Hearing Loss Clinical Trial
Official title:
Balance and Mobility in Older Adults With Hearing Impairment
Hearing impairment is common in older adults, and recent research points to associations between hearing impairment and balance/mobility. The association may be due to more attentional resources being used to compensate for the sensory loss, with less resources available for maintaining balance. The aim of this projects is therefore to investigate whether an exercise program with focus on motor-cognitive tasks is feasible for older adults with hearing impairment. The study is meant as a proof-of-concept study, where trialling will be evaluated, and results will be used to inform the design of a larger and adequately powered study.
Study design:
This is an experimental (exercise) study with follow-ups three and twelve months after
exercise completion.
Participants:
Participants will be recruited from two instances:
- "Praksisnett", which is a collaboration between GPs and researchers in Bergen, Norway,
where GPs recruit potential participants to research projects.
- The Ear, Nose, Throat department at Haukeland University Hospital (Bergen), who provide
service to older adults with hearing impairment. The aim is to include 60 patients into
three intervention arms: i) virtual reality exercises, ii) vestibular rehabilitation
exercises and usual care
Intervention arms:
- Virtual reality exercises: Participants will exercise in virtual environments twice
weekly. The choice of environments/tasks will be individualized, and progress from
sitting/standing exercises, to doing exercises while walking on a treadmill. The aim is
to perform cognitive and motor tasks simultanously.
- Vestibular rehabilitation exercises: This is an exercise approach that has been used in
clinical groups, such as patients with vestibular disorders and traumatic brain injury.
The aim is to perform movements/exercises where the participant is exposed gradually to
movements that may be provocative for the vestibular system.
The exercises will be done in a movement lab at Western Norway University of Applied
Sciences. Participants will be randomised to either of the three intervention arms using a
computerized procedure. Neither participants, testers or deliverers of the intervention will
be blinded. Testers and intervention deliverers will be physiotherapists, students enrolled
in a master program in clinical physiotherapy and bachelor students in physiotherapy.
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