Investigators will use a stationary bike protocol to investigate whether patients with post concussion syndrome benefit from adding exertion training to a vestibular rehabilitation program. Investigators examine the effect of aerobic exercise testing and training on individuals with concussion who are currently experiencing symptoms and examine the effect of aerobic exercise in combination with traditional vestibular rehabilitation.
This is a randomized controlled single blind pilot study testing the hypothesis that the combination of aerobic exercise plus vestibular rehabilitation will result in greater reduction of symptoms of dizziness and imbalance compared to vestibular rehabilitation alone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
27
Subjects in the experimental group will undergo traditional Vestibular Rehabilitation as well as participate in an aerobic exercise training program.
The control group will receive standard care which includes participation in vestibular physical therapy treatments 1-2 times per week.
New York University School of Medicine
New York, New York, United States
Changes in Visual Analog Scale (VAS) of Dizziness Score
Time frame: change in VAS of Dizziness Score from initial evaluation to week 6
Changes in Dizziness Handicap Inventory (DHI) Score
25-item scale that addresses the functional, emotional, and physical components of dizziness. Higher scores indicate greater handicap (range, 0 - 100)
Time frame: change in DHI Score from initial evaluation to week 6
Change in the number of symptoms on checklist of the Sports Concussion Assessment Tool
Time frame: change in symptoms from initial evaluation to week 6
Changes in balance Error Scoring System (BESS) score
requires participants to maintain balance with eyes closed with their hands on their iliac crests under six different surface conditions. Number of errors in each trial are added together to obtain a total score (out of 60).
Time frame: change in (BESS) Score from initial evaluation to week 6
Changes in Dynamic Visual Acuity (DVA) Score
instrumented, objective assessment of vestibulo-ocular reflex (VOR) function in response to head movement. The Dynamic Visual Acuity Test assesses visual acuity during head movement relative to baseline static visual acuity
Time frame: change in DVA Score from initial evaluation to week 6
Changes in Sport Concussion Assessment Tool (SCAT-3) Score
22 item postconcussion symptom scale using a seven point Likert rating. This scale provides an assessment of symptoms endorsed, along with a severity score. The maximum symptom score is 22, the symptom severity score is obtained by summing the rated symptom score for each symptom (maximum score 132).
Time frame: change in (SCAT-3) from initial evaluation to week 6
Functional Gait Assessment
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10-item test that measures gait with a narrow base of support, gait with eyes closed, ambulating backwards, as well as ambulation with head turns. The maximum score is 30. Higher scores indicate better performance.
Time frame: change in gait from initial evaluation to week 6