68 Participants Needed

Vestibular Rehabilitation Therapy for Dizziness from Concussion

Recruiting at 2 trial locations
KS
CH
SP
Overseen ByStephanie Panoncillo
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Mountain Home Research & Education Corporation
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether a digital version of vestibular rehabilitation therapy (VRT) alleviates dizziness from mild traumatic brain injury (mTBI) more effectively than the standard paper-based approach. Participants will follow a home exercise program focused on improving balance, eye movement control, and endurance, guided by a physical therapist. It suits adults experiencing dizziness related to mTBI. The trial compares the digital method to the traditional one by assessing participants' progress over four weeks and conducting a follow-up three months later. As an unphased trial, this study allows participants to contribute to innovative research that could enhance treatment options for mTBI-related dizziness.

Will 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 prior data suggests that this vestibular rehabilitation therapy is safe for treating dizziness from concussion?

Research has shown that vestibular rehabilitation therapy (VRT) is generally safe and well-tolerated. Studies have found that VRT can greatly reduce dizziness and improve balance and walking in adults. Additionally, early evidence suggests that starting VRT soon after a concussion can lessen symptoms and speed up recovery.

Regarding side effects, VRT poses a low risk. Some people might feel slightly dizzy or tired after exercises, but these feelings are usually mild and resolve quickly. Overall, VRT is considered a safe way to help people manage dizziness and enhance their quality of life.12345

Why are researchers excited about this trial?

Researchers are excited about Vestibular Rehabilitation Therapy (VRT) for dizziness from concussion because it explores different delivery methods that could potentially enhance patient engagement and outcomes. Unlike traditional VRT, which relies on standard paper handouts, the digital VRT arm uses the Health in Motion platform to deliver exercises digitally. This digital approach may offer more flexibility, personalized feedback, and ease of access, which could lead to better adherence and effectiveness compared to conventional methods.

What evidence suggests that this trial's treatments could be effective for dizziness from concussion?

Research shows that vestibular rehabilitation therapy (VRT) effectively treats dizziness from concussions. Studies have found that VRT greatly reduces dizziness and improves balance and walking in adults who have had a concussion. The therapy includes exercises to steady vision, lessen dizziness through habituation, and improve balance and walking. In this trial, participants will join different treatment arms. The Standard VRT arm uses traditional methods with paper handouts, while the Digital VRT arm employs technology to guide exercises through a digital home program. The digital version might offer extra benefits by using interactive tools to engage participants more, possibly leading to even better results.678910

Are You a Good Fit for This Trial?

This trial is for adults with mild traumatic brain injury (mTBI) who experience dizziness. To join, they must have a documented diagnosis of mTBI and significant dizziness or imbalance as measured by specific clinical scores.

Inclusion Criteria

I have been diagnosed with a mild traumatic brain injury.
I experience significant dizziness or imbalance.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-test Assessment

Standard vestibular evaluation including tests of balance and walking, and questionnaires about dizziness impact on activities

1 session
1 visit (in-person)

Treatment

Participants undergo a 4-week customized vestibular rehabilitation home exercise program

4 weeks
4 visits (in-person, weekly)

Post-test Assessment

Tests of balance and walking, and questionnaires repeated to assess improvement

1 session
1 visit (in-person)

Follow-up

Participants complete an online questionnaire about dizziness impact on daily activities

3 months
1 visit (virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Vestibular Rehabilitation Therapy (VRT)
Trial Overview The study compares standard vestibular rehabilitation exercises to a digital version for treating dizziness in mTBI patients. Participants will perform eye, balance, and walking exercises daily for 4 weeks under physical therapist supervision.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Digital VRTExperimental Treatment1 Intervention
Group II: Standard VRTActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Mountain Home Research & Education Corporation

Lead Sponsor

Trials
2
Recruited
100+

Congressionally Directed Medical Research Programs

Collaborator

Trials
59
Recruited
10,600+

Citations

Effectiveness of Vestibular Rehabilitation after ConcussionOutcomes: Outcomes considered were vertigo, dizziness, symptom modification, functional impact of vestibular symptoms, and balance. Outcomes ...
Effectiveness of Vestibular Rehabilitation in Children Post ...Vestibular rehabilitation therapy (VRT) has been shown to substantially decrease dizziness and improve gait and balance function in adults post- ...
Clinical application of virtual reality for vestibular ...This enhanced focus and engagement hold promise for more successful outcomes in VRT, improving the effectiveness of the rehabilitation process.
Effectiveness of vestibular rehabilitation therapy (VRT) after ...Vestibular rehabilitation therapy shows promise to improve dizziness and imbalance symptoms in those who have suffered sport-related concussions.
5.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/39906055/
Effectiveness of Vestibular Rehabilitation in Children Post- ...Vestibular rehabilitation therapy (VRT) has been shown to substantially decrease dizziness and improve gait and balance function in adults ...
Effectiveness of Vestibular Rehabilitation in Children Post- ...Vestibular rehabilitation therapy (VRT) has been shown to substantially decrease dizziness and improve gait and balance function in adults ...
Effectiveness of Vestibular Rehabilitation in Children Post ...Vestibular rehabilitation therapy (VRT) has been shown to substantially decrease dizziness and improve gait and balance function in adults post- ...
Vestibular Rehabilitation as an Early Intervention in ...Using VRT as an early treatment for concussions in athletes has been shown to reduce severity of symptoms and duration, therefore decreasing ...
Vestibular Rehabilitation Therapy Improves Perceived ...There is preliminary evidence showing that VRT can improve perceived disability in patients with PCS experiencing prolonged dizziness. VRT is a relatively safe ...
(PDF) Outcomes Following a Vestibular Rehabilitation and ...30 have reported promising results for VRT in treating persistent post-concussion symptoms and chronic unilateral vestibular dysfunction.
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