Benign Paroxysmal Positional Vertigo (BPPV) in Nursing Homes: Treatment Efficacy and Impact on Balance, Gait and Falls
- Conditions
- BPPV
- Interventions
- Other: repositioning maneuversOther: balance
- Registration Number
- NCT05013671
- Lead Sponsor
- Hasselt University
- Brief Summary
BPPV is a benign condition of the balance organ, localized in the inner ear, in which calcium crystals loosen up and move freely in the endolymphatic fluid of the inner ear (more specifically in the semi-circular canals). During certain posture changes or head movements, these moving calcium crystals cause dizziness and balance problems. The general objective of the study is to evaluate the impact of BPPV on the balance of older adults in nursing homes. For this purpose, we will compare the balance of residents with BPPV with residents without BPPV. Furthermore, we will identify the impact of treatment on balance problems and fall risk in older adults in nursing homes.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 100
- Institutionalized for at least 3 months
- Willing to participate
- Able to understand simple instructions
- Able to stand independently for 10 seconds (with the use of a walking aid)
- Diagnosis of progressive neurological conditions resulting in a fast deterioration (i.e. amyotrophic lateral sclerosis or residents with palliative care)
- Participation in a rehabilitation program at the current time for a pathology of less than 6 months
- Contra-indication for vestibular testing such as heart failure or fear
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description residents with BPPV repositioning maneuvers - residents with BPPV balance - residents without BPPV balance -
- Primary Outcome Measures
Name Time Method 360° turn month 12 Measuring dynamic balance during a 360° turn
10 meter walk test Month 12 The participant walks 10 meters at a comfortable pace. A walking aid/orthosis can be used during the test, but the help from a third party during is prohibited. Body movements will be registered wuth the use of ADPM sensors.
Dizziness Handicap Inventory Month 12 Self-reported impact of dizziness on daily life. There is a maximum score of 100 (28 points for physical, 36 points for emotional and 36 points for functional) and a minimum score of 0. The higher score, the greater the perceived handicap due to dizziness.
Falls Efficacy Scale International Month 12 Measuring fear of falling during daily and social activities. There is a minimum score of 16 (no concern about falling) to maximum 64 (severe concern about falling).
Static balance Month 12 Measuring balance in four positions: stand straight with eyes open (firm surface), standing straight with eyes closed (firm surface), standing straight on a foam with eyes open and standing straight on a foam with eyes closed.
Timed up and Go (TUG) Month 12 Measuring dynamic balance and gait during TUG over a 3 meter distance
The presence of BPPV Month 12 This will be measured using the side lying test (posterior and anterior canal BPPV) and the side lying test for horizontal canal BPPV.
Knee extensor strength Month 12 The strength of the knee extensor muscles of the right leg will be assessed with hand-held dynamometry (MicroFET). This dynamometer is placed between the leg segment to be evaluated and the examiner's hand. Participants were asked to sit with their legs over the end of a standard, examination table, with hips and knees flexed to 90. Participants have to hold the side-edges of the table with their hands and carry out a maximal isometric voluntary contraction for 3-5 s. The break method will be used to asses the knee extensor strength. This test will be performed 3 times.
- Secondary Outcome Measures
Name Time Method Frailty status month 12 Frailty status using Fried Criteria
Sleep pattern (retrospective data retrieved from patient files) Month 12 If the participant has a normal/disturbed sleep pattern.
Katz-ADL (retrospective data retrieved from patient files) Month 12 The Katz-scale assesses functional status as a measurement of the client's ability to perform activities of daily living independently. Clients are scored yes/no for independence in each of the six functions. A score of 6 indicates full function, 4 indicates moderate impairment, and 2 or less indicates severe functional impairment.
Hospital anxiety and depression scale (HADS) Month 12 The Hospital Anxiety and Depression Scale (HADS) is a frequently used self-rating scale developed to assess psychological distress in non-psychiatric patients. Only the questions related to the anxiety subscale will be used. The total score ranges from 0 to 21, a score \>8 denotes anxiety.
Medication (retrospective data retrieved from patient files) Month 12 Medication that may affect the vestibular system will be retrieved from patient files.
Comorbidities (retrospective data retrieved from patient files) Month 12 The number and kind of comorbidities including COVID-19 infection in the participants history.
Nutrition (retrospective data retrieved from patient files) Month 12 If the participant is on a specific diet (i.e.salt-free diet, low fat diet, calcium-rich diet etc.) and if there is a loss of apetite.
Fall incidents month 12 Falls incidents retrieved from nursing home staff
Montreal Cognitive Assessment (MOCA) Month 12 The Montreal Cognitive Assessment (MoCA) is a brief 30-question test that takes around 10 to 12 minutes to complete and helps assess people for dementia.
Geriatric Depression Scale (GDS) Month 12 The GDS is commonly used as a routine part of a Comprehensive Geriatric Assessment. One point is assigned to each answer and the cumulative score is rated on a scoring grid.\[2\] The grid sets a range of 0-9 as "normal", 10-19 as "mildly depressed", and 20-30 as "severely depressed".
Trial Locations
- Locations (1)
WZC Leopoldspark
🇧🇪Leopoldsburg, Belgium