Vestibular Treatment in Adolescents Following Sport Related Concussion

Completed · Not applicable

Conditions studied: Vestibular Disorder

In brief

Each year, nearly 2 million children and adolescents have a sport-related concussion (SRC) in the U.S., but 57% of them do not receive appropriate clinical care following their injury. These injuries involve a wide range of symptoms including headache, dizziness, and sleep problems; and cognitive, emotional, visual, and vestibular impairment. The investigators have developed a clinical treatment model for SRC that addresses the heterogeneity of this injury using different clinical subtypes or profiles that inform precision interventions. To date, the investigators have identified cognitive, anxiety/mood, post-traumatic migraine, cervical, oculomotor, and vestibular clinical profiles. Patients with vestibular clinical profiles- involving dizziness, environmental sensitivity, and imbalance- are common (60-65% of concussions), and have worse outcomes and longer recovery following SRC. Consequently, the investigators have developed and applied precision vestibular treatments that can be matched to specific impairments and symptoms to actively treat patients with vestibular clinic profiles.

Key facts

Study ID

NCT03555370

Run by

University of Pittsburgh

People needed

50

Starts

2018-10-18

Expected to finish

2020-03-02

Last updated by the study team

2020-03-04

Who can join

Age: 12 and older, up to 18. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Must be 12-18 years of age.
• Must be diagnosed with a sport-related concussion within the last 3-10 days.
• Must be identified by UPMC Sports Medicine clinicians as having clinical presentation of a vestibular profile of concussion.
• Must report an increase of +2 of symptom provocation on VOMS (from baseline symptom report) on either VOR or VMS measurements during VOMS assessment.

You may not qualify if…

• More than 3 concussions including presenting injury;
• Current history or pre-existing vestibular disorder;
• Current orthopaedic injury;
• History of brain surgery or TBI (based on Glasgow Coma Scale of <13);
• History of substance abuse;
• History of neurological disorder (seizure disorder, epilepsy, brain tumors or malformations);
• Current concussion is non-sport related.
• The above exclusion factors are known to influence recovery and thus if any one exclusion criterion is met, the athlete will be unable to participate in the current study.

Where it is running

• UMPC Sports Medicine Concussion Research Program — Pittsburgh, Pennsylvania, United States

Full record on ClinicalTrials.gov

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