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| Name | Class |
|---|---|
| Haukeland University Hospital | OTHER |
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This project is aimed at patients with dizziness believed to be due to conditions in the balance organ in the inner ear (vestibular diseases). Dizziness can be bothersome and influence postural control negatively, and can cause secondary musculoskeletal disorders. Dizziness can also result in reduced work capacity. The purpose of the project is to strengthen the knowledge base regarding symptom burden, prognosis and treatment of prolonged dizziness. The hypothesis is that musculoskeletal pain at baseline is a prognostic factor for prolonged dizziness.
Patients referred to an tertiary otorhinolarynglogical clinic due to dizziness will be invited to participate in the study. The aims are to examine the prevalence, extent and distribution of musculoskeletal pain in patients with prolonged dizziness, and to investigate the associations between musculoskeletal pain, dizziness symptoms, psychological and physical function and health-related quality of life.
Furthermore, the aim is to monitor the natural course of the dizziness symptoms and functional status in these patients, and examine risk factors for prolonged disability after 6 and 12 months. The hypothesis is that muscle pain and distress at baseline may be independently associated with prolonged complaints at follow-up.
Finally, patients who still are dizzy and have pain after 12 months will be invited to participate in one of two group interventions a) modified vestibular rehabilitation and b) virtual reality / exergaming. The interventions will be feasibility studies with a pre-post design.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vestibular exercises combined with cognitive therapy | Experimental | The intervention is in groups of 8-10 patients. The interventions consists of cognitive therapy, vestibular exercises and body awareness therapy, 8 group sessions |
|
| Exergaming | Experimental | The intervention is individual and consist of non-immersive virtual reality exercises to improve balance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vestibular exercises combined with body awareness exercises and cognitive therapy | Behavioral | The intervention is group based and is a combination of information/education, vestibular exercises (head movements and gaze stability exercises) body awareness exercises and cognitive therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Dizziness Handicap Inventory. 0-100 (high score worst) | Baseline status and change in dizziness handicap | Baseline, 26 weeks, 1 year, through study completion, an average 18 months |
| Measure | Description | Time Frame |
|---|---|---|
| Nordic Pain Questionnaire. 0-10 (high score worst) | Baseline status and change in musculoskeletal pain | Baseline, 26 weeks, 1 year, through study completion, an average 18 months |
| Vertigo Symptom Scale. 0-60 (high score worst) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gro Anita F Flaten, ph.d. | Western Norway University of Applied Sciences | Study Director |
| Evelyn Neppelberg, ph.d. | Haukeland University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Haukeland University Hospital | Bergen | 5020 | Norway |
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| ID | Term |
|---|---|
| D015837 | Vestibular Diseases |
| D059352 | Musculoskeletal Pain |
| ID | Term |
|---|---|
| D007759 | Labyrinth Diseases |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D009135 | Muscular Diseases |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D000088544 | Exergaming |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D015444 | Exercise |
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After 1 year participants who still have dizziness complaints will be offered one of two interventions:
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|
| Exergaming | Behavioral | The intervention consists of different balance exercises using non-immersive virtual reality |
|
Baseline status and change in vertigo symptoms
| Baseline, 26 weeks, 1 year, through study completion, an average 18 months |
| RAND-12 health related quality of life. 0-60 (high score better) | Baseline status and change in health related quality of life | Baseline, 26 weeks, 1 year |
| Hospital Anxiety and Depression Scale. 0-42 (high score worst) | Baseline status and change in anxiety and depression symptoms | Baseline, 26 weeks, 1 year |
| Dizziness Catastrophising Scale. 0-52 (high score worst) | Baseline status and change in catastrophising thoughts about the dizziness | Baseline, 26 weeks, 1 year, through study completion, an average 18 months |
| Posturography. Body sway while standing on a force platform. | Baseline status and change after intervention | Baseline,1 year, through study completion, an average 18 months |
| Four tests of Body flexibility derived from the Global Physiotherapy Examination- 52 | Baseline status and change after intervention | Baseline,1 year, through study completion, an average 18 months |
| Walking test preferred speed, 6 m (m/s) | Baseline status and change after intervention | Baseline,1 year, through study completion, an average 18 months |
| Walking test fast speed, 6 m (m/s) | Baseline status and change after intervention | Baseline,1 year, through study completion, an average 18 months |
| Grip Strength | Baseline | Baseline |
| D009140 |
| Musculoskeletal Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009043 |
| Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |