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

Riphah International University

Status: Invitation-only

Conditions: Vestibular Function Disorder

Treatments: Other: Vestibular Rehabilitation and Traditional Physical Therapy; Other: Vestibular Rehabilitation and Dual task Training and Traditional Physical Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06797141

REC/RCR & AHS/24/0257

Details and patient eligibility

About

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.

Full 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.

Enrollment: 30 estimated patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Vestibular Rehabilitation and Dual Task Training and Traditional Physical Therapy

Experimental group

Description:

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

Treatment:

Other: Vestibular Rehabilitation and Dual task Training and Traditional Physical Therapy

Vestibular Rehabilitation and Traditional Physical Therapy

Active Comparator group

Description:

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.

Treatment:

Other: Vestibular Rehabilitation and Traditional Physical Therapy