Trial Description
Transcription
Trial Description
DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* PLEASE NOTE: This trial has been registered retrospectively. Trial Description Title Assesment of the mobility and activity of patients with vertigo and dizziness Trial Acronym [---]* URL of the trial [---]* Brief Summary in Lay Language Up to now, the effect of vertigo and balance disorders on the day-to-day mobility with or without falls and fall-associated restrictions has not been assessed. Aim of the study: 1) Assessment of mobility parameters and measures of physical activity in patients with different vestibular or non-vestibular vertigo and balance disorders 2) Assessment of the association of mobility parameters and measures of physical activity with occurrence of falls and related morbidity Patients to be recruited: Patients with vertigo and balance disorders of different etiology. Course of the study: During a single study visit at the study site we will measure gait and stance. Falls will be assessed as well as different questionnaires and scores (subjective evaluation of activity and mobility, general health questionnaire, test for dementia). We will attach a sensor (accelerometer) at the patient’s leg that shall measure daily activity for 14 days. Furthermore, we will instruct the patients to document falls for the following 12 months including monthly telephone interviews. Brief Summary in Scientific Language Up to now, the effect of vertigo and balance disorders on the day-to-day mobility with or without falls, fall-associated morbidity and mortality has not been assessed. Especially for the benign course of disease of vertigo and balance disorders the assessment of disease-specific restrictions of activity and mobility in the daily life and the following reduction of disease-related quality of life is of central importance. Aim of the study: A) Assessment of mobility parameters and measures of physical activity in patients with different vestibular or non-vestibular vertigo and balance disorders a. Do patients with vertigo and balance disorders show deviations in the day-today physical activity? b. If yes: is there an association between (a) the entity of the disorder and (b) Page 1 of 7 DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* course of the disease (chronic vs. episodic vs. paroxysmal)? c. Is there an association between mobility and physical activity in the patients? B) Assessment of the association of mobility parameters and measures of physical activity with occurrence of falls and related morbidity a. Is an increased risk of falls associated with manifest restrictions of the mobility or physical activity? b. If yes: Can certain mobility parameters or measures of physical activity be used to predict the individual risk of falls? Patients to be recruited: 1) Unilateral vestibular disorder (unilateral vestibulopathy, benign paroxysmal positional vertigo, Menière's disease, vestibular paroxysmia, perilymph fistula) 2) Bilateral vestibular disorder (bilateral vestibulopathy) 3) Somatoform vertigo (incl. phobic postural vertigo) 4) Central vestibular disorders (downbeat-nystagmus syndrome, cerebellar oculomotor disorders, Wallenberg syndrome, post infarction or craniocerebral injury) 5) Sensory vertigo (polyneuropathy, reduction of visus) 6) Normal subjects as controls Patients will be recruited in the out-patient clinic of the German Center of Vertigo and Balance disorders (out of the clinical routine or out of its database). Course of the study: Investigations at the study site: Gait and stance analysis (pait analysis (GaitRite), Timed up and go-Test, Functional Gait Assessment (FGA), posturography); systemic history of falls and near-falls; cognitive impairment (MoCA); clinical-neurological work-up, specific instrument-based diagnostics; history of other diseases and medication; questionnaires (health-related quality of life, concerns of falling) Every participant will receive a mini sensor (accelerometer and goniometer) that will be attached at the patient’s thigh with a plaster. The sensor will be active 14 hours a day for 14 days. Data is stored within an internal SD-chip. One-year follow-up of falls and near-falls using a diary (frequency of falling, severity of falls and trigger factors), additionally monthly interviews via telephone. Organizational Data DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* Investigator Sponsored/Initiated Trial (IST/IIT): yes Ethics Approval/Approval of the Ethics Committee: Approved (leading) Ethics Committee Nr.: 421-13 , Ethik-Kommission der Medizinischen Fakultät der Ludwig-Maximilians-Universität München Secondary IDs Page 2 of 7 DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* Health condition or Problem studied Free text: Meniere's disease, benign paroxysmal postuarl vertigo, perilymph fistula, bilateral vestibulopathy, unilateral vestubulopathy, cerebellar oculomotor disorder, Downbeatnystagmus syndrome, Wallenberg's syndrome, polyneuropathy, visus reduction, somatoform vertigo, phobic postural vertigo ICD10: H81.0 - Ménière disease ICD10: H81.1 - Benign paroxysmal vertigo ICD10: H55 - Nystagmus and other irregular eye movements ICD10: H81.2 - Vestibular neuronitis ICD10: G62.9 - Polyneuropathy, unspecified