in a fast decline within 3 months Rehabilitating for a neurological or orthopaedic incident such as knee prosthesis, stroke,… ) Contra-indication for Hallpike and Epley maneuver

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: evaluation and treatment maneuver for BPPV|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| outcome of the vestibular bedside testing | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) | baseline | 
| outcome of the vestibular bedside testing | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) | month 1 | 
| outcome of the vestibular bedside testing | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) | month 2 | 
| outcome of the vestibular bedside testing | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) | month 3 | 
| outcome of the vestibular bedside testing | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) | month 4 | 
| outcome of the vestibular bedside testing | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) | month 5 | 
| outcome of the vestibular bedside testing | outcome of the vestibular bedside testing (i.e. Dix-Hallpike-, side lying- or roll-test) | month 6 | 
| static and dynamic balance using the Mobility lab (APDM-sensors) | static and dynamic balance using the Mobility lab (APDM-sensors): iSway (COP sway area and velocity with and without vision), iTUG | baseline | 
| static and dynamic balance using the Mobility lab (APDM-sensors) | static and dynamic balance using the Mobility lab (APDM-sensors): iSway (COP sway area and velocity with and without vision), iTUG | month 3 | 
| Four Test Balance Scale (4TBS) |  | baseline | 
| Four Test Balance Scale (4TBS) |  | month 1 | 
| Four Test Balance Scale (4TBS) |  | month 2 | 
| Four Test Balance Scale (4TBS) |  | month 3 | 
| Four Test Balance Scale (4TBS) |  | month 4 | 
| Four Test Balance Scale (4TBS) |  | month 5 | 
| Four Test Balance Scale (4TBS) |  | month 6 | 
| Functional Ambulation categories (FAC) |  | baseline | 
| Functional Ambulation categories (FAC) |  | month 1 | 
| Functional Ambulation categories (FAC) |  | month 2 | 
| Functional Ambulation categories (FAC) |  | month 3 | 
| Functional Ambulation categories (FAC) |  | month 4 | 
| Functional Ambulation categories (FAC) |  | month 5 | 
| Functional Ambulation categories (FAC) |  | month 6 | 
| Dizziness Handicap Inventory (DHI) |  | baseline | 
| Dizziness Handicap Inventory (DHI) |  | month 3 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fall incidents |  | baseline | 
| Fall incidents |  | month 1 | 
| Fall incidents |  | month 2 | 
| Fall incidents |  | month 3 | 
| Fall incidents |  | month 4 | 
| Fall incidents |  | month 5 | 
| Fall incidents |  | month 6 | 
| fear of falling | fear of falling: Falls Efficacy Scale | baseline | 
| fear of falling | fear of falling: Falls Efficacy Scale | month 3 | 
| depression | depression: Geriatric depression scale | baseline | 
| depression | depression: Geriatric depression scale | month 3 | 
| ambulatory activity level | ambulatory activity level: the StepWatch Activity Monitor (SAM) | baseline | 
| ambulatory activity level | ambulatory activity level: the StepWatch Activity Monitor (SAM) | month 3 |