Dose of Vestibular Rehabilitation for Vestibular Hypofunction

Description

The purposes of this research are to 1) utilize virtual reality (VR) to evaluate the exercise dose required to improve symptoms in those with vestibular (dizziness) disorders, 2) compare VR vestibular exercises to standard exercises, and 3) compare exercise performance outcomes to healthy controls without vestibular disorders. Even though more than 35% of those over 40, and \~50% of those who have had concussion have such symptoms, the dose of specific exercises targeted to improve symptoms is not well defined. In this study, the investigators will use a wireless VR device to measure key parameters and response to exercise. Another advantage of the VR device is the ability to control what the individual can see while performing the exercise. In normal daily life, moving objects and distracting backgrounds can make vestibular exercise too uncomfortable to perform. Using these methods, the investigators aim to determine the appropriate type and amount of exercise required for symptom improvement. This study will also compare the effectiveness of performing exercises in the virtual reality environment to standard physical therapy and to healthy persons without history of vestibular disorders. Three categories of vestibular disorders will be investigated with an instrumented and usual therapy group of 1) Unilateral hypofunction, 2) bilateral hypofunction, and 3) post-concussion.

Conditions

Vestibular Disorder

Study Overview

Study Details

Study overview

The purposes of this research are to 1) utilize virtual reality (VR) to evaluate the exercise dose required to improve symptoms in those with vestibular (dizziness) disorders, 2) compare VR vestibular exercises to standard exercises, and 3) compare exercise performance outcomes to healthy controls without vestibular disorders. Even though more than 35% of those over 40, and \~50% of those who have had concussion have such symptoms, the dose of specific exercises targeted to improve symptoms is not well defined. In this study, the investigators will use a wireless VR device to measure key parameters and response to exercise. Another advantage of the VR device is the ability to control what the individual can see while performing the exercise. In normal daily life, moving objects and distracting backgrounds can make vestibular exercise too uncomfortable to perform. Using these methods, the investigators aim to determine the appropriate type and amount of exercise required for symptom improvement. This study will also compare the effectiveness of performing exercises in the virtual reality environment to standard physical therapy and to healthy persons without history of vestibular disorders. Three categories of vestibular disorders will be investigated with an instrumented and usual therapy group of 1) Unilateral hypofunction, 2) bilateral hypofunction, and 3) post-concussion.

Dose of Vestibular Rehabilitation Required for Clinical Improvements in Individuals With Vestibular Hypofunction.

Dose of Vestibular Rehabilitation for Vestibular Hypofunction

Condition
Vestibular Disorder
Intervention / Treatment

-

Contacts and Locations

Washington

The George Washington University, Department of Health, Human Function and Rehabilitation Science, Washington, District of Columbia, United States, 20006

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Known or suspected vestibular dysfunction
  • * Healthy volunteers without dizziness to serve as healthy control subjects
  • * Previous cerebrovacular accident (stroke)
  • * Reported neurologic or oculuomotor disease
  • * Taking of medications that affect the vestibular or oculomotor system.
  • * Current symptoms of benign paroxysmal positional hypofunction
  • * Concussion occuring less than 7 days prior to enrollment in this study
  • * Currently pregnant, or plan to become pregnant during the timeline of the study
  • * Chronic kidney disease
  • * COPD
  • * Known coronary artery disease or cardiomyopathy
  • * immunocompromised state from a solid organ transplant
  • * Severe Obesity as defined by BMI of greater than or equal to 40 kg/m2
  • * Sickle cell disease

Ages Eligible for Study

18 Years to 74 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

George Washington University,

Karen Goodman, DPT, PRINCIPAL_INVESTIGATOR, The George Washington University

Study Record Dates

2025-05