Ramsay Hunt Syndrome > Standard Vestibular Rehabilitation With Adjunct At Home Virtual Reality Vestibular Rehabilitation
Virtual Reality Therapy for Vertigo (VR-PVD-RCT Trial)
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: University of British Columbia
Stay on your current meds
No Placebo Group
Trial Summary
What is the purpose of this trial?This parallel-group randomized controlled trial aims to determine if the location of the lesion(s) in the vestibular system (unilateral versus bilateral, lateral semi-circular canal versus otolith) impacts the effectiveness of adjunct take-home head-mounted display (HMD) virtual reality (VR) therapy in improving patient symptomatology. Fifty patients meeting inclusion criteria will be recruited from the principal investigator's neurotology clinic. Baseline symptomatology questionnaires will be completed, followed by random allocation to virtual reality and control groups. Vestibular rehabilitation and virtual reality protocols will be adhered to for 4 to 8 weeks, followed by symptomatology questionnaires. Data analysis will be conducted to answer the study's objectives.
How is the Virtual Reality Therapy for Vertigo treatment different from other treatments for vertigo?
This treatment is unique because it combines standard vestibular rehabilitation with virtual reality technology, allowing patients to perform exercises at home in an engaging and interactive way, which can enhance the rehabilitation process and potentially reduce costs compared to traditional methods.
12345Is virtual reality therapy for vertigo safe for humans?
Research on virtual reality therapy for vertigo, including studies on patients with vestibular disorders, suggests that it is generally safe for humans. These studies have not reported significant safety concerns, indicating that virtual reality-based vestibular rehabilitation is a safe option for managing vertigo symptoms.
12356Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of this treatment for vertigo?
Research shows that virtual reality-based vestibular rehabilitation can significantly improve symptoms in patients with vestibular disorders, making the treatment more enjoyable and potentially more effective than conventional therapy. Additionally, internet-based vestibular rehabilitation has been shown to reduce symptoms of dizziness and vertigo for up to 6 months.
12345Eligibility Criteria
This trial is for adults over 18 with chronic peripheral vestibular disorders like vertigo or Meniere's Disease, diagnosed using specific tests. They must have had the condition for at least 3 months and be prescribed vestibular rehabilitation. Participants need to have access to a smartphone.Inclusion Criteria
My diagnosis was confirmed with specific balance tests.
I am 18 years old or older.
Exclusion Criteria
I have been diagnosed with a balance disorder related to my brain.
Participant Groups
The study compares standard vestibular rehab with two additions: auditory intervention and at-home VR therapy, to see if VR helps improve symptoms based on where the disorder is located in the ear. Patients are randomly placed into groups and follow treatment protocols for up to 8 weeks.
2Treatment groups
Experimental Treatment
Active Control
Group I: Virtual Reality GroupExperimental Treatment1 Intervention
Patients have baseline data collected two weeks pre-intervention by assessing patient symptomatology using the dizziness handicap inventory, activities specific balance confidence questionnaires and a simulator sickness questionnaire remotely. Next, an interview will be conducted to collect information including age, sex, ethnicity, physical activity level and VR experience. Lastly, VR headset will be mailed to patients home address. A date for VR device tutorial will be discussed during this interview. Next patients will undergo 4 or 8 weeks of vestibular rehabilitation if diagnosed with unilateral or bilateral vestibular hypofunction respectively. This involves weekly 40-45 minute in-person sessions with a physiotherapist and three 20 minute sessions a day of at-home independent exercises. In addition, they will undergo an at home VR vestibular rehabilitation protocol that involves playing a video game projected on an android or apple device in a VR headset for 20 minutes daily.
