Despite the growing research on Benign Paroxysmal Positioning Vertigo (BPPV), the impact and treatment efficacy on balance, physical activity (and consequently) frailty in elderly is lacking. Also, the added value of the video Head Impulse Test (vHIT) in this population has never been studied before. With insights gained from this research, we hope to contribute to an efficient treatment of BPPV in this growing population and to minimize its impact and healthcare burden.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
90
treatment with Particle Repositioning Maneuver
Ziekenhuis Oost-Limburg
Genk, Belgium
RECRUITINGThe mini Balance Evalutation System test (miniBEStest)
The MiniBEStest is a 14-item test that measures 4 different balance control systems: anticipatory postural adjustments, reactive postural control, sensory orientation and dynamic gait. Items are scored on a 3-level ordinal scale. The CTSIB is used to assess sensory contributions to postural control during 6 sensory conditions: stand on firm surface with eyes open, stand on foam surface with eyes open, stand on firm surface with visual conflict dome, stand on foam surface with visual conflict dome, stand on firm surface with eyes closed and stand on foam surface with eyes closed.
Time frame: baseline
The mini Balance Evalutation System test (miniBEStest)
The MiniBEStest is a 14-item test that measures 4 different balance control systems: anticipatory postural adjustments, reactive postural control, sensory orientation and dynamic gait. Items are scored on a 3-level ordinal scale. The CTSIB is used to assess sensory contributions to postural control during 6 sensory conditions: stand on firm surface with eyes open, stand on foam surface with eyes open, stand on firm surface with visual conflict dome, stand on foam surface with visual conflict dome, stand on firm surface with eyes closed and stand on foam surface with eyes closed.
Time frame: month 1
The mini Balance Evalutation System test (miniBEStest)
The MiniBEStest is a 14-item test that measures 4 different balance control systems: anticipatory postural adjustments, reactive postural control, sensory orientation and dynamic gait. Items are scored on a 3-level ordinal scale. The CTSIB is used to assess sensory contributions to postural control during 6 sensory conditions: stand on firm surface with eyes open, stand on foam surface with eyes open, stand on firm surface with visual conflict dome, stand on foam surface with visual conflict dome, stand on firm surface with eyes closed and stand on foam surface with eyes closed.
Time frame: month 3
The mini Balance Evalutation System test (miniBEStest)
The MiniBEStest is a 14-item test that measures 4 different balance control systems: anticipatory postural adjustments, reactive postural control, sensory orientation and dynamic gait. Items are scored on a 3-level ordinal scale. The CTSIB is used to assess sensory contributions to postural control during 6 sensory conditions: stand on firm surface with eyes open, stand on foam surface with eyes open, stand on firm surface with visual conflict dome, stand on foam surface with visual conflict dome, stand on firm surface with eyes closed and stand on foam surface with eyes closed.
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Time frame: month 6
10 meter walk test
During the 10 meter walk test the participant is instructed to walk 10 meter at his/her preferred walking speed. Gait parameters will be assessed.
Time frame: Baseline
10 meter walk test
During the 10 meter walk test the participant is instructed to walk 10 meter at his/her preferred walking speed. Gait parameters will be assessed.
Time frame: month 1
10 meter walk test
During the 10 meter walk test the participant is instructed to walk 10 meter at his/her preferred walking speed. Gait parameters will be assessed.
Time frame: month 3
10 meter walk test
During the 10 meter walk test the participant is instructed to walk 10 meter at his/her preferred walking speed. Gait parameters will be assessed.
Time frame: month 6
physical activity level measurde by an accelerometer (MOX)
Objective measurement of physical activity level of four days will be done by an accelerometer (MOX), that measures time spent in certain positions. The accelerometer is attached to the upper leg of the participant.
Time frame: baseline
physical activity level measurde by an accelerometer (MOX)
Objective measurement of physical activity level of four days will be done by an accelerometer (MOX), that measures time spent in certain positions. The accelerometer is attached to the upper leg of the participant.
Time frame: month 1
physical activity level measurde by an accelerometer (MOX)
Objective measurement of physical activity level of four days will be done by an accelerometer (MOX), that measures time spent in certain positions. The accelerometer is attached to the upper leg of the participant.
