Clinical trial NCT06004505: Effect of Vestibular Rehabilitation on Static Posturography Results
Official title: The Effect of Vestibular Rehabilitation on Static Posturography Results in Individuals With Unilateral Vestibular Hypofunction
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Unilateral Vestibular Dysfunction Disease
Keywords: Unilateral vestibular hypofunction
balance
static posturography
vestibular rehabilitation
Lead sponsor: Istanbul Gelisim University
Sponsor class: OTHER
First posted: 2023-08-22
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Thirty subjects with unilateral vestibular hypofunction diagnosed by videonystagmography (VNG) were voluntarily included in the study. In addition to Static Posturography test, head thrust test, Unterberger test, bucket test, eyes open/closed tandem stance test, eyes open/closed semitandem stance test, Romberg test, one leg standing on foam floor with eyes open/closed and before vestibular rehabilitation treatment In the initial evaluations, the Visual Analogue Scale (VAS) and the Dizziness Disability Inventory (DHI) were applied to assess the severity of standing on one leg with eyes open/closed, dynamic visual acuity, vertigo, and fatigue. As a result of the study, it was concluded that vestibular rehabilitation is beneficial in patients with unilateral vestibular hypofunction and its effectiveness can be monitored with Static Posturography.

Detailed description: Patients were re-evaluated after 8 weeks of vestibular rehabilitation and the results were compared. The vestibular rehabilitation program was changed every two weeks. During the eight-week period, the patients performed the exercise program 3 times a day with 10 repetitions of each exercise. According to the evaluation results after the treatment, there was a statistically significant improvement in static posturography, especially in the modified-CTSIB test. There was a statistically significant improvement in dynamic visual acuity, head thrust test, bucket test, standing on one leg on firm and foam ground with eyes open/closed, tandem stance test with eyes closed, and Unterberger test. Statistically significant scores were obtained in VAS and DHI results.

Eligibility criteria: Inclusion Criteria:

* Individuals diagnosed with unilateral vestibular hypofunction by VNG
* Individuals aged 18-65
* Normal otomicroscopic examination

Exclusion Criteria:

* Individuals with neurological disorders
* Having physical problems that may interfere with walking
* Central finding as a result of the VNG test
* Pathology in temporal bone MRI
* Having a cognitive impairment that prevents communication
* Have a severe visual impairment

Primary outcomes:
measure: Static Posturography
timeFrame: 8 weeks
Secondary outcomes:
measure: Videonystagmography (VNG)
timeFrame: 8 weeks
measure: Tandem Posture Test
timeFrame: 8 weeks
measure: Semitandem Posture Test
timeFrame: 8 weeks
measure: Romberg Test
timeFrame: 8 weeks
measure: One Leg Standing Test
timeFrame: 8 weeks
measure: Head Thrust Test
timeFrame: 8 weeks
measure: Unterberger Test
timeFrame: 8 weeks
measure: Dynamic Visual Acuity Test
timeFrame: 8 weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Güneşli Erdem Hospital
state: Bağcılar
Study officials:
affiliation: Department of Physiotherapy & Rehabilitation
name: Ebru SEVER, Lecturer
role: PRINCIPAL_INVESTIGATOR
affiliation: Department of Physiotherapy & Rehabilitation
name: Gamze KILIÇ, PHD
role: PRINCIPAL_INVESTIGATOR
affiliation: Department of Health Management
name: Kaan Can UYANIK, Lecturer
role: PRINCIPAL_INVESTIGATOR
affiliation: Clinic of Otolaryngology
name: Cengiz ÇELİKYURT, Assistant Professor/MD
role: STUDY_DIRECTOR
References: