Acute onset vertigo is common and entails much suffering with persisting symptoms at 3 months after onset in up to half of those afflicted. Vestibular rehabilitation to aid recovery is not readily available. The purpose of this study is to investigate the effects on vertigo symptoms of a 6-week online vestibular rehabilitation tool compared with standard care (written instructions leaflet) after acute onset vertigo.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
184
For those randomized to the intervention group, a 6 weeks duration vestibular rehabilitation will be delivered using an online tool (YrselTräning)
For those randomized to the control group, a 6 weeks duration standard vestibular rehabilitation will be delivered using a written instructions leaflet
Södra Älvsborg Hospital
Borås, Sweden
Sahlgrenska University Hospital
Gothenburg, Sweden
University Hospital Linköping
Linköping, Sweden
Sollefteå Hospital
Sollefteå, Sweden
The between group mean Vertigo Symptom Scale Short Form (VSS-SF) score difference
VSS-SF uses a five-point Likert scale: 0 (never), 1 (a few times), 2 (several times), 3 (quite often \[every week\]), and 4 (very often \[most days\]). The score ranges from 0 to 60. A higher score indicates worse symptoms.
Time frame: 6 weeks after vertigo onset
The between groups mean Dizziness Handicap Inventory (DHI) score
The Dizziness Handicap Inventory (DHI) uses a three-point scale to rate each item: 0 (no), 2 (sometimes), and 4 (always). The score ranges from 0 to 100. A higher overall score indicates more severe handicap.
Time frame: 6 weeks and 3 months after vertigo onset
The between groups changes in timed 25-foot walk test (T25-FW)); body sway during standing and walking; and the mobility
Time frame: From baseline to 6 weeks and 3 months
The between groups changes in video head impulse test (vHIT, site-dependent)
Time frame: 6 weeks and 3 months after vertigo onset
The between groups changes in video head impulse test (vHIT, site-dependent) measured lateral canal VOR gain and saccades
Time frame: From baseline to 6 weeks and 3 months
The between groups mean vertigo symptom scale short form (VSS-SF) score
VSS-SF uses a five-point Likert scale: 0 (never), 1 (a few times), 2 (several times), 3 (quite often \[every week\]), and 4 (very often \[most days\]). The score ranges from 0 to 60. A higher score indicates worse symptoms.
Time frame: 12 months after vertigo onset
The between group pedometer-derived mean weekly number of steps walked since last visit
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Sunderby Hospital
Södra Sunderbyn, Sweden
Capio Sankt Görans Hospital
Stockholm, Sweden
Karolinska University Hospital
Stockholm, Sweden
Sundsvall Hospital
Sundsvall, Sweden
University Hospital Umeå
Umeå, Sweden
Time frame: 3 months after vertigo onset
The between groups mean number of weekly training sessions
Time frame: 6 weeks after vertigo onset
Register-based search for health economic effects on all levels of care (primary, specialized) and society (sick leave)
Time frame: 12 months
The difference in kinematic output between measurement systems (i.e., multi-sensor and mobile app)
Time frame: Three months after symptom onset
The reliability of the Swedish VSS-SF translation
Time frame: Six weeks after symptom onset
The frequency of BPPV at 6 weeks and 3 months after AVS onset using a BPPV specific questionnaire and positional nystagmus tests
Time frame: 6 weeks and 3 months after vertigo onset