Virtual Reality Based Rehabilitation of Vestibular and Oculomotor Function for Pediatric ABI in a Home Setting
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Acquired Brain Injury
- Sponsor
- Libra At Home LTD
- Enrollment
- 2
- Locations
- 1
- Primary Endpoint
- Pediatric Vestibular Symptom Questionnaire (PVSQ)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The primary objective of this study is to evaluate the feasibility and effectiveness of an at-home program of VR-based vestibular and oculomotor rehabilitation on improving postural stability, ocular motility and activities of daily living for children with mild to severe ABI
Investigators
Eligibility Criteria
Inclusion Criteria
- •They are ALYN patients undergoing physiotherapy for mild to severe ABI;
- •They experience symptoms of vestibular function such as vertigo, postural instability, or impaired ocular motility;
- •They are between the ages of 8 and 18;
- •The time since injury/event is between 10 days and 1 year after the injury/event;
- •They are able to maintain stable and dynamic positioning of the head;
- •They able to walk with or without assistive equipment, or use a wheelchairs with no need for head support, defined by a LSS (level of sitting scale) score of 3 or greater (scale range: 1-8);
- •Are able to understand basic instructions;
- •Have sufficient visual acuity and visual field to identify and track mid-size objects on a screen.
Exclusion Criteria
- •Psychological, neurological or cognitive disorders which could impede participation, such as a history of epileptic seizures;
- •Untreated benign paroxysmal positional vertigo (BPPV);
- •Are in early post-operative stages (to avoid risk of bleeding or cerebrospinal fluid leak);
- •Hearing impairment.
Outcomes
Primary Outcomes
Pediatric Vestibular Symptom Questionnaire (PVSQ)
Time Frame: 6 months
Score ranging from 0 (never) to 33 (most of the time) with a 4-Likert scale
Vestibular Oculomotor Motor Screening (VOMS)
Time Frame: 6 months
Symptoms scoring from 0 (none) to 10 (severe)
Convergence Insufficiency Symptom Survey (CISS)
Time Frame: 6 months
Score ranging from 0 (never) to 56 (Always) with a 5-Likert scale
Dizziness Handicap Inventory for patients caregivers (DHI-PC)
Time Frame: 6 months
Score ranging from 0 (none) to 100 (severe) with a 3-Likert scale
Dizziness Handicap Inventory (DHI)
Time Frame: 6 months
Score ranging from 0 (none) to 100 (severe) with a 3-Likert scale
Pediatric Quality of Life Inventory (PEDSQL)
Time Frame: 6 months
Score ranging from 0 (worst) to 100 (best) with a 5-Likert scale
Modified Clinical Test of Sensory Interaction in Balance (mCTSIB)
Time Frame: 6 months
Time score ranging from 0 (unable to complete) to 120 (completed successfully) in one of three 30-seconds trials and four conditions
Berg Balance Scale (Berg)
Time Frame: 6 months
Score ranging from 0 (lowest level of function) to 56 (highest level of function) with a 5-Likert scale