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Enrollment and other trial activities have temporarily paused due to COVID-19 and are expected to resume in the future; This is not a suspension of IRB approval
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Specific aim: To determine whether optokinetic stimulation can improve gait abnormalities.
Hypothesis: Optokinetic stimulation stimulates the vestibular system and can improve vestibular induced gait disorders.
This is a pilot study designed to determine whether or not the optokinetic stimulation improves gait in patients with gait abnormalities, specifically vestibular induced gait disorders. The study population will consist of patients already receiving a gait assessment through the Brain Fit Club (BFC) at Beth Israel Deaconess Medical Center. This gait assessment involves walking and posture evaluations. Patients will complete a gait assessment as part of their normal BFC evaluation. Those who consent to participate in the study will then complete a gait assessment while receiving optokinetic stimulation. The investigators will compare baseline gait and postural control before and during OKS stimulation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gait | Experimental | Patients undergoing a routine clinical gait assessment at the Brain Fit Club at BIDMC will have their posture and gait measured before and during optokinetic stimulation (OKS). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OKS | Device | Optokinetic stimulation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Gait - (measured using a wireless 3D accelerometer) | Change in walking balance (lateral step deviation) as measured using a wireless 3D accelerometer | After 5 minutes of OKS |
| Posture - (measured using a stationary force platform) | Change in standing balance (left-right deviation) as measured using a stationary force platform. | After 5 minutes of OKS |
| Measure | Description | Time Frame |
|---|---|---|
| Speed | Change in gait speed | After 5 minutes of OKS |
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Inclusion criteria:
Exclusion criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beth Israel Deaconess Medical Center | Boston | Massachusetts | 02215 | United States |
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| ID | Term |
|---|---|
| D020233 | Gait Disorders, Neurologic |
| D015837 | Vestibular Diseases |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Patients undergoing a clinical gait assessment will be recruited for this study. Those that consent to participate will complete their clinical gait assessment as part of their normal evaluation. Subjects will then complete a gait assessment while wearing experiencing optokinetic stimulation. The investigators will compare baseline gait and postural control before and during OKS stimulation.
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| D007759 | Labyrinth Diseases |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |