Effects of Vestibular Habituation and Ocular Reflex Exercises on Vertigo

Comparative Effects of Vestibular Habituation and Ocular Reflex Exercises on Gait Stability, Dizziness Severity, and Fear of Fall in Elderly Population With Vertigo

The aim of this study is to determine the comparative effects of vestibular Habituation and ocular reflex exercises on Gait stability, Dizziness severity, and fear of fall in elderly population with vertigo

vestibular habituation exercises focus on helping individual adapt to and reduce symptoms related to vestibular disorder such as improving balance , reducing dizziness and enhance overall functional abilities. ocular reflex exercises focus on improving eye movement control and coordination such as improving visual tracking , stability and Focus. This randomized clinical trial will be conducted at services hospital and Jinnah hospital for a duration of 10 months. The sample size will consist of 50 participants. 25 participants will be assigned to vestibular habituation exercise group and 25 to ocular reflex exercises group. Data will be collected using these assessment tools, including the dynamic gait index for gait stability, the fall efficacy scale for fear of fall, and dizziness handicap inventory for dizziness severity. Pre-intervention assessments will be conducted for all two groups. The effects of the interventions will be measured at baseline ,in the 3rd week ,post intervention, after 6 weeks, and at a 9th week follow up. Data analysis will be performed by using SPSS 26 software

Inclusion Criteria:

1. Both male and female patients
2. Age 65-75
3. patient with vestibular disorder for at least 6 months
4. patient with unspecific dizziness sensation for at least 3 months
5. Dizziness handicap inventory score > 16 -

Exclusion Criteria:

1. patient with central nervous system diseases, like stroke, multiple sclerosis, Parkinson's disease.
2. orthopedic problems that precluded performance of the exercises
3. systemic diseases with no medication control
4. if patient were legally blind or had dementia
5. patient with no history of epilepsy and other neurological diseases -