This observational, cross-sectional, comparative study aims to evaluate gait and balance parameters in adults with chronic vestibulopathy and to compare the findings with healthy individuals. Participants will include adults aged 18 to 65 years with chronic vestibular dysfunction and age- and sex-matched healthy controls without vestibular symptoms. Balance confidence, fear of falling, vestibular function, postural control, center of pressure measurements, and gait parameters will be assessed using clinical scales, videonystagmography, the modified Clinical Test of Sensory Interaction on Balance, and the Euleria Lab system. The study is expected to provide information about the functional effects of chronic vestibulopathy on gait and balance.
Eligibility
Sex
ALL
Min age
18 Years
Max age
65 Years
Healthy volunteers
Accepted
Inclusion Criteria:
For the chronic vestibulopathy group:
* Aged 18 to 65 years
* Having dizziness and/or imbalance complaints for at least 1 year
* Having a clinical diagnosis of unilateral or bilateral chronic vestibular dysfunction
* Volunteering to participate in the study and signing the informed consent form
* Having sufficient cognitive and physical ability to understand and perform the assessment tests
For the healthy control group:
* Aged 18 to 65 years
* Having similar age and sex characteristics to the patient group
* No history of vestibular disease, dizziness, or imbalance
* No known neurological, orthopedic, or serious systemic disease that may affect gait or balance
* Volunteering to participate in the study and signing the informed consent form
* Having sufficient cognitive and physical ability to understand and perform the assessment tests
Exclusion Criteria:
For both groups:
* Uncorrected visual impairment at a level that may affect assessment results
* Presence of neurological, orthopedic, or rheumatologic disease that may affect gait and balance performance
* History of surgery or serious trauma affecting the lower extremity within the last 6 months
* Cognitive, communication-related, or physical impairment that may prevent compliance with assessment tests
* Inability to stand or walk independently without an assistive device
Primary outcome measure(s)
Step Length — Baseline Step length will be assessed during free walking using the Euleria Lab system. The mean step length will be recorded for each participant and reported in centimeters.
Step Width — Baseline Step width will be assessed during free walking using the Euleria Lab system. The mean step width will be recorded for each participant and reported in centimeters.
Lower Extremity Internal Rotation Angle During Walking — Baseline Lower extremity internal rotation angle will be assessed during free walking using the Euleria Lab system. The mean internal rotation angle will be recorded for each participant and reported in degrees.
Lower Extremity External Rotation Angle During Walking — Baseline Lower extremity external rotation angle will be assessed during free walking using the Euleria Lab system. The mean external rotation angle will be recorded for each participant and reported in degrees.
Center of Pressure Amplitude With Eyes Open — Baseline Center of pressure amplitude will be measured during quiet standing with eyes open for 30 seconds using the Euleria Lab system. The value will be recorded for each participant and reported in millimeters.
Center of Pressure Amplitude With Eyes Closed — Baseline Center of pressure amplitude will be measured during quiet standing with eyes closed for 30 seconds using the Euleria Lab system. The value will be recorded for each participant and reported in millimeters.
Fear of Falling Score — Baseline Fear of falling will be assessed using the Tinetti Falls Efficacy Scale. The scale includes 10 items scored as 0 or 1. The total score ranges from 0 to 10 points, with higher scores indicating greater fear of falling.
Activities-specific Balance Confidence Score — Baseline Balance confidence will be assessed using the Activities-specific Balance Confidence Scale. The scale includes 16 items scored from 0% to 100%. The total score will be calculated as the mean of the item scores and reported as a percentage, with higher scores indicating greater balance confidence.
Time Maintaining Balance During Modified Clinical Test of Sensory Interaction on Balance — Baseline Postural stability will be assessed using the modified Clinical Test of Sensory Interaction on Balance. The time the participant maintains balance under the test condition will be recorded and reported in seconds.
Number of Participants With Abnormal Oculomotor Findings by Videonystagmography — Baseline Oculomotor function will be assessed using videonystagmography, including saccades, smooth pursuit, and gaze stability. The number of participants with abnormal oculomotor findings will be recorded and reported as participants.
Center of Pressure Amplitude During Counting While Walking — Baseline Center of pressure amplitude will be measured during counting while walking using the Euleria Lab system. The mean center of pressure amplitude will be recorded for each participant and reported in millimeters.
Trial sites (1)
Facility
City
Region
Status
İstanbul Aydın University Medicalpark Florya Hospital
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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