The diagnosis and management of acute vertigo and dizziness is most of the time an easy task for the general practitioner. However, following an acute vestibular disorder and very often with no any overt cause, a considerable number of patients complain on chronic dizziness and subjective disturbance of balance despite normal clinical and laboratory tests. Patients describe that perceptual visual stimulus provoke or aggravate their symptoms that are frequently accompanied by anxiety. These cases have been described in the medical literature as Phobic Postural Vertigo, Visual Vertigo, Chronic Subjective Dizziness and Motion and Space Discomfort (2,3,4,5). Treatment of these conditions includes physical therapy (similar to vestibular rehabilitation exercises) and anti-anxiety or anti-depressant agents such as benzodiazepines and SSRI, however, the effectiveness of these approaches is debatable. Because visual stimuli play a crucial role in space orientation and motion perception, it is reasonable to hypothesize that certain visual stabilizing signals applied on the peripheral visual field (that is involved mainly in the perception of motion) could be of help in patients suffering from dizziness. This is the rationale of a new technology (SMB- Senso Mental Balance Technology) developed to alleviate the feelings of dizziness. Trial is conducted in Meir Medical Center, Israel. Recruitment only in Israel!
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
40
Eyeglasses with dizziness correction elements (real SpotOn eyeglasses) or eyeglasses with placebo (sham eyeglasses) elements will be worn during the whole four weeks study period.
Dept Neurology, Meir Medical Center
Kfar Saba, Israel
Dizziness Handicap Inventory (DHI)
The change from baseline in dizziness symptoms as measured by Dizziness Handicap Inventory (DHI) The change from baseline in balance as measured by the Activities-specific and Balance Confidence (ABC) Scale. Safety:AE incidence Physical, neuro-otologic and neurological examination Static/dynamic/positioning examination
Time frame: After 4 weeks of treatment
Vertigo Symptom Scale-Short Form
Vertigo Symptom Scale-Short Form
Time frame: After 4 weeks of treatment
Visual Vertigo Analog Scale (VVAS)
Visual Vertigo Analog Scale (VVAS)
Time frame: After 4 weeks of treatment
The Activities-specific Balance Confidence (ABC) Scale
The Activities-specific Balance Confidence (ABC) Scale
Time frame: After 4 weeks of treatment
Clinical Global Impressions-Improvement (CGI-I) scale
Clinical Global Impressions-Improvement (CGI-I) scale
Time frame: After 4 weeks of treatment
Berg Balance Scale (BBS)
Berg Balance Scale (BBS)
Time frame: After 4 weeks of treatment
Beck Anxiety Inventory (BAI)
Beck Anxiety Inventory (BAI)
Time frame: After 4 weeks of treatment
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