Combined Effects of Vestibular Rehabilitation With Dual Task Training in Vestibular Disorders

Not Applicable

• Conditions: Vestibular Function Disorder

• Registration Number: NCT06797141
• Lead Sponsor: Riphah International University

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2024-11-01
• Study First Submitted: 2024-11-03
• Status Verified: 2025-01
• Study First Submitted QC: 2025-01-22
• Last Update Submitted: 2025-01-22
• Study First Posted: 2025-01-28
• Last Update Posted: 2025-01-28
• Primary Completion: 2025-03-01
• Study Completion: 2025-07-01

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• 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

Exclusion Criteria

• 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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Timed Up and Go test	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	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	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

Secondary Outcome Measures

Name	Time	Method
Dizziness Handicap Inventory	8 week	It is a 25 item self-reported tool used to assess the level of disability experienced by individuals with dizziness, vertigo, or imbalance. It evaluates the impact of dizziness on functional, emotional, and physical aspects of the individual's life. It takes only 10 minutes to complete this tool. Patients rate their perceived disability due to dizziness by responding to each question with "yes," "sometimes," or "no." The answers are scored as follows: "No" = 0 points, "Sometimes" = 2 points, and "Yes" = 4 points. A higher total score, out of a possible 100 points, indicates a greater level of perceived disability. Patients scoring over 10 points should be referred for further evaluation.

Trial Locations

Locations (1)

Fatima Memorial Hospital; 🇵🇰 Lahore, Punjab, Pakistan