Time frame: month 3
physical activity level measurde by an accelerometer (MOX)
Objective measurement of physical activity level of four days will be done by an accelerometer (MOX), that measures time spent in certain positions. The accelerometer is attached to the upper leg of the participant.
Time frame: month 6
The International Physical Activity Questionnaire
used to measure the level of physical activity by questionnaire. This questionnaire consists of 31 questions divided over 5 subcategories. A higher score means a higher level of physical activity.
Time frame: Baseline
The International Physical Activity Questionnaire
used to measure the level of physical activity by questionnaire. This questionnaire consists of 31 questions divided over 5 subcategories. A higher score means a higher level of physical activity.
Time frame: Month 1
The International Physical Activity Questionnaire
used to measure the level of physical activity by questionnaire. This questionnaire consists of 31 questions divided over 5 subcategories. A higher score means a higher level of physical activity.
Time frame: Month 3
The International Physical Activity Questionnaire
used to measure the level of physical activity by questionnaire. This questionnaire consists of 31 questions divided over 5 subcategories. A higher score means a higher level of physical activity.
Time frame: Month 6
Frailty
Frailty is defined as a clinical syndrome in which three or more of the following criteria are present: unintentional weight loss (more than 3 kg during last year and/or BMI ≤ 21 kg/m2), weakness (unable to rise from a chair), self-reported exhaustion, slow walking speed (velocity on 10 meter walk test) and low physical activity (answering 'no' to the question 'do you perform regular physical activity as walking, gardening or sport).
Time frame: baseline
Frailty
Frailty is defined as a clinical syndrome in which three or more of the following criteria are present: unintentional weight loss (more than 3 kg during last year and/or BMI ≤ 21 kg/m2), weakness (unable to rise from a chair), self-reported exhaustion, slow walking speed (velocity on 10 meter walk test) and low physical activity (answering 'no' to the question 'do you perform regular physical activity as walking, gardening or sport).
Time frame: month 1
Frailty
Frailty is defined as a clinical syndrome in which three or more of the following criteria are present: unintentional weight loss (more than 3 kg during last year and/or BMI ≤ 21 kg/m2), weakness (unable to rise from a chair), self-reported exhaustion, slow walking speed (velocity on 10 meter walk test) and low physical activity (answering 'no' to the question 'do you perform regular physical activity as walking, gardening or sport).
Time frame: month 3
Frailty
Frailty is defined as a clinical syndrome in which three or more of the following criteria are present: unintentional weight loss (more than 3 kg during last year and/or BMI ≤ 21 kg/m2), weakness (unable to rise from a chair), self-reported exhaustion, slow walking speed (velocity on 10 meter walk test) and low physical activity (answering 'no' to the question 'do you perform regular physical activity as walking, gardening or sport).
Time frame: month 6
the Montreal Cognitive Assessment (MOCA)
Cognitive function of older adults with BPPV will be compared to cognitive function of older adults without BPPV. Cognitive function will be assessed with the Montreal Cognitive Assessment (MOCA). MOCA assesses short term memory, visuospatial abilities, executive functions, attention and working memory, language and orientation to time and place.
Time frame: Baseline
the 15-item Geriatric Depression Scale
Depressive feeling will be measured with the 15-item Geriatric Depression Scale
Time frame: baseline
the 15-item Geriatric Depression Scale
Depressive feeling will be measured with the 15-item Geriatric Depression Scale
Time frame: Month 1
the 15-item Geriatric Depression Scale
Depressive feeling will be measured with the 15-item Geriatric Depression Scale
Time frame: Month 3
the 15-item Geriatric Depression Scale
Depressive feeling will be measured with the 15-item Geriatric Depression Scale
Time frame: Month 6
Age
Years
Time frame: Throug study completion, an average of 6 months
Height
meters
Time frame: Throug study completion, an average of 6 months
BPPV-symptomatology
Time frame: Throug study completion, an average of 6 months
medication use
medication use will be questioned
Time frame: Throug study completion, an average of 6 months
Living situation
Living situation wil be questioned
Time frame: Throug study completion, an average of 6 months
Walking aid
Walking aid wil be questioned
Time frame: Throug study completion, an average of 6 months
Fall history
Fall History will be measured during the follow-up period by a 2-weekly telephone interview.
Time frame: Up to the end of the study