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Effectiveness of Osteopathic Manipulative Treatment (OMT) and Vestibular Rehabilitation Therapy (VRT) in Individuals With Vertigo

Not Applicable
Completed
Conditions
Vertigo
Labyrinthitis
Dizziness
Benign Paroxysmal Positional Vertigo
Interventions
Other: Osteopathic Manipulative Treatment (OMT)
Other: Vestibular Rehabilitation Therapy (VRT)
Registration Number
NCT01529151
Lead Sponsor
Western University of Health Sciences
Brief Summary

Western University of Health Sciences is seeking men and women to participate in a study on the effectiveness of Osteopathic Manipulative Treatment (OMT) and Vestibular Rehabilitation Therapy (VRT) in patients with vertigo. The purpose of this study is to examine the efficacy of OMT in the treatment of individuals with vertigo, alone and in combination with Vestibular Rehabilitation Therapy (VRT). Because of the health care costs associated with vertigo, the cost effectiveness of OMT and VRT will also be examined.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria
  • Symptoms of dizziness or a diagnosis of vertigo for longer than 3 months duration
  • Able to tolerate 30 minutes of sitting and standing
  • Able to transfer from sitting to standing and move independently
  • Able tolerate manual therapy and exercise
Exclusion Criteria
  • Severe traumatic injury
  • Bleeding disorders and anticoagulation (Coumadin) therapy
  • Currently receiving VRT, vision therapy, or manual medicine (OMT, Chiropractic, etc.) or received manual medicine within the past three months
  • Down syndrome
  • Ehlers-Danlos syndrome
  • Endolymphatic Hydrops
  • Legal blindness in one or both eyes
  • Menieres disease
  • Neurological conditions (including Peripheral Neuropathy, Stroke, traumatic brain injury, cerebral aneurysm, and Multiple Sclerosis)
  • Rheumatoid Arthritis
  • Spinal trauma or history of cervical spine surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
OMT GroupOsteopathic Manipulative Treatment (OMT)Participants will receive Osteopathic Manipulative Treatment (OMT) with the objective of treating diagnosed somatic dysfunction and this will entail the use of specific indirect and direct techniques, including soft tissue, inhibitory, myofascial release, articulatory and high-velocity / low-amplitude (HVLA) techniques.
OMT - VRT GroupVestibular Rehabilitation Therapy (VRT)Participants will receive both Osteopathic Manipulative Treatment (OMT) and Vestibular Rehabilitation Therapy (VRT).
VRT GroupVestibular Rehabilitation Therapy (VRT)Participants will receive Vestibular Rehabilitation Therapy (VRT), which includes balance exercises in sitting and standing positions that include gaze stabilization, kinesthetic and proprioceptive retraining.
OMT - VRT GroupOsteopathic Manipulative Treatment (OMT)Participants will receive both Osteopathic Manipulative Treatment (OMT) and Vestibular Rehabilitation Therapy (VRT).
Primary Outcome Measures
NameTimeMethod
Change from Baseline in Dizziness Handicap Inventory (DHI) at 1 weekBaseline to 1 week

The Dizziness Handicap Inventory (DHI) is a questionnaire that was developed to measure the self-perceived level of handicap associated with the symptom of dizziness.

Change from Baseline in Computerized Dynamic Posturography (CDP) at 1 weekBaseline to 1 week

Computerized dynamic posturography (CDP), also called test of balance (TOB), is a non-invasive specialized clinical assessment technique used to quantify the central nervous system adaptive mechanisms (sensory, motor and central) involved in the control of posture and balance, both in normal (such as in physical education and sports training) and abnormal conditions (particularly in the diagnosis of balance disorders and in physical therapy and postural re-education).

Change from Baseline in Computerized Dynamic Posturography (CDP) at 3 weeksBaseline to 3 weeks

Computerized dynamic posturography (CDP), also called test of balance (TOB), is a non-invasive specialized clinical assessment technique used to quantify the central nervous system adaptive mechanisms (sensory, motor and central) involved in the control of posture and balance, both in normal (such as in physical education and sports training) and abnormal conditions (particularly in the diagnosis of balance disorders and in physical therapy and postural re-education).

Change from Baseline in Dizziness Handicap Inventory (DHI) at 3 weeksBaseline to 3 weeks

The Dizziness Handicap Inventory (DHI) is a questionnaire that was developed to measure the self-perceived level of handicap associated with the symptom of dizziness.

Change from Baseline in Dizziness Handicap Inventory (DHI) at 12 weeksBaseline to 12 weeks

The Dizziness Handicap Inventory (DHI) is a questionnaire that was developed to measure the self-perceived level of handicap associated with the symptom of dizziness.

Change from Baseline in Computerized Dynamic Posturography (CDP) at 12 weeksBaseline to 12 weeks

Computerized dynamic posturography (CDP), also called test of balance (TOB), is a non-invasive specialized clinical assessment technique used to quantify the central nervous system adaptive mechanisms (sensory, motor and central) involved in the control of posture and balance, both in normal (such as in physical education and sports training) and abnormal conditions (particularly in the diagnosis of balance disorders and in physical therapy and postural re-education).

Secondary Outcome Measures
NameTimeMethod
Change from Baseline in Neuro-Optometric Evaluation at 12 weeks.Baseline to 12 weeks

Evaluation of visual acuity and refractive status, oculomotor function and visual field status.

Change from Baseline in Neuro-Optometric Evaluation at 1 weekBaseline to 1 week

Evaluation of visual acuity and refractive status, oculomotor function and visual field status.

Change from Baseline in Neuro-Optometric Evaluation at 3 weeksBaseline to 3 weeks

Evaluation of visual acuity and refractive status, oculomotor function and visual field status.

Trial Locations

Locations (1)

Western University Physical Therapy Research Laboratory

🇺🇸

Pomona, California, United States

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