Effects of a Vestibular Rehabilitation Maneuver

NCT ID: NCT01080430

Last Updated: 2019-02-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 16 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-11-30
• Study Completion Date: 2009-03-31

Brief Summary

Rotational maneuver is a vestibular rehabilitation method, performed in a supervised manner. Using a rotating chair, subjects are rotated towards the opposite direction of dominant side in order to inhibit this side and simultaneously, stimulate the subordinate side. We propose that the rehabilitative effect is the result of a decrease in the vestibular imbalance, mainly due to a decrease in the response of the dominant vestibular side. Previously, we have shown the short-term effects of this maneuver on patients with recent onset vestibular imbalance. In the present study, we investigated the long-term effects of the rotational maneuver in patients with a history of peripheral vestibular vertigo for at least one year, originally confirmed by clinical tests. Our results show a significant improvement which lasted for >4 weeks after the end of rehabilitation (i.e., the last time tested). Moreover, there seems to be a relationship between the decrease in DP values and a decrease in subjective symptoms. We propose that this maneuver can be used as an effective method for both short- and long-term rehabilitation.

Conditions

Vertigo

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: DOUBLE

Interventions

rehabilitation maneuver

rotation in the direction of the weak vestibular response, every 3-7 days over a period of a month. Each rotation lasts about 2 minutes and a total of 3-7 rotations are used per session.

Intervention Type: OTHER

Other Intervention Names

rotatory maneuver

Eligibility Criteria

Inclusion Criteria

• History of vertigo for at least one year
• Not under drug therapy for vertigo
• directional preponderance >10% measured by electronystagmography during rotation test

Exclusion Criteria

• severe vertigo
• intolerance to rotation
• previously diagnosed for a central pathology (e.g., neuroma)
• previously diagnosed with a fluctuating vestibular disorder (e.g., Menier's)

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Shahid Beheshti University of Medical Sciences

OTHER

Sponsor Role: collaborator

Day General Hospital.

OTHER

Sponsor Role: lead

Responsible Party

Dr Nayer Rassaian

Professor / Doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Nayer Rassaian, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Shaheed Beheshti University

Locations

Vestibular and auditory center of Day General Hospital

Tehran, , Iran

Countries

Iran

References

Sadeghi NG, Sabetazad B, Rassaian N, Sadeghi SG. Rebalancing the Vestibular System by Unidirectional Rotations in Patients With Chronic Vestibular Dysfunction. Front Neurol. 2019 Jan 22;9:1196. doi: 10.3389/fneur.2018.01196. eCollection 2018.

Reference Type: DERIVED

PMID: 30723455 (View on PubMed)

Other Identifiers

DGH-VR02

Identifier Type: -

Identifier Source: org_study_id