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Effects of Vestibular Habituation and Ocular Reflex Exercises on Vertigo

Not Applicable
Not yet recruiting
Conditions
Vertigo
Registration Number
NCT06760975
Lead Sponsor
Riphah International University
Brief Summary

The aim of this study is to determine the comparative effects of vestibular Habituation and ocular reflex exercises on Gait stability, Dizziness severity, and fear of fall in elderly population with vertigo

Detailed Description

vestibular habituation exercises focus on helping individual adapt to and reduce symptoms related to vestibular disorder such as improving balance , reducing dizziness and enhance overall functional abilities. ocular reflex exercises focus on improving eye movement control and coordination such as improving visual tracking , stability and Focus. This randomized clinical trial will be conducted at services hospital and Jinnah hospital for a duration of 10 months. The sample size will consist of 50 participants. 25 participants will be assigned to vestibular habituation exercise group and 25 to ocular reflex exercises group. Data will be collected using these assessment tools, including the dynamic gait index for gait stability, the fall efficacy scale for fear of fall, and dizziness handicap inventory for dizziness severity. Pre-intervention assessments will be conducted for all two groups. The effects of the interventions will be measured at baseline ,in the 3rd week ,post intervention, after 6 weeks, and at a 9th week follow up. Data analysis will be performed by using SPSS 26 software

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  1. Both male and female patients
  2. Age 65-75
  3. patient with vestibular disorder for at least 6 months
  4. patient with unspecific dizziness sensation for at least 3 months
  5. Dizziness handicap inventory score > 16 -
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Exclusion Criteria
  1. patient with central nervous system diseases, like stroke, multiple sclerosis, Parkinson's disease.
  2. orthopedic problems that precluded performance of the exercises
  3. systemic diseases with no medication control
  4. if patient were legally blind or had dementia
  5. patient with no history of epilepsy and other neurological diseases -
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Dynamic gait index6 weeks

The DGI is used for gait assessment and has 8 items. The scoring of DGI is based on 4 point scale ranging from 0-3 while 0 indicates severe impairment and 3 indicates normal ability. DGI proves to be reliable and valid for older people. Total score for best performance is 24 and low score on DGI indicates greater impairment in functional mobility.

FES-I Fall efficacy scale international6 weeks

FES-I scale is used to access fear of fall and is consist of 16 items questionnaire allows participants to rate their fear of falling during specific activities at the rate of four different intensities ranging from "not at all concerned to vary concerned". Higher scores indicates a more significant fear of falling. score range from 16-19 show low concern of falling. Score ranges from 20-27 shows moderate concern and score ranges from 28-64 show high concern of fall to daily Activities.

Dizziness Handicap inventory6 weeks

The DHI is used to access dizziness and is consist of 25 items. Each item is answered with No (0) points sometimes (2) points or Yes (4) points. Scoring of DHI ranges from 0 to 100. further divided into physical (28) points , functional (36) points and emotional (36) points. The higher the scores result in perceived handicap. Moreover (DHI) proved to be a reliable instument

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Rasheed Hospital Lahore

🇵🇰

Lahore, Punjab, Pakistan

Services Hospital Lahore

🇵🇰

Lahore, Punjab, Pakistan

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