Clinical trial NCT06407726: Comparative Effects of Virtual Reality and Vestibular Exercises on Balance Gait in Older Adults
Official title: Comparative Effects of Virtual Reality and Vestibular Exercises on Balance, Gait, and Activities of Daily Living in Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Old Age
Vestibular Disorder
Balance
Exercise
Keywords: Old Age
Vestibular Disorder
Balance
Exercise
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-05-09
Enrollment: 44
Sex: ALL
Minimum age (years): 60
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants will be randomized through lottery method and allocated into two groups. Group A (n=22) participants will receive Virtual Reality intervention with conventional treatment, while Group B (n=22) will receive Vestibular Exercises with conventional treatment.
Primary purpose: TREATMENT

Brief summary: To compare the effects of virtual reality and vestibular exercises on balance, gait, and activities of daily living in older adults.

Detailed description: It will be a randomized clinical trial where non-probability convenience sampling technique will be used. Total 44 participants will be taken aged 60 to 85 years. All Participants will be randomized through lottery method and allocated into two groups. Group A (n=22) participants will receive Virtual Reality intervention with conventional treatment, while Group B (n=22) will receive Vestibular Exercises with conventional treatment. The Berg Balance Scale for balance assessment, Dynamic Gait Index for gait while Time Up and Go Test, and Modified Barthel Index for Activities of Daily Living will be outcome measure tools.

Eligibility criteria: Inclusion Criteria:

* Older adults with or without any assistive device.
* Participants with a Mini-Mental State Examination score greater than 24.
* Participants with a value greater than 10 secs on the Time Up and Go Test.

Exclusion Criteria:

* Severe visual or vestibular impairments (e.g., Meniere's disease, labyrinthitis).
* Significant musculoskeletal impairments (e.g., arthritis, joint contractures).
* Unstable medical conditions (e.g., uncontrolled hypertension, cardiovascular disease).
* History of epilepsy or seizures.

Primary outcomes:
measure: The Dynamic Gait Index (DGI)
timeFrame: 6 months
measure: Berg Balance Scale
timeFrame: 6 months
measure: Modified Barthel Index
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah International University
state: Fedral
Study officials:
affiliation: Riphah International University
name: Zeest hashmi, MSNMPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Tornero-Quinones I, Saez-Padilla J, Espina Diaz A, Abad Robles MT, Sierra Robles A. Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living. Int J Environ Res Public Health. 2020 Feb 5;17(3):1006. doi: 10.3390/ijerph17031006.
citation: Nobrega-Sousa P, Gobbi LTB, Orcioli-Silva D, Conceicao NRD, Beretta VS, Vitorio R. Prefrontal Cortex Activity During Walking: Effects of Aging and Associations With Gait and Executive Function. Neurorehabil Neural Repair. 2020 Oct;34(10):915-924. doi: 10.1177/1545968320953824. Epub 2020 Aug 31.
citation: Lockie RG, Dawes JJ, Kornhauser CL, Holmes RJ. Cross-Sectional and Retrospective Cohort Analysis of the Effects of Age on Flexibility, Strength Endurance, Lower-Body Power, and Aerobic Fitness in Law Enforcement Officers. J Strength Cond Res. 2019 Feb;33(2):451-458. doi: 10.1519/JSC.0000000000001937.