Vestibular Diseases Clinical Trial
Official title:
A Controlled Clinical Study to Evaluate the Safety and Efficacy of the BrainPort® Balance Device When Used to Improve Balance in Subjects With Peripheral Vestibular Dysfunction
The purpose of this study is to assess the safety and efficacy of the BrainPort balance device in improving balance and gait as measured by clinically accepted standardized balance assessments in subjects with peripheral vestibular dysfunction.
Peripheral vestibular dysfunction can be caused by inner ear disorders, drug toxicity,
neuritis, or a number of other causes. In the absence of a fully functional vestibular
system, the brain often requires retraining to correctly utilize visual and proprioceptive
cues to maintain postural stability. People with vestibular dysfunction experience multiple
problems with posture control and movement, including an unsteady gait and various
balance-related difficulties. These effects make it very difficult to walk in the dark or on
uneven surfaces without risk of falling. They are typically referred for conventional
vestibular therapy. Many patients improve with therapeutic intervention. Some patients reach
a plateau and do not return to their previous level of function. The BrainPort balance
device transmits head position information via electrotactile stimulation of the tongue.
With training, patients learn to use the positional information to correct their balance.
Participants meeting the study criteria will be randomized to the perceived stimulation or
subliminal stimulation group. All participants will be given baseline assessments of
postural stability, balance, and subjective well being according to standardized tests.
After completing the baseline assessments, each participant will be trained in the clinic
using a standard training protocol with the BrainPort balance device. Each participant will
participate in 6 clinical training sessions, over a period of 3 consecutive days. Upon
completion of the clinic training sessions, participants will continue with a 7½ week period
of home use. During this period, the participant will train with the device for 20 minutes 2
times per day and the clinicians will contact the participants weekly. At the end of the
home training period (8 weeks from the beginning of the study), all participants will again
undergo the tests given at baseline.
Following the data analysis, subjects that have completed the 8 week study and were
originally assigned to the group with inferior results will be given the opportunity to use
the device that showed superior results in the data analysis.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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