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| Name | Class |
|---|---|
| University of Pittsburgh | OTHER |
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This multi-center randomized trial (MCRT) will investigate the effectiveness of the VestAid application to provide equivalent or faster recovery from dizziness compared to standard-of-care delivery of vestibular rehabilitation exercises.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VestAid | Experimental | Use of VestAid tablet application to aid vestibular rehabilitation |
|
| Standard of Care vestibular rehabilitation | Active Comparator | Use of standard of care vestibular rehabilitation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vestibular Rehabilitation Aid | Device | The tablet-based VestAid system was developed to repair, restore and maintain vestibular-ocular function that is impaired in patients post-mTBI. Each participant's treating physical therapist will develop their own personalized exercise prescription. The physical therapist will be asked to recommend that the patients complete a home exercise program at least 2-3 times per day for 6 weeks. The exercise prescription will be placed on the VestAid by the physical therapist for the patient to follow. The patient is not able to modify the exercise, only the physical therapist can modify the exercises. Exercises will be modified based on patient's response and symptom reports. The physical therapist and study coordinator will receive an alert on the VestAid online dashboard if the patient's symptoms are greater than or equal to 8/10. |
| Measure | Description | Time Frame |
|---|---|---|
| Dizziness Handicap Inventory (DHI) | A self report measure of dizziness (questionnaire) | From enrollment weekly for 6 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary Endpoint | Subjective symptom reporting of dizziness, headache, nausea, and fogginess | From enrollment weekly for 6 weeks |
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Inclusion:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Susan L Whitney, DPT, PhD, NCS, ATC, FAPTA | Contact | 412-383-6642 | whitney@pitt.edu | |
| Chelsea J Manetta, PT, DPT, NCS | Contact | 4126487964 | cjm294@pitt.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15219 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22027077 | Background | Whitney SL, Sparto PJ. Principles of vestibular physical therapy rehabilitation. NeuroRehabilitation. 2011;29(2):157-66. doi: 10.3233/NRE-2011-0690. | |
| 7816453 | Background | Shepard NT, Telian SA. Programmatic vestibular rehabilitation. Otolaryngol Head Neck Surg. 1995 Jan;112(1):173-82. doi: 10.1016/S0194-59989570317-9. |
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| ID | Term |
|---|---|
| D001924 | Brain Concussion |
| D015837 | Vestibular Diseases |
| D004244 | Dizziness |
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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|
|
| Standard of care vestibular rehabilitation | Other | Vestibular rehabilitation to include gaze stabilization exercises, optokinetic training, smooth pursuits and saccades |
|
| 22027078 | Background | Gottshall K. Vestibular rehabilitation after mild traumatic brain injury with vestibular pathology. NeuroRehabilitation. 2011;29(2):167-71. doi: 10.3233/NRE-2011-0691. |
| 16796772 | Background | Hall CD, Herdman SJ. Reliability of clinical measures used to assess patients with peripheral vestibular disorders. J Neurol Phys Ther. 2006 Jun;30(2):74-81. doi: 10.1097/01.npt.0000282571.55673.ed. |
| 27097761 | Background | Essery R, Geraghty AW, Kirby S, Yardley L. Predictors of adherence to home-based physical therapies: a systematic review. Disabil Rehabil. 2017 Mar;39(6):519-534. doi: 10.3109/09638288.2016.1153160. Epub 2016 Apr 21. |
| 25106780 | Background | Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A Brief Vestibular/Ocular Motor Screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014 Oct;42(10):2479-86. doi: 10.1177/0363546514543775. Epub 2014 Aug 8. |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D016489 | Head Injuries, Closed |
| D014947 | Wounds and Injuries |
| D014949 | Wounds, Nonpenetrating |
| D007759 | Labyrinth Diseases |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |