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

Western University of Health Sciences (WESTERN U)

Status: Completed

Conditions: Benign Paroxysmal Positional Vertigo; Vertigo; Dizziness; Labyrinthitis

Treatments: Other: Osteopathic Manipulative Treatment (OMT); Other: Vestibular Rehabilitation Therapy (VRT)

Study type: Interventional

Funder types: Other

Identifiers

NCT01529151

11-13-647 (Other Grant/Funding Number)

11/IRB/033

Details and patient eligibility

About

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.

Enrollment: 26 patients

Sex: All

Ages: 18 to 79 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Single Blind

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26 participants in 4 patient groups

OMT Group

Active Comparator group

Description:

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.

Treatment:

Other: Osteopathic Manipulative Treatment (OMT)

VRT Group

Active Comparator group

Description:

Participants will receive Vestibular Rehabilitation Therapy (VRT), which includes balance exercises in sitting and standing positions that include gaze stabilization, kinesthetic and proprioceptive retraining.

Treatment:

Other: Vestibular Rehabilitation Therapy (VRT)

OMT - VRT Group

Active Comparator group

Description:

Participants will receive both Osteopathic Manipulative Treatment (OMT) and Vestibular Rehabilitation Therapy (VRT).

Treatment:

Other: Vestibular Rehabilitation Therapy (VRT)

Other: Osteopathic Manipulative Treatment (OMT)

Control Group

No Intervention group