ICD10: H54.9 - Unspecified visual impairment (binocular) ICD10: F45.8 - Other somatoform disorders Interventions/Observational Groups Arm 1: Investigations at the study site: Gait and stance analysis (pait analysis (GaitRite), Timed up and go-Test, Functional Gait Assessment (FGA), posturography); systemic history of falls and near-falls; cognitive impairment (MoCA); clinical-neurological work-up, specific instrument-based diagnostics; history of other diseases and medication; questionnaires (health-related quality of life, concerns of falling) Every participant will receive a mini sensor (accelerometer and goniometer) that will be attached at the patient’s thigh with a plaster. The sensor will be active 14 hours a day for 14 days. Data is stored within an internal SD-chip. One-year follow-up of falls and near-falls using a diary (frequency of falling, severity of falls and trigger factors), additionally monthly interviews via telephone. Arm 2: Normal subjects as controls. Interventions and folow up will be eqal to arm 1. Characteristics Study Type: Non-interventional Study Type Non-Interventional: Other Allocation: Non-randomized controlled trial Blinding: [---]* Who is blinded: [---]* Control: Other Page 3 of 7 DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* Study Type: Non-interventional Study Type Non-Interventional: Other Allocation: Non-randomized controlled trial Blinding: [---]* Who is blinded: [---]* Control: Other Purpose: Basic research/physiological study Assignment: Parallel Phase: N/A Off-label use (Zulassungsüberschreitende Anwendung eines Arzneimittels): N/A Primary Outcome Assessment of mobility parameters and measures of physical activity in patients with different vestibular or non-vestibular vertigo and balance disorders with the accelerometer data Secondary Outcome Assessment of the association of mobility parameters and measures of physical activity with occurrence of falls and related morbidity with one-year-follow-up (falls diary and monthly telephone interview) Countries of recruitment DE Germany Locations of Recruitment University Medical Center Deutsches Schwindel- und Gleichgewichtszentrum, München Recruitment Planned/Actual: Actual (Anticipated or Actual) Date of First Enrollment: 2014/01/29 Target Sample Size: 250 Monocenter/Multicenter trial: Monocenter trial National/International: National Page 4 of 7 DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* Inclusion Criteria Gender: Both, male and female Minimum Age: 18 Years Maximum Age: 90 Years Additional Inclusion Criteria Arm 1: Distinct primary diagnosis, Age between 18 and 90 years, Written informed consent, Patient is able cooperate Arm 2: no vertigo, dizziness or balance disorder, no sensory or motor deficit at the lower extremities, age between 18 and 90 years, written informed consent, patient is able to cooperate. Exclusion criteria Arm 1: Other diseases that cause a gait disorder (paresis of the lower extremity after stroke, multiple sclerosis, stenosis of the spinal canal etc.; insertion of a endoprosthesis within the preceding 6 months), deficits preventing informed consent Arm 2: vertigo, dizziness or balance disorder; sensory deficits and weakness or other motor defitis of the lower extremity. Addresses Primary Sponsor Ludwigs-Maximimillian-Universität München, Neurologische Klinik und Poliklinik Mr. Dr. Roman Schniepp Marchioninistr. 15 81337 München Germany Telephone: [---]* Fax: [---]* E-mail: [---]* URL: [---]* Contact for Scientific Queries Deutsches Schwindel- und Gleichgewichtszentrum und Neurologische Poliklinik und Klinik der Universität München Mr. Dr. Roman Schniepp Machioninistr. 15 81377 München Germany Page 5 of 7 DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* Contact for Scientific Queries Deutsches Schwindel- und Gleichgewichtszentrum und Neurologische Poliklinik und Klinik der Universität München Mr. Dr. Roman Schniepp Machioninistr. 15 81377 München Germany Telephone: 089/4400 76950 Fax: 089 4400-78794 E-mail: roman.schniepp at med.uni-muenchen.de URL: http://www.schwindelambulanz-muenchen.de/ Contact for Public Queries Deutsches Schwindel- und Gleichgewichtszentrum, Klinikum der Universität München Ms. Kristin Heßelbarth Marchioninistr. 15 81377 München Germany Telephone: 089/4400 76950 Fax: 089 4400-78794 E-mail: kristin.heßelbarth at med.uni-muenchen.de URL: http://www.schwindelambulanz-muenchen.de/ Sources of Monetary or Material Support Institutional budget, no external funding (budget of sponsor/PI) Deutsches Schwindel- und Gleichgewichtszentrum und Neurologische Poliklinik und Klinik der Universität München; Finanzierung: Ludwigs-MaximiliansUniversität München, FöFoLe Mr. Dr. Roman Schniepp Machioninistr. 15 81377 München Germany Telephone: 089/4400 76950 Fax: 089 4400-78794 E-mail: roman.schniepp at med.uni-muenchen.de URL: http://www.schwindelambulanz-muenchen.de/ Status Recruitment Status: Recruiting ongoing Page 6 of 7 DRKS-ID: DRKS00007762 Date of Registration in DRKS: 2015/04/21 Date of Registration in Partner Registry or other Primary Registry: [---]* Study Closing (LPLV): [---]* Trial Publications, Results and other documents Please note: There are additional attributes available concerning this trial. 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