Rehabilitation for patients with vestibular deficits using head impulse testing
Early Rehabilitation Using Head Impulse Test for Acute Vestibular Deficit
This study is testing a new rehabilitation method using head movement exercises to help people with balance issues from vestibular problems, like vestibular schwannoma, see if it improves their eye and balance function compared to a simple eye movement treatment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 26 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Hospices Civils de Lyon Academic / other |
| Locations | 1 site (Bron) |
| Trial ID | NCT06660082 on ClinicalTrials.gov |
What this trial studies
This study focuses on the rehabilitation of patients with acute unilateral vestibular deficits, particularly those with vestibular schwannoma, by utilizing the video Head Impulse Test (vHIT) to assess and improve the vestibulo-ocular reflex (VOR). The approach involves comparing the effects of head movements against a sham treatment that only includes eye movements. The goal is to enhance visual function through targeted rehabilitation strategies based on the latency of compensatory saccades identified during the vHIT. The study aims to gather data that could lead to improved rehabilitation protocols for affected patients.
Who should consider this trial
Good fit: Ideal candidates include patients with unilateral vestibular schwannoma scheduled for surgery and specific VOR gain measurements.
Not a fit: Patients with bilateral vestibular schwannomas or other conditions affecting eye movement may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could significantly improve visual stability and quality of life for patients with vestibular deficits.
How similar studies have performed: Previous studies have shown promising results in improving visual function through similar rehabilitation approaches, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * patients with unilateral vestibular schwannoma and programmed surgery * vestibulo-ocular reflex gain : * on pathological side \> 0.50 * on healthy side \> 0.80 * all information's concerning the study given more than 15 days before surgery and consent collected the day before surgery Exclusion Criteria: * Radiotherapy treatment prior to surgery. * Resumption of surgery * Presence of bilateral vestibular schwannomas * Normal or Corrected to normal distance visual acuity \< 5/10 * Presence of other aetiologies that may explain the ataxic syndrome and/or oscillopsias * Oculomotor paralysis, ocular instability in primary position * Use of medications that compromise eye movement (psychotropic drugs) * Cervical spinal pathology with instability (contraindication for vHIT) * Cochlear implantation * Non-stabilized medical condition * Pregnant women. This exclusion criterion will be investigated by questioning the patient. * Patient under guardianship * Patient not affiliated to a social security scheme * Patient participating any other interventional study
Where this trial is running
Bron
- Pierre Wertheimer Hospital - Neurological Hospital — Bron, France (Recruiting)
Study contacts
- Study coordinator: Lagadec Vl Vincent
- Email: Vincent.lagadec@chu-lyon.fr
- Phone: 0033643537713
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.