Effects of Structured Exercise Program in Bilateral Vestibular Hypofunction

Miray Budak

Status: Completed

Conditions: Bilateral Vestibular Hypofunction

Treatments: Other: structured vestibular rehabilitation program

Study type: Interventional

Funder types: Other

Identifiers

NCT05853562

BVH_Structured_Exercise

Details and patient eligibility

About

Background: The vestibular rehabilitation is an exercise-based method, aiming to maximize central nervous system(CNS) compensation at vestibular nuclear and other CNS levels for vestibular pathology. A minimal number of studies have documented the impact of Vestibular rehabilitation on the recovery rate of patients with Bilateral Vestibular Hypofunction(BVH).

Objective: The purpose of this study was to investigate the effectiveness of structured vestibular rehabilitation (VR) programs on severity of dizziness, kinesiophobia, balance, fatigue, quality of sleep, activities of daily living( ADL) and quality of life(QoL) in subjects with chronic BVH.

Method: Twenty-five participants diagnosed with BVH were included in the study. A structured VR program was applied in 50-minute sessions once a week and as a home exercise program 3 days a week over 8 weeks. Participants were evaluated for severity of dizziness with the Visual Analog Scale (VAS), for kinesiophobia with the Tampa Scale of Kinesiophobia (TSK), for balance with the Semitandem, tandem, and standing tests, for quality of sleep with the Pittsburgh Sleep Quality Index (PSQI), for ADL with the Vestibular Disorders Activities of Daily Life (VADL), for QoL with Dizziness Handicap Inventory (DHI) and for fatigue with the Fatigue Severity Scale (FSS) at the baseline (T0), at 4th week (T1), 8th week (T2), and 20th week (T3) after study started.

Enrollment: 20 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being between 20-80 years old
• Diagnosed with bilateral peripheral vestibular hypofunction by videonystagmography
• Have symptoms for more than three months from onset of illness

Exclusion criteria

• having no symptoms of bilateral peripheral vestibular hypofunction
• having Meniere's disease, vestibular migraine and other undulating vestibular disorders, cognitive, visual, neurological or general motor impairment
• having previously received vestibular rehabilitation

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

---

20 participants in 3 patient groups

T0-T1 period

No Intervention group

Description:

It was a control period. Participants were asked to continue their routine activities for 4 weeks.

T1-T2 period (structured vestibular rehabilitation program)

Experimental group

Description:

A structured vestibular rehabilitation program was applied in 50-minute sessions under the supervision of a physiotherapist once a week and as a home exercise program 3 days a week over 4 weeks.

Treatment:

Other: structured vestibular rehabilitation program

T2-T3 period

Active Comparator group

Description:

A structured vestibular rehabilitation program was applied in 50-minute sessions under the supervision of a physiotherapist once a week and as a home exercise program 3 days a week over 4 weeks. Afterwards, participants participated in the home program with telerehabilitation for 8 weeks.

Treatment:

Other: structured vestibular rehabilitation program