Rehabilitation for patients with vestibular deficits using head impulse testing

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

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.

Why it matters

Who can join: the full rules

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 it's running

• Pierre Wertheimer Hospital - Neurological Hospital
  Bron, France Recruiting

Study contacts

• Study coordinator: Lagadec Vl Vincent
• Email: Vincent.lagadec@chu-lyon.fr
• Phone: 0033643537713

Similar studies

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• Gene therapy for vestibular schwannoma treatment

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.