Vestibular rehabilitation for adults having surgery for a unilateral vestibular schwannoma
Prospective Comparative Clinical Study of Three Parallel Cohorts on the Efficacy of Pre- and Post-surgical Vestibular Rehabilitation With or Without Rotary Stimulation in Patients With Vestibular Schwannoma
NA · Universitat Autonoma de Barcelona · NCT07364955
This trial tests whether home-based vestibular telerehabilitation before and after surgery, and adding preoperative rotatory chair sessions, can help adults recover balance and reduce dizziness after removal of a unilateral vestibular schwannoma.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 75 (estimated) |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Sponsor | Universitat Autonoma de Barcelona (other) |
| Locations | 1 site (Badalona, Barcelona) |
| Trial ID | NCT07364955 on ClinicalTrials.gov |
What this trial studies
This prospective, non-randomized, three-arm study compares no-intervention standard care, a structured home-based telerehabilitation program (ReHub) performed 3 weeks before and 3 weeks after surgery, and the same telerehab plus six supervised preoperative rotatory chair sessions. Participants undergo vestibular function testing (vHIT), dizziness questionnaire (DHI), posturography, and monitoring of hospital length of stay to quantify postoperative vestibular compensation. The rotatory chair protocol uses a progressive increase in rotational velocity and post-rotation visual fixation tasks to prime vestibular adaptation before surgery. Outcomes will compare balance, dizziness, gaze stabilization, and recovery time across the three cohorts.
Who should consider this trial
Good fit: Adults aged 18–70 with a unilateral vestibular schwannoma measuring 1.5–4 cm who do not have major neurological, cerebrovascular, or musculoskeletal exclusions.
Not a fit: Patients with bilateral vestibular disease, degenerative neurological conditions, prior cerebrovascular disease, significant musculoskeletal deformities, or tumors outside the 1.5–4 cm size window are unlikely to receive benefit from this protocol.
Why it matters
Potential benefit: If successful, patients could regain balance and reduce dizziness more quickly after surgery, possibly shortening hospital stays and speeding return to daily activities.
How similar studies have performed: Vestibular rehabilitation is an established approach that improves compensation after vestibular loss, but preoperative rotatory chair priming is a novel strategy with limited prior data.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age between 18 and 70 years * Tumor size between 1.5 cm and 4 cm * Unilateral vestibular schwannoma Exclusion Criteria: * Degenerative neurological conditions * History of cerebrovascular disease * Musculoskeletal deformities
Where this trial is running
Badalona, Barcelona
- Hospital Universitari Germans Trias i Pujol — Badalona, Barcelona, Spain (RECRUITING)
Study contacts
- Study coordinator: Albert Torrents Torrero, PT, MsC
- Email: albert.torrents1@gmail.com
- Phone: +34687975352
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.
Conditions: Vestibular Schwannoma, Vestibular Schwannomas, Vestibular rehabilitation, Vestibular prehabilitation, Vestibular prehab