Home-based Computer Gaming in Vestibular Rehabilitation

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University of Manitoba
ClinicalTrials.gov Identifier:
NCT01943955
First received: September 9, 2013
Last updated: September 12, 2013
Last verified: September 2013
  Purpose

It is hypothesized that a home-based computer gaming rehabilitation program will improve gaze control and balance impairments in those with peripheral vestibular disorders (PVD). Ten people with peripheral vestibular disorders were started on a treatment program that consisted of playing computer games and while performing various balance exercises. On a weekly basis, each participant was contacted by email or telephone and asked to submit their computer gaming data to a trained vestibular physical therapist. Following review of this data, the physical therapist would contact the participant and progress their computer gaming program appropriately. At the completion of twelve weeks of home treatment, the participants returned for re-assessment and it was determined that the computer gaming program was an effective treatment for those with PVD. It was also determined that a monitored telerehabilitation program was an efficient and effective delivery method for this treatment.


Condition Intervention
Peripheral Vestibular Disorders
Vestibular Syndromes &/or Disorders (Labyrinthine)
Vestibular Neuronitis
Behavioral: home-based computer gaming

Study Type: Interventional
Study Design: Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Home-based Computer Gaming in Vestibular Rehabilitation: Effects on Gaze and Balance Impairment

Resource links provided by NLM:


Further study details as provided by University of Manitoba:

Primary Outcome Measures:
  • Centre of Foot Pressure (COP) - Group mean and standard error mean (SEM) of Total Path Length (TPL) in Medial-Lateral and Anterior-Posterior Directions. [ Time Frame: Change from baseline in COP at 12 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Trunk Stability - p-value and effect size of trunk root mean square (RMS) angular velocity in Medial-Lateral and Anterior-Posterior directions. [ Time Frame: Change from baseline in trunk stability at 12 weeks ] [ Designated as safety issue: No ]

Other Outcome Measures:
  • Gaze Stability - group mean and standard error mean (SEM) of open loop (OL) and closed loop (CL) visual tracking tasks during standing on fixed and sponge surfaces and during treadmill walking at 0.7 mph. [ Time Frame: change from baseline in gaze stability at 12 weeks ] [ Designated as safety issue: No ]
  • Dizziness - percentiles and p-values for Dizziness Handicap Inventory (DHI) [ Time Frame: change from baseline in dizziness at 12 weeks ] [ Designated as safety issue: No ]
  • Gait Stability - percentiles and p-values for Dynamic Gait Index (DGI) [ Time Frame: change from baseline in gait stability at 12 weeks ] [ Designated as safety issue: No ]

Enrollment: 10
Study Start Date: May 2011
Study Completion Date: June 2013
Primary Completion Date: December 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: home-based computer gaming
computer gaming, balance exercises carried out at home for 20 minutes 5 days/week and monitored by a physical therapist.
Behavioral: home-based computer gaming
A computer mouse mounted to a headband and placed on the participant's head is used to interact with the game cursor. In order to interact with/play the game the participant must visually focus on the moving target and perform unpredictable head movements. Balance exercises are incorporated progressively and simultaneously during computer gaming.
Other Name: home-based computer gaming for people with PVD

Detailed Description:

A pre to post intervention case series study was carried out on ten participants diagnosed with peripheral vestibular disorders (PVD). Inclusion criteria consisted of: a) 20 to 70 year old, b) confirmed diagnosis of PVD on neuro-opthalmic, neuro-orthoptic, electronystagmography and caloric testing; and use of a home computer. Exclusion criteria consisted of those with migraine, central nervous system disorders (for example cerebral vascular accident or Multiple Sclerosis), recent fractures of the spine or lower extremities, inability to stand for 20 minutes continuously, or presence of dementia. It was hypothesized that a home-based computer gaming treatment delivered in a monitored telerehabilitation platform would be an effective treatment for those with PVD in that increased gaze stability and improved balance would be observed post-treatment. It was also hypothesized that decreased dizziness would be reported post-treatment. After initial assessment (pre-treatment), three in-clinic sessions were given to each participant to develop their specific home treatment computer program and ensure ability to use the program effectively. They were then started on their home program and monitored by a trained vestibular physical therapist for a 12-week telerehabilitation program. After the completion of the 12-weeks, the participants returned for a post-treatment assessment.

  Eligibility

Ages Eligible for Study:   20 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Confirmed diagnosis of peripheral vestibular disorder (confirmed on electronystagmography, bithermal caloric testing, neuro-ophthalmic, neuro-orthoptic examination)
  • Access to a home computer

Exclusion Criteria:

  • Central Nervous System disorders
  • Vestibular migraine
  • Benign Paroxysmal Positional Vertigo (BPPV)
  • Recent fractures of the spine or lower extremities
  • Inability to tolerate standing for 20 minutes
  Contacts and Locations
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01943955

Locations
Canada, Manitoba
University of Manitoba, School of Medical Rehabilitation
Winnipeg, Manitoba, Canada, R3E0T6
Sponsors and Collaborators
University of Manitoba
Investigators
Principal Investigator: Tony Szturm, PhD University of Manitoba
Principal Investigator: Karen M Reimer, MSc University of Manitoba
  More Information

No publications provided

Responsible Party: University of Manitoba
ClinicalTrials.gov Identifier: NCT01943955     History of Changes
Other Study ID Numbers: HS14167
Study First Received: September 9, 2013
Last Updated: September 12, 2013
Health Authority: Canada: Ethics Review Committee

Keywords provided by University of Manitoba:
dizziness
vertigo
unsteadiness
unbalance
falls

Additional relevant MeSH terms:
Vestibular Diseases
Vestibular Neuronitis
Labyrinth Diseases
Ear Diseases
Otorhinolaryngologic Diseases
Vestibulocochlear Nerve Diseases
Retrocochlear Diseases
Cranial Nerve Diseases
Nervous System Diseases

ClinicalTrials.gov processed this record on August 21, 2014