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Completed

NCT Number: NCT04200820

Changing Vertical Self-motion Perception

The objective of this study is to explore the "vertical self-motion perception" on in healthy young individuals using an elevator as accelerator. Secondary aim is to explore the effects of repeated vertical acceleration on vertical vestibular sensibility.

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Key information

Conditions

Vestibular Function Tests

Age range

18 year–30 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital Zurich, Directorate of Research and Education, Physiotherapy & Occupational Therapy Research

Zurich, Canton of Zurich, 8091, Switzerland

About this study

The detection of displacement is important information to maintaining balance, postural control, and gait during daily living activities. This detection of displacement or self-motion perception is accomplished by the human vestibular system, particularly the otolith organs, the sacculus and utriculus. Both primarily respond to whole-body acceleration or tilt in gravity. The saccule and utricle detect linear motion as well as the static orientation of the head relative to gravity, which is itself a linear acceleration. The saccule is more sensitive to vertical acceleration (sensing elevator acceleration) and the utricle is more sensitive to horizontal acceleration (sensing a car accelerate). The signals from the vestibular system are transmitted o the central nervous system for further processing.

Testing the otolith function is difficult since it always a combination of the tested inertial acceleration (t) and gravity (g). Therefore the Vector of acceleration is skew. An isolated vertical direction testing of the saccule is to our knowledge not done. Testing the function of the saccule in an elevator would eliminate the any horizontal accelerations other than gravity. Using the decelerations phase of an elevator ride during both up and down ride could give important inside of the self-motion perception (sensation of acceleration of a subject). The reaction force F which accts on the otolith would be maximal when the elevator ride downwards would stop. The force acting on the otolith when the elevator got upwards is breaking is smaller than g.

A better understanding the adaption of the self-motion perception could be beneficial for patients with hypersensitive vestibular functioning, e.g. patients with vestibular migraine. We hypothesized that (a) healthy subjects change the self-motion perception after hyper-stimulation with repeated vertical acceleration.

The objective of this study is to explore the "vertical self-motion perception" on in healthy young individuals using an elevator as accelerator. Secondary aim is to explore the effects of repeated vertical acceleration on vertical vestibular sensibility.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Healthy young adults
  • Signed informed consent after being informed

Exclusion criteria

  • Acute pain
  • Chronic neck pain
  • Undergone Neck surgery
  • Any vestibular disorder
  • Fear of elevators / claustrophobia
  • Dizziness handicap inventory score >30

Treatment and study plan

Trampoline

Diagnostic Test

During trampoline training that participants undergo constant change of vestibular stimulation. This triggers deep proprioception as well as other sensory inputs. This trigger might affect strength, body stability, muscle coordinative responses, joint movement amplitudes and spatial integration

Primary outcomes

  1. Change of Vertical Self-Motion Perception Reaction Time (VSMPT)

    Time frame: Changes from before and after the elevator rides will be assessed. The assessments will be executed one minute before and after the trampoline intervention. One assessment will take 15 minutes.

    The VSMPT reflects the time in which a person's ability to sense vertical acceleration. A Raspberry Pi 3 B+ with an inertial measurement unit (IMU) will measure the vertical acceleration of the elevator's acceleration. The subject will be asked to stop the stopwatch he/she feels acceleration / deceleration of the elevator ride. The reaction time and the duration of acceleration / deceleration will be measured. Data will be collected starting on the ground floor as the elevator travelled up to a stop at the higher floor (12 floors up). Thereafter the down ride will be measured.Five-elevator rides up and five down will be measured.

Secondary outcomes

  1. Self-administered neck mobility assessment tool (S-ROM-Neck)

    Time frame: 5 minutes. At the start of the study and before the first elevator measurements the participants are asked to fill out the questionnaire.

    The S-ROM-Neck questionnaire is a self-administered questionnaire that uses visual analog scales (VAS) to measure pain-free active range of motion (ROM) for all neck movements. The patient is asked to place a mark on a 100 mm line (0 mm = "no movement possible" and 100 mm = "as far as possible"). The total score is the sum of the individual scores (min. score (600) = no restrictions and max. score (0) = total restriction)

  2. Dizziness handicap inventory (DHI)

    Time frame: 5 minutes. At the start of the study and before the first elevator measurements the participants are asked to fill out the questionnaire.

    The DHI is a validated, 25-item-self-report questionnaire to evaluate the self-perceived handicapping effects caused by dizziness. The DHI is categorized in three domains; functional (9 questions, 36 points), emotional (9 questions, 36 points) and physical (7 questions, 28 points). Patients will answer the questions with no (0 points), sometimes (2 points) and yes (4 points). The higher the score, the greater the handicap caused by dizziness.

Sponsors and collaborators

Lead sponsor

University of Zurich

Other

Registry information

Official study title

Changing Vertical Self-motion Perception After Trampoline Jumping; Assessing Otolith Function in an Elevator

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Dec 16, 2019
Registry last updated
May 27, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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