Group II: Control GroupActive Control1 Intervention
Patients have baseline data collected two weeks pre-intervention by assessing patient symptomatology using the dizziness handicap inventory, activities specific balance confidence questionnaires and a simulator sickness questionnaire remotely. Next, an interview will be conducted to collect information including age, sex, ethnicity, physical activity level and VR experience. Next patients will undergo 4 or 8 weeks of vestibular rehabilitation if diagnosed with unilateral or bilateral vestibular hypofunction respectively. This involves weekly 40-45 minute in-person sessions with a physiotherapist and three 20 minute sessions a day of at-home independent exercises. In addition, they will undergo an at-home regime that consists of auditory stimulation while wearing a VR headset for 20 minutes daily.
Standard Vestibular Rehabilitation with Adjunct At Home Virtual Reality Vestibular Rehabilitation is already approved in United States, European Union for the following indications:
🇺🇸 Approved in United States as Virtual Reality Vestibular Rehabilitation for:
- Vestibular disorders
- Balance problems
- Dizziness
🇪🇺 Approved in European Union as VR Vestibular Therapy for:
- Vestibular rehabilitation
- Inner ear disorders
- Visual dependence
Find A Clinic Near You
Research locations nearbySelect from list below to view details:
University of British ColumbiaVancouver, Canada
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Who is running the clinical trial?
University of British ColumbiaLead Sponsor
References
Virtual Reality Vestibular Rehabilitation in 20 Patients with Vertigo Due to Peripheral Vestibular Dysfunction. [2021]BACKGROUND Vestibular compensation is disrupted in patients with chronic vestibular syndrome. Vestibular rehabilitation is an exercise therapy that optimizes the process of vestibular compensation. This study aimed to evaluate virtual reality (VR) vestibular rehabilitation in 20 patients with vertigo due to peripheral vestibular dysfunction at a single center.Our study aim was to initially assess the impact of using virtual reality technology in vestibular rehabilitation. MATERIAL AND METHODS The subjects were 20 patients with unilateral vestibular hypofunction (UVH), as confirmed by videonystagmography. These were divided into 2 groups: Group 1 underwent vestibular rehabilitation using virtual reality and Group 2 was treated by conventional therapy. A VSS-SF questionnaire and the VAS scale were used to assess the effects and levels of patient satisfaction with therapy. RESULTS Both groups demonstrated significantly (P.
Can Virtual Reality-Assisted Therapy Offer Additional Benefits to Patients With Vestibular Disorders Compared With Conventional Vestibular Physical Therapy? A Meta-analysis. [2023]To determine whether virtual reality-assisted therapy (VRAT) significantly improves the treatment of peripheral or central vestibular disorders when compared with conventional vestibular physical therapy (CVPT) alone. Indicators of vestibular symptoms are used to determine this.
Effectiveness of virtual reality-based vestibular rehabilitation in patients with peripheral vestibular hypofunction. [2023]The rehabilitation of classical peripheral vestibular disorders is long and costly. Recently, interactive systems based on virtual reality (VR) technology have reduced the cost of vestibular rehabilitation therapy (VRT) and made the process more enjoyable. This study aims to investigate the effects of VR-based VRT in patients diagnosed with peripheral vestibular hypofunction (PVH).
Specific and individualized instructions improve the efficacy of booklet-based vestibular rehabilitation at home - a randomized controlled trial (RCT). [2023]Vestibular rehabilitation therapy (VRT) is effective for most patients with dizziness and imbalance. Home exercise programs are widely used. It is unknown, however, how specific the instructions for exercises have to be.
Online vestibular rehabilitation for chronic vestibular syndrome: 36-month follow-up of a randomised controlled trial in general practice. [2023]Vestibular rehabilitation (VR) is the preferred treatment for chronic vestibular symptoms such as dizziness and vertigo. An internet-based programme was developed to increase uptake of VR. The authors have previously reported that internet-based VR resulted in a clinically relevant decrease of vestibular symptoms for up to 6 months, compared with usual care.
Vestibular rehabilitation potential of commercially available virtual reality video games. [2023]Peripheral vestibular disorders affect 2.8-6.5% of people. Standard treatment is vestibular rehabilitation therapy, and virtual reality (VR) could improve outcomes. The objective of this study was to identify the commercially available VR video game that is most congruent to vestibular rehabilitation therapy.