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OKT With Gaze and Postural Stabilization on Vertigo, MS and QOL in VBH

ConditionVestibular Disorder
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-40
SponsorRiphah International University

About this trial

The objective of this study will evaluate the effects of optokinetic training combined with postural stabilization and gaze stability exercises on motion sickness, balance, gaze stability, and quality of life in individuals with vestibular hypofunction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

• Male and female patients age 20 and 40 years

Passengers who have motion sickness during travelling

Patients of vestibular migraine who experience motion sickness

Participants experiencing vertigo, dizziness or imbalance related to vestibular hypofunction over the past three months

Disqualifiers

• Patients who have seasickness and simulator sickness excluded.

Patients having vestibular disease and chronic neurological disease.

Participants who have completed formal vestibular rehabilitation in last 6 months excluded

Patients with severe visual impairments and orthopedic conditions excluded.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Group A Habituation exercises

    Other intervention

    Habituation exercises five times per week to improve overall wellness and reduce baseline symptoms of motion sickness (38). Each session, lasting approximately 20-25 minutes, involved exercises conducted for 20 minutes per day, five times a week. Each session, lasting approximately 30-45 minutes, included low-intensity breathing exercises aimed at promoting relaxation and moderate-intensity aerobic activities, such as walking or cycling, at 50-60% of the participant's maximum heart rate.

  • Group B Optokinetic training protocol

    Other intervention

    10-minute warm-up, followed by 20-25 minutes of moderate-intensity optokinetic exercises (viewing controlled moving visual patterns), postural exercises involving controlled head and body movements to engage the vestibular system, and gaze stability exercises, which require focusing on a stationary target during head movements to improve the vestibulo-ocular reflex. The session concluded with a 10-15-minute cool-down to aid relaxation. These sessions continued for 12 weeks

Treatment groups

32 Participants
are divided into 2 treatment groups
Group A: Group A Habituation exercisesExperimental treatment 1 intervention
Group B: Group B Optokinetic training protocolExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Motion sickness susceptibility questionnaire

The Motion Sickness Susceptibility Questionnaire (MSSQ) is a widely used tool that assesses an individual's predisposition to motion sickness in various environments, such as vehicles, amusement rides, and virtual reality.

Time frame
8th week
2

Berg balance scale

The Berg Balance Scale (BBS) is a reliable clinical tool used to assess balance in individuals, particularly older adults and those with balance impairments. It includes 14 tasks each scored from 0 (cannot perform) to 4 (performs independently). The BBS has a maximum score of 56, and most of the patients show a low fall risk of 41 to 56 scores, medium risk of 21 to 40 scores, and a high risk of 0 to 20 scores.

Time frame
8th week
3

Dynamic visual acuity test for gaze stability

The Dynamic Visual Acuity (DVA) Test is a widely used clinical test to assess gaze stability, particularly in individuals with vestibular dysfunction. It evaluates a person's ability to maintain clear vision during head movements, which requires stable gaze control. The test involves reading porotype letters or symbols displayed on a screen, first in a stationary position and then while moving the head horizontally and vertically at a standardized speed (usually around 2 Hz)

Time frame
8th week
4

Head impulse test

The Head Impulse Test (HIT) is a diagnostic tool used to evaluate the function of the vestibulo-ocular reflex (VOR), essential for maintaining gaze stability during rapid head movements. In this test, a clinician rapidly and unpredictably turns the patient's head to the left or right while the patient focuses on a stationary target, typically the clinician's nose. For a healthy VOR, the eyes should remain fixed on the target despite the head movement

Time frame
8th week

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Riphah International University

Lead sponsor

Source ClinicalTrials.gov

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