Unilateral Peripheral Vestibular Dysfunction: Reeducation and Spatial Orientation.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Changes in Visual vertical and visual orientation degrees at baseline and before treatment.
研究概览
简要总结
Motor control includes postural control and voluntary movement. For an optimal motor control it is necessary that brain integrates vestibular, visual and somatosensorial inputs properly, in a nonlinear way. Vestibular system, as an afferent organ, encodes head position in relation to gravity and changes in its linear and angular acceleration. As vestibular central system, it plays an essential role in motor control and in orientation and spatial memory as well.
When a peripheral vestibular lesion occurs, elaboration, interpretation and processing of inputs are deficient and therefore motor control is altered to a greater or lesser degree. As process progress in time, there is a natural neuroplasticity that facilitates recovery or compensate vestibular function, although sometimes this process is incomplete and requires vestibular reeducation This study aims to assess changes in balance control, orientation and handicap perception in one case group with symptomatic unilateral peripheral vestibular dysfunction, before and after a rehabilitation programme (RV). To compare values obtained at the beginning and at the end of RV to those achieved by control group. Finally, this research aims to analyse evolution of spatial orientation quality in symptomatic and non symptomatic participants.
详细描述
Intervention group: 30 people with a unilateral peripheral vestibular disorder (UPVD). Process lasting more than three months and symptomatic. Aged 18-66 years old.
Control group: 30 participants without UPVD, healthy for the purpose of study. No intervention group: 30 people with a unilateral peripheral vestibular disorder without symptomatology. Both groups also aged 18-66.
Balance quality was registered with static and dynamic posturography. For spatial orientation is was registered Visual vertical and visual orientation perception. Vestibular disability was also assessed. Variables were registered at the beginning and at the end of a vestibular reeducation in UPVD participants. Vestibular reeducation consisted of 10 sessions of vestibular rehabilitation using dynamic posturography and visual reeducation. Duration of each session: 40 minutes. Twice a week.
The aim is to compare data before and after intervention with those obtained in compensated patients and control group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Basic Science
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 66 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •People diagnosed of UPVD
- •Length of process superior to three months
- •Normal vision or corrected by lens or glasses.
排除标准
- •Dizziness or balance alteration due to visual problem or lesion of CNS (central nervous system).
- •Balance disturbance due to a locomotor cause
- •Balance perturbation next to resolve.
- •Sharpening or acute phase os symptoms.
- •Difficulties with understanding commands.
研究组 & 干预措施
UPVD non compensated
Intervention group: 30 participants with unilateral peripheral vestibular disorders. Exposed to vestibular reeducation.
干预措施: Vestibular reeducation (Other)
control group
Control group, to obtain reference values.
UPVD compensated
Registered spatial orientation in a group of 30 participants with compensated lesion.
结局指标
主要结局
Changes in Visual vertical and visual orientation degrees at baseline and before treatment.
时间窗: Outcomes were measured in patients at baseline and 3 months. Control group and compensated group were registered at baseline.
Visual vertical and visual orientation were measured with bucket test
次要结局
- Balance quality.(Outcomes were measured in patients at baseline and 3 months. Control group was registered at baseline.)
研究者
Pilar Dominguez-Olivan
Ph D. Physical Therapist.
Universidad de Zaragoza
