Investigation of The Effect of Web-Based System With Oculomotor and Optokinetic Stimulation on Rehabilitation in Vestibular Hypofunction

NCT ID: NCT04133025

Last Updated: 2020-03-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-01-17
• Study Completion Date: 2019-09-10

Brief Summary

The aim of this study was to investigate of the effect of web-based System with oculomotor and optokinetic stimulation on rehabilitation in vestibular hypofunction. In the literature, studies on vestibular rehabilitation in unilateral hypofunction are very limited and there is no study about it.

Detailed Description

Vestibular system is one of the sensory systems used for postural control. The function of this system is to maintain balance during head movements and to sense the sense of position in the space.Information from the vestibular system goes to the neural processing center. To achieve or maintain postural control as a result of neural reorganization, balance is achieved by controlling eye movements and muscles.

Basic symptoms in vestibular pathologies are; vertigo and dizziness. Besides these; vestibulo-visual symptoms (oscillopsia, decreased visual acuity, visual tilt, etc.), postural symptoms (feeling of falling, swaying, etc.), and symptoms of motion sickness are. The occurrence of these symptoms varies according to diseases and individual characteristics.

In the treatment of vestibular diseases; there are medical treatment, vestibular rehabilitation, surgical interventions and psychosocial education.Medical treatments; it is often used to suppress or control vestibular symptoms (nausea, etc.). Surgical interventions are the last choice of treatment in patients with severe attacks such as disabling function such as labyrinthectomy or signaling the vestibular nerve. Vestibular Rehabilitation is an exercise based approach to maximize central nervous system compensation for vestibular pathology.

In recent years, the effectiveness of the technologies that have been used in different areas of rehabilitation in vestibular rehabilitation has started to be investigated. In the researches, it is seen that virtual reality is one of the most used technologies. In terms of virtual reality usage, it has cost, size and portability advantages (3). However, in other studies, different systems apart from virtual reality are almost not found among the assistive technologies in vestibular rehabilitation.

In recent years, vestibular rehabilitation methods, adaptation to changing sensory conditions and sensory repetition methods in compensation process have been emphasized to increase adaptation to vestibular losses. However, individual therapeutic programs need to be planned in accordance with clinical symptoms. To this end, there is a need to develop reliable objective and technological feedback techniques to measure the interaction of peripheral senses and central adjustment mechanisms.

Conditions

Vestibular Rehabilitation; Vestibular Disease

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Conventional vestibular rehabilitation

Conventional vestibular rehabilitation

Group Type: ACTIVE_COMPARATOR

Vestibular Rehabilitation

Intervention Type: OTHER

Vestibular Exercises and Software in vestibular rehabilitation

Vestibular rehabilitation with software

Group Type: ACTIVE_COMPARATOR

Vestibular Rehabilitation

Intervention Type: OTHER

Vestibular Exercises and Software in vestibular rehabilitation

Interventions

Vestibular Rehabilitation

Vestibular Exercises and Software in vestibular rehabilitation

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Unilateral vestibulopathy between the ages of 18-75,
• No visual disability

Exclusion Criteria

• Mental retardation,
• Inadequate communication in Turkish;
• Having neurological problems,
• Bilateral vestibular hypofunction
• There is a serious orthopedic problem that will prevent standing and walking.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul Medipol University Hospital

OTHER

Sponsor Role: lead

Responsible Party

gonulertunc

MSc PT (Specialist Physiotherapist)

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Istanbul Medipol University Physiotherapy and Rehabilitation Doctoral Programme

Istanbul, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Ertunc Gulcelik G, Tarakci D, Gedik Soyuyuce O, Gence Gumus Z, Korkut N, Algun ZC. Research on the Effects of a Web-Based System With Oculomotor and Optokinetic Stimuli on Vestibular Rehabilitation. Am J Phys Med Rehabil. 2021 Jun 1;100(6):555-562. doi: 10.1097/PHM.0000000000001584.

Reference Type: DERIVED

PMID: 32889859 (View on PubMed)

Other Identifiers

3120598858

Identifier Type: -

Identifier Source: org_study_id