The Efficacy of Balance Gaming as an Adjunct to Vestibular Rehabilitation Therapy

Not Applicable

Terminated

• Conditions: Vestibular Diseases; Disturbance; Balance, Labyrinth
• Interventions: Other: Use of Nintendo Wii Balance Gaming system

• Registration Number: NCT01305278
• Lead Sponsor: University Health Network, Toronto

Brief Summary

Patients with a unilateral vestibular loss often complain of dizziness and imbalance. Movement usually increases these symptoms often resulting in patients avoiding these movements, causing further limitations in their activities of daily living. Vestibular Rehabilitation (VR) involves a series of adaptation and balance exercises to improve symptoms of postural stability. There is evidence that stroke patients gain benefit in their rehabilitation from using gaming consoles (Nintendo Wii Balance) and we believe that similar advantages can be shown for balance patients. We plan a 3 arm study. As there is a considerable wait list for VR, the first arm will receive a Wii console and instructions to use it on the wait list and during VR. The second arm will receive a Wii console and instructions at the end of the waiting list and will use it during VR only and the control group will receive no Wii. All will spend the same time on the wait list and will receive identical assessments and VR

Detailed Description

None required

Study Timeline

• Study First Submitted: 2011-02-16
• Study First Submitted QC: 2011-02-24
• Study First Posted: 2011-02-28
• Study Start: 2011-03
• Primary Completion: 2016-06
• Study Completion: 2016-06
• Status Verified: 2016-10
• Last Update Submitted: 2016-10-25
• Last Update Posted: 2016-10-27

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 7

Inclusion Criteria

• Unilateral vestibular loss
• Uncompensated
• Present for >6 months

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Exclusion Criteria

• Age <18 years

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Wii during vestibular rehab only	Use of Nintendo Wii Balance Gaming system	To start Wii Balance Gaming from the beginning of vestibular rehabilitation.
Wii whilst on waiting list and rehab	Use of Nintendo Wii Balance Gaming system	Wii Balance Gaming whilst on waiting list for vestibular rehabilitation. To continue with Wii Balance Gaming until end of vestibular rehabilitation.

Primary Outcome Measures

Name	Time	Method
Dizziness Handicap Index	t=18 weeks	Dynamic Gait index assessed by questionnaire at initial assessment (t=0) and then at 6 (midway through wait list), 12 (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation); Group 2 (Wii during Vestibular Rehab only) compared to Group 3 (Control)

Secondary Outcome Measures

Name	Time	Method
Modified Clinical Test of Sensory Interaction on Balance	t=0 (at initial assessment), t=6 weeks, t=12 weeks, t=18 weeks	mCTSIB assessed by blinded assessor at initial assessment (t=0)and then at 12 (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation)
Activity Specific Balance Confidence Scale	t=0 (at initial assessment), t=6 weeks, t=12 weeks, t=18 weeks	Activity Specific Balance Confidence Scale assessed by questionnaire at initial assessment (t=0)and then at 6 (midway through wait list), 12 (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation)
Dynamic Gait Index score	t=0 (at initial assessment), t=12 weeks, t=18 weeks	Dynamic Gait index assessed by blinded assessor at initial assessment (t=0)and then at 12 weeks (beginning of vestibular rehabilitation) and 18 weeks (end of vestibular rehabilitation)

Trial Locations

Locations (1)

Toronto General Hospital; 🇨🇦 Toronto, Ontario, Canada