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Trial Title: StableEyes With Active Neurofeedback

NCT ID: NCT05622344

Condition: Vestibular Disorder
Vestibular Schwannoma
Space Motion Sickness
Motion Sickness

Conditions: Official terms:
Neurilemmoma
Neuroma, Acoustic
Vestibular Diseases
Motion Sickness
Space Motion Sickness

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: At each site, one group will receive the control and the second group will receive the experimental treatment (novel rehab device).

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Traditional Therapy
Description: Exercises that teaches subjects to move their heads while viewing still or moving targets.
Arm group label: Traditional VPT JHU

Other name: Gaze stability exercises

Intervention type: Device
Intervention name: SWAN
Description: The SWAN device uses video-oculography to monitor head motion while guiding participants to move their head in yaw, pitch, roll planes for 15 minutes. Feedback is provided regarding frequency and plane of head rotation
Arm group label: SWAN Motion Sick Dayton
Arm group label: SWAN VPT JHU

Other name: StableEyes Training Device with video-oculography

Summary: The investigators have developed a self-administered rehabilitation tool that incrementally guides the user to increase head motion to mitigate motion sickness and enhance postural recovery following centrifugation or unilateral vestibular nerve deafferentation surgery.

Detailed description: The rehabilitation device guides users to perform sinusoidal head rotations, matched to a metronome, about the yaw, pitch, and roll axes (60 sec epochs, 5 minutes per axis, 15 min total). The assessment for each axis consists of the number of completed epochs with each epoch requiring head rotations of a different amplitude. Subjects are instructed to begin with an 'easy' amplitude (i.e. small) and increase or decrease amplitude depending on the subject's perception of motion sickness - which is input from 0 (absent motion sick) to 11 (vomit) using a handheld controller. Video-oculography captures eye and head velocity as well as tracks the number of blinks and saccades, metrics that can indicate worsening nausea.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Provision of signed and dated informed consent form 2. Stated willingness to comply with all study procedures and availability for the duration of the study 3. In good general health as evidenced by medical history or diagnosed with unilateral vestibular schwannoma 4. Willing to adhere to the SWAN and/or vestibular rehabilitation regimen Exclusion Criteria: 1. Current use of anti-nausea medication 2. Presence of cervical spine pathology that limits head motion to < 30 degrees in the horizontal or vertical plane (i.e. degenerative disc disease, rheumatoid arthritis) 3. Any orthopedic pathology that prevents walking or standing independently (i.e. recent surgery) 4. Legal blindness (20/200 or worse visual acuity) 5. Treatment using a motion sickness investigational drug or other motion sickness behavioral intervention within 30 days

Gender: All

Minimum age: 21 Years

Maximum age: 70 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Johns Hopkins University

Address:
City: Baltimore
Zip: 21287
Country: United States

Status: Recruiting

Contact:
Last name: Michael C Schubert, PhD

Phone: 410-955-3403
Email: mschube1@jhmi.edu

Investigator:
Last name: Colin R Grove, PhD
Email: Sub-Investigator

Facility:
Name: Naval Medical Research Unit

Address:
City: Dayton
Zip: 45402
Country: United States

Status: Not yet recruiting

Contact:
Last name: Rich Folga
Email: richard.folga.2@us.af.mil

Contact backup:
Last name: Darcy Gallimore
Email: darci.gallimore.ctr@us.af.mil

Investigator:
Last name: Richard Folga
Email: Sub-Investigator

Start date: August 8, 2022

Completion date: September 30, 2025

Lead sponsor:
Agency: Johns Hopkins University
Agency class: Other

Collaborator:
Agency: National Aeronautics and Space Administration (NASA)
Agency class: U.S. Fed

Source: Johns Hopkins University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05622344
https://patents.google.com/patent/US9782068B2/en
https://patents.google.com/patent/US10136810B2/en?q=migliaccio&inventor=schubert&oq=migliaccio+and+schubert+

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