Activity Treatment on Vestibular Rehabilitation

Study Overview
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Brief Summary
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In this study it was aimed to investigate the effects of home treatment program based standard activity on dizziness, balance and daily life activity in patients with dizziness complaint originated from chronic unilateral peripheral vestibular disorder and compare to effects of exercise-based home rehabilitation program.

Detailed Description
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The aim of this study was to assess the effects of an activity training programme on dizziness, imbalance, and level of independence in daily living activities in patients with chronic dizziness. 75 patients between 18-65 years of age who diagnosed chronic peripheral vestibular disorders and individuals with vestibular rehabilitation indications were included in our study. Patients were randomly divided into 3 groups consist of 25 patients as an activity group, exercise group, and control group. Education was given to each group. İn addition, the activity group was performed a training activities program, the exercise group was performed in the Cawthorne-Cooksey exercises program. Therapy programs were prescribed once daily at home for 4 weeks. After demographic information was obtained from all patients, assessments were performed at the beginning and at the end of the treatment program (4 weeks). Dizziness severity was assessed by the Visual Analog Scale (VAS), activities of daily livings were assessed by Vestibular Disorders Activity Questionnaire (VADL) and balance was assessed by Sensory Organization Testing (SOT).

Official Title
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Comparison of Activity-Based Home Program and Cawthorne-Cooksey Exercises in Patients With Chronic Unilateral Peripheral Vestibular Disorders

Conditions
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Vestibular Disorder

Intervention / Treatment
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* Procedure: occupational therapy based activity training programs
* Procedure: Physiotherapy based exercise training programs


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients have dizziness complaint longer than 3 months, History of at least one dizziness in a month Patient has been diagnosed chronic unilateral peripheric vestibular disorder Exclusion Criteria: Patients with diagnosed benign paroxysmal positional vertigo, had Meniere's disease, had history of central nerve system impairments and/or psychiatric disorder, had uncontrolled hypertension and diabetes, had not understanding simple verbal instruction and following ability, not able to stand independent in the standstill position, had visual problems that cannot be treated with lenses or glasses, had movement limitation due to the orthopedic problem, using medication for dizziness.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 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: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: activity group<br>Participants received an activity-based home program that was performed for 4 weeks. | Procedure: occupational therapy based activity training programs<br>* Occupational therapy based activity training programs in which exercises based on physiotherapy are put into the purposeful activities at vestibular rehabilitation.<br>* Other names: purposeful activities;|
| Experimental: exercise group<br>Participants received an exercise-based home program was performed that was performed for 4 weeks. | Procedure: Physiotherapy based exercise training programs<br>* Cawthorne-cooksey exercises were performed at vestibular rehabilitation<br>* Other names: Cawthorne-cooksey exercises;|
| No Intervention: control group<br>No intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from before and after treatment in the severity of dizziness on Visual Analog scale (VAS). | VAS is a self-reported instrument assessing the severity of diziness. | before and after treatment (4 weeks) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from before and after treatment in the Independent level of activity in the daily life on Vestibular Disorders Activities of Daily Living Scale (VADL). | VADL is a questionnaire assessing the Independent level of activity in daily life. | before and after treatment (4 weeks) |