Clinical trial NCT05070936: The Effect Of Vestibular Rehabilitation On Kinesiophobia And Balance With Individuals Who Has Vestibular Hypofunction
Official title: Effect Of Vestibular Rehabilitation On Kinesiophobia, Quality Of Life, Dynamic Visual Acuity And Balance With Individuals Who Has Vestibular Hypofunction
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Individuals With Vestibular Hypofunction
Individuals Between the Ages of 18-65
Keywords: Balance
Dynamic visual acuity
Kinesiophobia
Vestibular hypofunction
Vestibular rehabilitation
Lead sponsor: Istanbul Medipol University Hospital
Sponsor class: OTHER
First posted: 2021-10-07
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: Vestibular hypofunction is a disease which emerge through a partial or total loss on a vestibular organ or vestibular nerve. It can be seen unilateral or bilateral. Aim of the study is to examine effects of vestibular rehabilitation on kinesiophobia, quality of life, dynamic vision acuity and balance. The study was conducted with patients diagnosed with vestibular hypofunction. 30 patients who are in the ages between 18 and 65 have participated in the study. Exercise programs has given to patients to do at home. Patients were observed every two weeks in the hospital. The following exercises were done with the patients: both sitting and standing gaze stabilization exercises, neck joint range of motion exercises, 20 minutes walks outside, walking backwards both open and closed eyes, and walking on tandem both open and closed eyes. Exercise program was applied for 8 weeks. Before and after the treatment, Tampa Kinesiophobia Scale, World Health Organization Quality of Life Scale-Short form in Turkish, Dynamic Visual Acuity Test, Balance Tests, Unterberger Test, Visual Analog Scale to measure dizziness and fatigue, for verticality and horizontality perception Subjective Visual Vertical and Subjective Visual Horizontal tests have been applied. As a result of the study, statistical correlations have been found except semi-tandem posture test with eyes open and Romberg's test both with eyes open and closed. It can be said that vestibular rehabilitation has improved quality of life, balance, dynamic vision acuity and overcame kinesiophobia on the patients.

Detailed description: Vestibular rehabilitation consisted of a total of 4 sessions, rearranged every 15 days. These exercises were prepared gradually to increase the vestibulo-ocular reflex and vestibulospinal reflex. The following exercises were done with the patients: both sitting and standing gaze stabilization exercises, neck joint range of motion exercises, 20 minutes walks outside, walking backward both open-and-closed eyes, and walking in tandem with both open-and-closed eyes. The therapist gave the patients a home exercise program. It was emphasized that the exercises should be applied as 10 repetitions. After the session, the exercises shown to the patients were explained in written form and given as home exercises. They were also asked to do home exercises 3 times a day, 10 repetitions, for 15 days. Evaluation of the patients was done at the beginning of the first session and the 4th session. Thus, 3 separate exercise sessions and a home exercise program were applied to the patients.

Eligibility criteria: Inclusion Criteria:

* Individuals with vestibular hypofunction diagnosed by videonystagmography test
* Patients aged between 18-65 years.

Exclusion Criteria:

* Patients with visual impairment and neurological involvement
* Individuals with wavy vertigo
* Ataxia, or other lesions causing oscillopsia
* Dementia
* Patients with severely limited mobility and unable to walk without using a walker, cane, or orthosis.

Primary outcomes:
measure: Before and After Tampa Kinesiophobia Scale Values
timeFrame: 8 Weeks
Secondary outcomes:
measure: World Health Organization Quality of Life Scale-Short form Before and After Values
timeFrame: 8 Weeks
measure: : Results of Tandem Stance Test, Subjective Visual Vertical and Subjective Visual Horizontal Tests, Dizziness Severity and Dynamic Visual Acuity Parameters
timeFrame: 8 Weeks
Other outcomes:
Locations:
city: Bağcılar
country: Turkey
facility: Güneşli Erdem Hastanesi
state: Güneşli
Study officials:
affiliation: master student
name: Ebru Sever, master
role: PRINCIPAL_INVESTIGATOR
affiliation: head of physical medicine and rehabilitation department
name: Z.Candan Algun, professor
role: STUDY_DIRECTOR
References: