An interventional study of Vestibular retraining with dynamic posturography and At-home rehabilitation exercises in Dizziness, Equilibrium; Disorder, Labyrinth and Inner Ear Injury, sponsored by Eytan A. David. Completed at 1 site in Canada. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-04-10.
Sponsored by Eytan A. David · Not applicable, Interventional, and Treatment
People that have difficulty with balance have a higher risk of falling and reduced quality of life. Some individuals can learn to compensate using their vision, their sense of where their limbs are in space, and balance organs that are still intact. Rehabilitation exercises, which typically involve shaking and nodding of the head, are often prescribed for dizzy patients but are not effective for everyone. Our study aims to determine if specific exercises performed on footplate sensors with visual feedback is superior to traditional rehabilitation exercises done at home for improving balance and quality of life.
Unilateral vestibular weakness confirmed one or more of:
Exclusion Criteria:
12 sessions, twice per week, of rehabilitation exercises last about 20 minutes, using CDP and interactive visual feedback
Device: Vestibular retraining with dynamic posturography
Daily rehabilitation exercises involving nodding and shaking of the head
Behavioral: At-home rehabilitation exercises
12 sessions, twice per week, of rehabilitation exercises last about 20 minutes, using CDP and interactive visual feedback
6 weeks of daily rehabilitation exercises involving nodding and shaking of the head
SOT composite score
Change in composite score of sensory organization test (Scores from 0-100; higher scores indicate better function)
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
Dizziness Handicap Inventory
Change in Dizziness Handicap Inventory (DHI); 16-30 Points (mild handicap), 32-52 Points (moderate handicap), 54+ Points (severe handicap)
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
ABC Score
Change in Activity-specific Balance Confidence (ABC) score; (Scores from 0-100; higher scores indicate better function)
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
FES-I score
Change in Fall Efficacy Scale-International (FES-I); possible scores 16-64, higher score indicates greater impairment
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
SOT condition scores
Change in mean SOT scores for conditions 1 through 6; (Scores from 0-100; higher scores indicate better function)
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
LOS directional control
Limits of Stability test mean value of directional control of limits of stability; (Scores from 0-100; higher scores indicate better function)
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
LOS excursion
Limits of Stability test mean endpoint excursion value and maximum excursion point; (Scores from 0-100; higher scores indicate better function)
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
DHI component scores
Emotional, physical, and functional components of the DHI score
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
SOT vestibular contribution
Change in mean value of SOT condition 5/mean value of SOT conditions 1; measured as a ratio, higher scores indicate a greater vestibular contribution to balance deficit
Time frame: Through study completion, 12 rehabilitation sessions, an average of 7 weeks
Plan to share: No
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Eytan A. David