Transcutaneous Auricular Vagus Nerve Stimulation on Dizziness & Balance in Elderly Population

Riphah International University

Status: Completed

Conditions: Vestibular Diseases

Treatments: Other: Caw Thorne Cooksey; Other: Vagus Nerve Stimulation (VNS) and Caw Thorne Cooksey

Study type: Interventional

Funder types: Other

Identifiers

NCT06303271

MUHAMMAD NISAR

Details and patient eligibility

About

The objective of the study is to determine the effects of transcutaneous auricular vagus nerve stimulation on dizziness and balance on elderly population with unilateral vestibular hypofunction. Patients will be divided into experimental and control group. Randomized participants will be allocated into control and experimental group. Intervention Group A received Vagus Nerve Stimulation (VNS) and Caw Thorne Cooksey exercise while Group group B received Caw Thorne Cooksey exercise only. Both groups received intervention of 30 minutes daily for 4 weeks (16 sessions). Assessment was done at the baseline, after 2 weeks and after 4 weeks

Full description

Vestibular hypofunction is also known as vestibulopathy or vestibular dysfunction. It may be unilateral affecting one side or a bilateral vestibulopathy having symptoms on both sides.Typically, vestibular dysfunction results in incapacitating symptoms including imbalance, dizziness, and/or oscillopsia. Symptoms of postural instability and unsteadiness of gait, which aggravate in low light and on uneven terrain, may be given by the patient. The symptoms of the patient may go away while they are sitting or lying still. Without any obvious symptoms, it may be quiet Vestibular hypofunction is a common condition among the elderly population and is associated with a high risk of falls and other balance-related problems. Dizziness and balance problems can significantly impact the quality of life of elderly individuals, leading to a loss of independence and increased risk of injury. Cawthorne Cooksey exercise is a well-established and effective rehabilitation program for individuals with vestibular hypofunction. Transcutaneous auricular vagus nerve stimulation has also been shown to have promising effects on balance and dizziness. However, the combined effect of these two interventions has not been extensively studied.

Enrollment: 100 patients

Sex: All

Ages: 60 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Able to give consent
2. Age 60 and above
3. Diagnosed patient of unilateral(Left) vestibular hypo function
4. Both Genders
5. BBS with 20-41

Exclusion criteria

1. Patient with any neurological impairment (Epilepsy, stroke ALS etc.)
2. Central cause of vestibular hypo function
3. History of vestibular neuritis, concussion, head injury or tumor.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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100 participants in 2 patient groups

Vagus Nerve Stimulation (VNS) and Caw Thorne Cooksey

Experimental group

Description:

Group will receive intervention of 30 minutes daily for 4 weeks (16 sessions).

Treatment:

Other: Vagus Nerve Stimulation (VNS) and Caw Thorne Cooksey

Caw Thorne Cooksey

Active Comparator group

Description:

Group will receive intervention of 30 minutes daily for 4 weeks (16 sessions).

Treatment:

Other: Caw Thorne Cooksey