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Vestibular Rehabilitation and Dizziness in Geriatric Patients

NCT ID: NCT00275392

Last Updated: 2014-12-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2009-08-31

Brief Summary

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The purpose of this study is to develop effective exercise intervention to reduce dizziness and fall risk in older adults with non-specific dizziness. We hypothesize that the use of vestibular exercises can reduce dizziness and improve gaze and postural stability in older persons.

Detailed Description

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Community dwelling older individuals who present to a specialty dizziness clinic (Atlanta VAMC or Emory University) with a primary complaint of dizziness will be recruited to participate in this study. Before beginning the study, the presence of normal vestibular function will be measured directly using standard vestibular function tests. Individuals will be randomly assigned to the vestibular exercise group (VR) or to the control group (CON). Data will be collected prior to the initiation of physical therapy and at the completion of the 6-week intervention period.

The VR group will perform vestibular exercises plus balance and gait exercises. The CON group will perform saccadic eye movements without targets against a blank wall, as well as balance and gait exercises. The balance and gait exercises for each group will be based on identified impairments and functional limitations, as is the standard of care in physical therapy. All subjects within a group will follow the same exercise progression for the vestibular or eye movement exercises. Subjects will be seen in the clinic on a weekly basis to review and modify the exercises according to a standard protocol and to reinforce compliance.

Conditions

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Dizziness

Keywords

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Dizziness Geriatrics Rehabilitation Vestibular rehabilitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Vestibular Rehabilitation

vestibular exercises plus standard balance and gait exercises

Group Type EXPERIMENTAL

Vestibular rehabilitation

Intervention Type BEHAVIORAL

vestibular adaptation and substitution exercises

Placebo

placebo exercises plus standard balance and gait exercises

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BEHAVIORAL

placebo vestibular exercises

Interventions

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Vestibular rehabilitation

vestibular adaptation and substitution exercises

Intervention Type BEHAVIORAL

Placebo

placebo vestibular exercises

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Patients must be at least 60 years of age, seeking medical care due to dizziness and have normal vestibular function based on results of the clinical examination, rotary chair and/or caloric tests.

Exclusion Criteria

Abnormal vestibular function based on results of clinical examination, rotary chair and/or caloric tests.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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US Department of Veterans Affairs

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Courtney D. Hall, PhD PT

Role: PRINCIPAL_INVESTIGATOR

Mountain Home VA Medical Center James H. Quillen VA Medical Center, Mountain Home, TN

Locations

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Atlanta VA Medical and Rehab Center, Decatur

Decatur, Georgia, United States

Site Status

Countries

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United States

References

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Hall CD, Heusel-Gillig L, Tusa RJ, Herdman SJ. Efficacy of gaze stability exercises in older adults with dizziness. J Neurol Phys Ther. 2010 Jun;34(2):64-9. doi: 10.1097/NPT.0b013e3181dde6d8.

Reference Type RESULT
PMID: 20588090 (View on PubMed)

Other Identifiers

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C4168-P

Identifier Type: -

Identifier Source: org_study_id