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Vestibular Rehabilitation for Patients With Fall-related Wrist Fractures
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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 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 |
- Vestibular function measured by head shake test [ Time Frame: At baseline and at follow-up after 3 months ]
- Analyze of gait using electronic walkway [ Time Frame: At baseline and at follow up after 3 months ]
| Enrollment: | 82 |
| 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 (Adult, Senior) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Fall-related wrist fracture
- 50 years or older
Exclusion Criteria:
- Younger than 50
- Wrist fracture not related to fall
Contacts and LocationsPlease refer to this study by its ClinicalTrials.gov identifier: NCT00988572
| Sweden | |
| Lund University, Dep Clin Sci in Malmö/Family Practice | |
| Malmö, Sweden, 205 02 | |
| Principal Investigator: | Eva Ekvall Hansson, PhD | Lund University |
More Information
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| 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 30, 2015 |
Keywords provided by Eva Ekvall Hansson, Lund University:
|
Wrist fractures Vestibular asymmetry Vestibular rehabilitation Fall-related wrist fractures Patients 50 years or older |
Additional relevant MeSH terms:
|
Fractures, Bone Dizziness Wounds and Injuries Sensation Disorders |
Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on June 23, 2017