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IRCT20160131026279N4 IRCT 2021-09-02 Tehran University of Medical Sciences Effect of rehabilitation and electrical stimulation on treatment of unilateral vestibular impairment Comparison the effect of galvanic vestibular stimulation combined with conventional vestibular rehabilitation program or virtual reality rehabilitation on cognitive and balance performance of patients with unilateral vestibular impairment 2021-04-21 anticipated 52 Complete https://irct.ir/trial/58375 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Randomization method: Individual random assignment to four equal groups with block randomization method using blocks of size 4; Randomization and random sequential allocation: done with Random Allocation Software; Allocation concealment: done with sequentially numbered, sealed, opaque envelopes. N/A Vestibular disorder. Intervention 1: Intervention group 1 (VRT): receiving vestibular rehabilitation program (Cooksey-Cawthorne exercises), 30 min, twice a day, 4 weeks. Intervention 2: Intervention group 2 (VRT+ GVS): receiving vestibular rehabilitation program with noisy galvanic vestibular stimulation (subliminal, 20 min, once a week, 3 weeks). Intervention 3: Intervention group 3 (VR): receiving virtual-vestibular rehabilitation (eight 45-minute sessions of Nintendo Wii fit plus exercises, twice a week, 4 weeks). Intervention 4: Intervention group 4 (VR+GVS): receiving virtual-vestibular rehabilitation and GVS. Yes - There is a plan to make this available What will be shared: Reporting as a PhD dissertation and papers When: 2023 and after To whom: All people Conditions: Dissertation: In accordance with Tehran University of Medical Sciences copyright Paper: In accordance with the journal's policies to access the published paper Where to obtain: Dissertation: The library of the School of Rehabilitation, TUMS Papers: Databases How to obtain: For the dissertation, studying in the library For papers depends on the journal's policy. Comments:
public Mansoureh Adel Ghahraman
Enghelab Ave.
Tehran Iran (Islamic Republic of) 1148956111 +98 21 7753 4364 madel@tums.ac.ir Tehran University of Medical Sciences scientific Mansoureh Adel Ghahraman
Enghelab Ave.
Tehran Iran (Islamic Republic of) 1148956111 +98 21 7753 4364 madel@tums.ac.ir Tehran University of Medical Sciences Iran (Islamic Republic of) Diagnosed uncompensated chronic unilateral vestibular disorder (such as Vestibular neuritis) with canal paralysis> 25% using caloric test, Age range of 20-50 years, No benign paroxysmal positional vertigo, Complaints of vertigo and imbalance during movement, No central nervous system involvement, No previous Vestibular rehabilitation program, Normal or corrected visual acuity with glasses (20/20) using the Snellen chart in order to view the target point on the vHIT test and perform cognitive tests, Normal hearing ability or corrected hearing loss with hearing aid in order to hear the stimulus in the force plate test, Having diploma at least. 20 years 50 years Both Drug consumptions that result in suppressing vestibular system compensation Neck pain and limited range of motion of the neck Alcoholism or addiction Orthopedic problems in the last 6 months Obvious lower extremity deformities such as scoliosis and kyphosis according to observation of a physiotherapist Rheumatic and/or metabolic diseases Professionalism in various fields of sports, art and music because of their impact on the cognitive fields H81 Disorders of vestibular function Rehabilitation Rehabilitation Rehabilitation Rehabilitation Intervention group 1 (VRT): receiving vestibular rehabilitation program (Cooksey-Cawthorne exercises), 30 min, twice a day, 4 weeks Intervention group 2 (VRT+ GVS): receiving vestibular rehabilitation program with noisy galvanic vestibular stimulation (subliminal, 20 min, once a week, 3 weeks) Intervention group 3 (VR): receiving virtual-vestibular rehabilitation (eight 45-minute sessions of Nintendo Wii fit plus exercises, twice a week, 4 weeks) Intervention group 4 (VR+GVS): receiving virtual-vestibular rehabilitation and GVS Dizziness Handicap Inventory score. Timepoint: Before and after intervention. Method of measurement: Dizziness Handicap Inventory. Response latency. Timepoint: Before and after intervention. Method of measurement: Choice reaction time test. Response accuracy. Timepoint: Before and after intervention. Method of measurement: Choice reaction time test. Response latency. Timepoint: Before and after intervention. Method of measurement: Visual Stroop test. Response accuracy. Timepoint: Before and after intervention. Method of measurement: Visual Stroop test. Interference score. Timepoint: Before and after intervention. Method of measurement: Visual Stroop test. Working memory span. Timepoint: Before and after intervention. Method of measurement: Backward digit span test. Total number of correct words. Timepoint: Before and after intervention. Method of measurement: Verbal fluency test. Response accuracy. Timepoint: Before and after intervention. Method of measurement: Serial sevens subtraction task. Total test time. Timepoint: Before and after intervention. Method of measurement: Serial sevens subtraction task. Visuospatial span length. Timepoint: Before and after intervention. Method of measurement: Corsi block test. Treatment benefit score. Timepoint: Before and after intervention. Method of measurement: Treatment benefit questionnaire. Vestibulo-ocular reflex gain. Timepoint: Before and after intervention. Method of measurement: video head impulse test (vHIT). Frequency of overt and covert saccades. Timepoint: Before and after intervention. Method of measurement: video head impulse test (vHIT). Displacement of center of pressure in both anterior-posterior and medial-lateral directions. Timepoint: Before and after intervention. Method of measurement: Static posturography on force-plate. Velocity of displacement of center of pressure in both anterior-posterior and medial-lateral directions. Timepoint: Before and after intervention. Method of measurement: Static posturography on force-plate. Phase plane. Timepoint: Before and after intervention. Method of measurement: Static posturography on force-plate. Displacement of center of pressure in both anterior-posterior and medial-lateral directions in anticipation, weight transfer, and locomotion. Timepoint: Before and after intervention. Method of measurement: Dynamic posturography on force-plate. Velocity of center of pressure displacement in both anterior-posterior and medial-lateral directions in anticipation, weight transfer, and locomotion. Timepoint: Before and after intervention. Method of measurement: Dynamic posturography on force-plate. Tehran University of Medical Sciences Approved 2021-06-08 School of Nursing and Midwifery & Rehabilitation - Tehran University of Medical Sciences Enghelab Ave. Tehran Tehran Iran (Islamic Republic of) Approved 2021-02-09 School of Nursing and Midwifery & Rehabilitation - Tehran University of Medical Sciences Enghelab Ave. Tehran Tehran Iran (Islamic Republic of)