Clinical trial NCT06797141: Combined Effects of Vestibular Rehabilitation With Dual Task Training in Vestibular Disorders
Official title: Combined Effects of Vestibular Rehabilitation and Dual Task Training Exercises on Balance, Gait and Quality of Life in Patients With Vestibular Disorders
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Vestibular Function Disorder
Keywords: Vestibular Disorders
Vestibular Rehabilitation
Dual Task Exercises
Quality of Life
Gait
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-01-28
Enrollment: 30
Sex: ALL
Minimum age (years): 40
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* 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

Primary outcomes:
measure: Timed Up and Go test
timeFrame: 8 week
measure: Dynamic Gait Index
timeFrame: 8 week
measure: Vestibular Rehabilitation Benefit Questionnaire
timeFrame: 8 week
Secondary outcomes:
measure: Dizziness Handicap Inventory
timeFrame: 8 week
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Fatima Memorial Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Hira Jabeen, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.
citation: Staab JP. Persistent Postural-Perceptual Dizziness. Semin Neurol. 2020 Feb;40(1):130-137. doi: 10.1055/s-0039-3402736. Epub 2020 Jan 14.