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Vestibular Rehabilitation for Patients With Fall-related Wrist Fractures

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Eva Ekvall Hansson, Lund University
ClinicalTrials.gov Identifier:
NCT00988572
First received: October 1, 2009
Last updated: March 17, 2014
Last verified: March 2014
History of Changes
  Purpose

Dizziness has been identified as a risk factor for fall and vestibular asymmetry has been found among patients with fall-related wrist fractures as well as among patients with hip-fracture. Since wrist fracture is a risk factor for hip-fracture, much effort is focused on preventing falls for risk-groups. Therefore, it would be interesting to find out if it is possible to influence vestibular asymmetry with vestibular rehabilitation.

The aim of this study is therefore to find out if vestibular rehabilitation can have any effect on vestibular function among patients with fall-related wrist fracture.


Condition Intervention
Wrist Fractures
Dizziness
 Other: Vestibular rehabilitation

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Vestibular Rehabilitation for Patients With Fall-related Wrist Fractures - a Randomized Controlled Trial

Resource links provided by NLM:

U.S. FDA Resources

Further study details as provided by Lund University:

Primary Outcome Measures:
  • Vestibular function measured by head shake test [ Time Frame: At baseline and at follow-up after 3 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Analyze of gait using electronic walkway [ Time Frame: At baseline and at follow up after 3 months ] [ Designated as safety issue: No ]
Estimated Enrollment: 100
Study Start Date: March 2009
Study Completion Date: March 2014
Primary Completion Date: February 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention group
Vestibular rehabilitation, twice a week for 9 weeks
 Other: Vestibular rehabilitation
The intervention program comprises of vestibular rehabilitation, at group sessions, twice a week for 9 weeks. The program is described in detail in table 1. Vestibular rehabilitation aims to facilitate rearrangement and recruitment of the control capacities of the vestibular system, by letting the patient be exposed to unstable body positions, such as standing on foam and performing head, trunk or eye-movements.
No Intervention: Control group
The patients in the control group does nothing, except for normal treatment for their wrist fracture.

Detailed Description:

Fall-related fractures are an increasing problem for the society. Almost 30% of persons over 65 years of age fall each year. In Sweden 627 persons out of 100 000 is treated in hospitals because of injury after a fall. In Malmö, the figure is 883 persons out of 100 000. However, not all falls lead to a fracture. Dizziness has been identified as a risk factor for fall and vestibular asymmetry has been found among patients with fall-related wrist fractures as well as among patients with hip-fracture.

Vestibular rehabilitation programs were first developed in the forties, originally used for peripheral vestibular disorder, in order to facilitate recovery. Modern research has widened the use of vestibular rehabilitation to patients with other causes of dizziness than peripheral vestibular disorders. Since wrist fracture is a risk factor for hip-fracture, much effort is focused on preventing falls for risk-groups. Therefore, it would be interesting to find out if it is possible to influence vestibular asymmetry with vestibular rehabilitation.

The aim of this study is therefore to find out if vestibular rehabilitation can have any effect on vestibular function among patients with fall-related wrist fracture.

  Eligibility
Ages Eligible for Study:   50 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Fall-related wrist fracture
  • 50 years or older

Exclusion Criteria:

  • Younger than 50
  • Wrist fracture not related to fall
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00988572

Locations
Sweden
Lund University, Dep Clin Sci in Malmö/Family Practice
Malmö, Sweden, 205 02
Sponsors and Collaborators
Lund University
Investigators
Principal Investigator: Eva Ekvall Hansson, PhD Lund University
  More Information

Publications:
Hansson, EE. Vestibular Rehabilitation - for whom and how? Advances in Physiotherapy 9:106-116. 2007

Responsible Party: Eva Ekvall Hansson, Associate professor, Lund University
ClinicalTrials.gov Identifier: NCT00988572     History of Changes
Other Study ID Numbers: Radius
Study First Received: October 1, 2009
Last Updated: March 17, 2014
Health Authority: Sweden: Regional Ethical Review Board

Keywords provided by Lund University:
Wrist fractures
Vestibular asymmetry
Vestibular rehabilitation
Fall-related wrist fractures
Patients 50 years or older

ClinicalTrials.gov processed this record on March 03, 2015