Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
Healthy Volunteers
ID05424302

Effect of Peripheral Vestibular Pathology Location on the Ability of Home-based Virtual Reality to Improve Symptoms of Peripheral Vestibular Disorders

Led by University of British Columbia · Updated on 2024-08-15

50

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating how the location of lesions in the peripheral vestibular system affects the benefits of at-home virtual reality therapy combined with standard vestibular rehabilitation. This randomized controlled trial focuses on patients with chronic unilateral or bilateral peripheral vestibular disorders such as vestibular neuritis, labyrinthitis, and Ramsay Hunt syndrome. The study aims to understand how lesion location impacts symptom improvement and to assess any side effects of the virtual reality therapy. Participants will be assigned to one of two groups. Both groups will receive standard vestibular rehabilitation involving weekly 40-45 minute in-person physiotherapy sessions and daily at-home exercises for 4 to 8 weeks depending on diagnosis. One group will use a head-mounted virtual reality headset to play a specially selected video game for 20 minutes daily as an adjunct therapy, while the control group will wear the headset with an auditory intervention for the same daily duration. Researchers will collect baseline data two weeks before treatment, provide a tutorial on using the VR device, and monitor adherence with diaries and questionnaires. Throughout the study, participants will complete symptom questionnaires including the Dizziness Handicap Inventory (DHI), Activities-specific Balance Confidence (ABC) scale, and Simulator Sickness Questionnaire (SSQ) at baseline, during, and after the intervention. Data collection will be done remotely through phone or video calls. After completion, VR equipment will be returned and disinfected. The research team will analyze changes in symptom scores to evaluate the effect of lesion location on therapy outcomes. The total study duration for each participant includes up to 8 weeks of treatment plus follow-up assessments two weeks post-intervention.

CONDITIONS

Brief Title

Effect of Peripheral Vestibular Disease Location on Outcomes Following Home-based Virtual Reality Vestibular Therapy

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants diagnosed with chronic (≥3 months) unilateral or bilateral peripheral vestibular disorders such as vestibular neuritis, labyrinthitis, Ramsay Hunt syndrome, ischemic lesion and trauma.
  • Diagnosis made using caloric testing (≥25% reduced vestibular response) and either ocular vestibular evoked myogenic potential (oVEMP) or cervical vestibular evoked myogenic potential (cVEMP) testing.
  • Participants prescribed vestibular rehabilitation
  • Participants 18 years of age or older
  • Access to an Android or iOS smartphone
Not Eligible

You will not qualify if you...

  • Pregnant participants
  • Participant diagnosed with a central vestibular disorder

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (remote by phone or video call)

Treatment

Duration - 4 to 8 weeks

Participants undergo standard vestibular rehabilitation with weekly in-person physiotherapy sessions and daily at-home exercises for 4 to 8 weeks. The experimental group also completes daily 20-minute virtual reality gaming sessions at home using a VR headset.

Weekly in-person physiotherapy visits and daily home exercises

Follow-up

Duration - 2 weeks

Two weeks after completing the treatment, participants complete remote assessments of symptomatology and return VR equipment if applicable.

1 remote follow-up visit

Trial Site Locations

Total: 1 location

1

University of British Columbia

Vancouver, British Columbia, Canada, V6K2E8

Actively Recruiting

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Research Team

A

Austin Heffernan, BMSc

L

Lindsay E Booth, BSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Three-dimensional head-mounted gaming task procedure maximizes effects of vestibular rehabilitation in unilateral vestibular hypofunction: a randomized controlled pilot trial.

Alessandro Micarelli, Andrea Viziano, Ivan Augimeri...

https://pubmed.ncbi.nlm.nih.gov/28723718

Vestibular rehabilitation in older adults with and without mild cognitive impairment: Effects of virtual reality using a head-mounted display.

Alessandro Micarelli, Andrea Viziano, Beatrice Micarelli...

https://pubmed.ncbi.nlm.nih.gov/31102927

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY SECTION.

Courtney D Hall, Susan J Herdman, Susan L Whitney...

https://pubmed.ncbi.nlm.nih.gov/26913496