Dizziness Clinical Trial
Official title:
Vestibular Rehabilitation and Dizziness in Geriatric Patients
The purpose of this study is to develop effective exercise intervention to reduce dizziness and fall risk in older adults with non-specific dizziness. We hypothesize that the use of vestibular exercises can reduce dizziness and improve gaze and postural stability in older persons.
Community dwelling older individuals who present to a specialty dizziness clinic (Atlanta
VAMC or Emory University) with a primary complaint of dizziness will be recruited to
participate in this study. Before beginning the study, the presence of normal vestibular
function will be measured directly using standard vestibular function tests. Individuals
will be randomly assigned to the vestibular exercise group (VR) or to the control group
(CON). Data will be collected prior to the initiation of physical therapy and at the
completion of the 6-week intervention period.
The VR group will perform vestibular exercises plus balance and gait exercises. The CON
group will perform saccadic eye movements without targets against a blank wall, as well as
balance and gait exercises. The balance and gait exercises for each group will be based on
identified impairments and functional limitations, as is the standard of care in physical
therapy. All subjects within a group will follow the same exercise progression for the
vestibular or eye movement exercises. Subjects will be seen in the clinic on a weekly basis
to review and modify the exercises according to a standard protocol and to reinforce
compliance.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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