Evaluation of the Effectiveness of Vestibular Electrical Stimulation in Vestibular Rehabilitation
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Vestibular Diseases
- Sponsor
- Ankara City Hospital Bilkent
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Dizziness Handicap Inventory
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study aimed to evaluate the effectiveness of the vestibular rehabilitation program applied to patients with chronic unilateral vestibular hypofunction and the vestibular electrical stimulation applied to the trapezius muscles and cervical paravertebral muscles along with the rehabilitation program.
Detailed Description
This study included 40 patients with unilateral vestibular hypofunction findings, aged between 18 and 65, and whose unilateral vestibulo-ocular reflex (VOR) gain for any semicircular canal was below 0.7 based on the video head impulse test (vHIT) test, were randomized into two groups. While one group underwent a supervised vestibular rehabilitation program for 4 weeks, the other group received 80 Hz high frequency transcutaneous vestibular electrical stimulation (VES) in addition to the supervised vestibular rehabilitation program. The treatment was applied to each group, 3 days a week, for a total of 12 sessions. Detailed musculoskeletal system examinations and vestibular system examinations of the included patients were performed, and sociodemographic characteristics (age, gender, body mass index (BMI), education level) were recorded. Both groups were tested before treatment and at the end of the 4th week, Dizziness Disability Inventory (DHI), Visual Analogue Scale (VAS), Berg Balance Scale (BBS), Timed Up and Go Test (TUG), Activity-Specific Balance and Confidence Scale (ABCs), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Static Posturography.
Investigators
Bilal Burak Bayraklı
Principal Investigator, Medical Doctor
Ankara City Hospital Bilkent
Eligibility Criteria
Inclusion Criteria
- •Being between the ages of 18-65
- •Patients who were evaluated by a Neurologist, Physical Medicine and Rehabilitation Specialist and otorhinolaryngologist and diagnosed with chronic unilateral vestibular hypofunction and have findings of chronic unilateral vestibular hypofunction
- •Patients whose VOR gain for any unilateral semicircular canal based on vHIT test is below 0.7
- •Patients who volunteered to participate in the study and signed the consent forms
Exclusion Criteria
- •Existing neurological or mental disorders
- •Patients using vestibulosuppressant drugs
- •Stroke, head trauma and other neurological diseases
- •Patients with a history of brain surgery
- •Patients with severely limited neck joint range of motion (those with a limitation of 45 degrees or more)
Outcomes
Primary Outcomes
Dizziness Handicap Inventory
Time Frame: Baseline and after 4 weeks
'Dizziness Handicap Inventory (DHI)' consists of 25 items that determine the functional and sensory consequences of vestibular system diseases as well as the factors that aggravate dizziness and balance disorders. Questions 1, 4, 8, 11, 13, 17 and 25 of the scale are structured to measure physical disability; questions 2, 9, 10, 15, 18, 20, 21, 22 and 23 are structured to measure emotional disability; questions 3, 5, 6, 7, 12, 14, 16, 19 and 24 are structured to measure functional disability. Each question is scored as yes (4 points), no (0 points) and sometimes (2 points). The level of disability can be categorized according to the scale: 16-34 points = mild disability; 36-52 points = moderate disability; 54+ points = severe disability
Secondary Outcomes
- Beck Depression Inventory(Baseline and after 4 weeks)
- Beck Anxiety Inventory(Baseline and after 4 weeks)
- Timed Up and Go Test(Baseline and after 4 weeks)
- Berg Balance Score(Baseline and after 4 weeks)
- Dizziness Severity Visual Analog Scale(Baseline and after 4 weeks)
- Activity Specific Balance and Confidence Scale(Baseline and after 4 weeks)
- Static Posturography(Baseline and after 4 weeks)