Combined Effects of Vestibular Rehabilitation and Dual Task Training Exercises on Balance, Gait and Quality of Life in Patients With Vestibular Disorders
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Timed Up and Go test
研究概览
简要总结
Patients with vestibular disorders often experience cognitive-motor interference which can adversely affect their motor performance, significantly impair daily functioning, increase instability, reducing quality of life and increasing the risk of falls. Vestibular rehabilitation is a well-established therapeutic approach for managing vestibular disorders in reducing symptoms and improving balance and mobility. Similarly, Dual Task Training improves cognitive-motor integration by enhancing both cognitive and motor functions and has shown promising results in other populations. This study is aimed to determine the combined effects of both interventions as it might provide a more comprehensive and effective treatment, ultimately improving patient outcomes and quality of life.
详细描述
In previous studies, vestibular rehabilitation is well-documented in enhancing balance, gait, reducing dizziness and improving quality of life through specific exercises aimed at improving vestibular function. Similarly, dual task training has shown promise in improving functional mobility and cognitive processing. However, no randomized control trial to date has systematically investigated the potential synergistic effects of these two interventions when applied together which leaves a critical gap in understanding whether the integration of dual task training into vestibular rehabilitation could yield superior outcomes for patients suffering from vestibular disorders. This research could provide valuable insights and potentially enhance therapeutic strategies for this population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients complaining of dizziness for longer than 3 months
- •Patients with history of at least 1 bout of dizziness per month
- •Patients with history of at least 1 fall in previous 6 months
- •Diagnosed Patients as having vestibular disorder by an otolaryngologist
- •Mini Mental State Examination (MMSE) score greater than 24
排除标准
- •Patients with Meniere disease and bilateral vestibular disorders
- •Patients with central nervous system disorders, and psychiatric disorders
- •Patients having visual impairment that could not be treated with lenses or glasses
- •Dizziness not resulting from vestibular disorder or use of Medication for Dizziness
- •Movement limitation due to orthopedic problems
- •Those who were unable to sign informed consent form
研究组 & 干预措施
Vestibular Rehabilitation and Dual Task Training and Traditional Physical Therapy
Group A will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 30 minutes and Dual Task Training for 20 minutes along with routine physical therapy of 10 minutes. Treatment session will be supervised by physical therapist and will be given 5 days per week for 8 weeks
干预措施: Vestibular Rehabilitation and Dual task Training and Traditional Physical Therapy (Other)
Vestibular Rehabilitation and Traditional Physical Therapy
Group B will receive treatment session lasting for 1 hour including vestibular rehabilitation therapy for 40 minutes along with routine physical therapy of 20 minutes. Treatment session will be supervised by physical therapist and will be given 5 days per week for 8 weeks.
干预措施: Vestibular Rehabilitation and Traditional Physical Therapy (Other)
结局指标
主要结局
Timed Up and Go test
时间窗: 8 week
The instrument is used to assess dynamic balance including pace, distance, mechanism of turn, type of chair and number of trials. The time required to perform this test is measured. If more than 12 sec is taken in the completion of this test then it indicates high risk of fall
Dynamic Gait Index
时间窗: 8 week
Dynamic Gait Index (DGI) contains eight items measured on 4-point ordinal scale (3: Normal, 2: Mild Impairment, 1: Moderate impairment, 0: Severe Impairment).
Vestibular Rehabilitation Benefit Questionnaire
时间窗: 8 week
The Vestibular Rehabilitation Benefit Questionnaire (VRBQ) is 22 items subjective tool used to evaluate vestibular symptoms and their impact on quality of life in vestibular disorders. It is categorized into 3 subscales Dizziness and anxiety, Motion-provoked dizziness and Quality of life. Its score interpretation indicates 0%: no deficit \& 100%: significant deficit. Score above 0% signifies the presence of symptoms, loss of function, or reduced quality of life
次要结局
- Dizziness Handicap Inventory(8 week)