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CTRI Number  CTRI/2025/11/098055 [Registered on: 25/11/2025] Trial Registered Prospectively
Last Modified On: 05/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Diagnostic
Screening
Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Understanding Balance and Dizziness Problems After a Head Concussion 
Scientific Title of Study   Clinical and Vestibular Assessment of Vertigo Following Head Concussion: A Prospective Observational Study 
Trial Acronym  STAND-Bi 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Gunjan Kumar 
Designation  Associate Professor 
Affiliation  Patna Medical College & Hospital 
Address  Department of Neurology Patna Medical College & Hospital Patna Bihar

Patna
BIHAR
800004
India 
Phone  9341334340  
Fax    
Email  drgunjankumar@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Dr Gunjan Kumar 
Designation  Associate Professor 
Affiliation  Patna Medical College & Hospital 
Address  Department of Neurology Patna Medical College & Hospital Patna Bihar

Patna
BIHAR
800004
India 
Phone  9341334340  
Fax    
Email  drgunjankumar@gmail.com  
 
Details of Contact Person
Public Query  
Name  Dr Darshpreet Kaur PT 
Designation  Director- Physiotherapy 
Affiliation  Neuro Vihar 
Address  Neuro Vihar Department of Physiotherapy c/0 Ajay Bhawan South of Bailey road Rukanpura Patna

Patna
BIHAR
800014
India 
Phone  9620299373  
Fax    
Email  neurovihar@gmail.com  
 
Source of Monetary or Material Support  
Neuro Vihar c/o Ajay Bhawan, South of Bailey Road Railway Bridge Rukanpura Patna,Bihar-800014 
 
Primary Sponsor  
Name  Neuro Vihar 
Address  Neuro Vihar c/o Ajay Bhawan South of Bailey road Railway Bridge Rukanpura Patna 
Type of Sponsor  Other [self financed by institute] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR DARSHPREET KAUR PT  NEURO VIHAR  DEPARTMENT OF PHYSIOTHERAPY NEURO VIHAR C/O AJAY BHAWAN SOUTH OF BAILEY ROAD RAILWAY BRIDGE RUKANPURA
Patna
BIHAR 		 9620299373

NEUROVIHAR@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BSL Eye Care  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H814||Vertigo of central origin,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Single Group  1. Clinical Neurological Examination 2. Detailed Vertigo History and Symptom Profiling (using tools like the Dizziness Handicap Inventory, Post-Concussion Symptom Scale) 3. Vestibular Bedside Testing (Dix-Hallpike, Head Impulse Test, Fukuda Step Test, Romberg, Tandem Gait) 4. Audiological Evaluation (if necessary) 5. Instrumental Vestibular Function Testing (e.g., VNG, VEMP) 6. Follow-up Assessments at 1 month and 3 months to observe symptom evolution  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  • Patients aged 18 years and above
• History of head concussion within the past 3 months
• Presence of vertigo, dizziness, or imbalance post-head injury
• Ability to provide informed consent
 
 
ExclusionCriteria 
Details  Any other neurological disorder
GCS lower than 13
Known pre-existing Vestibular Disorder
Unco-operative patient
Patient on vestibular suppressants 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine the prevalence and types (central vs. peripheral) of vertigo in patients with head concussion (mTBI).  Baseline, 1 month ,3 month 
 
Secondary Outcome  
Outcome  TimePoints 
o Duration of symptoms
o Response to treatment (medical or rehabilitation)
o Impact on quality of life and daily functioning
 		 Baseline, 1 month ,3 month 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  		 Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Head concussion, or mild traumatic brain injury (mTBI), is a frequent presentation in emergency and outpatient settings. A significant proportion of patients with mTBI experience vestibular symptoms, including vertigo, dizziness, imbalance, and visual instability. These symptoms may stem from peripheral causes (e.g., benign paroxysmal positional vertigo—BPPV, labyrinthine concussion) or central causes (e.g., brainstem or cerebellar dysfunction), making timely diagnosis and management essential.

Underdiagnosis and Mismanagement:
Vestibular symptoms post-concussion are frequently under-recognized and misattributed to non-vestibular causes, resulting in incomplete assessment and treatment. Lack of interdisciplinary coordination among neurologists, ENT specialists, and physiotherapists further delays appropriate care. In resource-limited settings like Bihar, the challenge is compounded by the scarcity of trained personnel and diagnostic infrastructure for vestibular assessment.

Need for Objective Evidence:
There is a dearth of systematic, prospective data from India—particularly from Bihar—on the type and extent of vestibular dysfunction following concussion. Most available literature is from Western populations with different healthcare access and injury patterns. An observational study involving bedside testing and vestibular evaluations can provide vital local data to guide clinical practice and policy in such regions.

Potential Impact:

This study will help define the clinical spectrum of post-concussive vertigo.
It will assess the diagnostic utility of bedside vestibular tests in identifying treatable causes of dizziness.
It will help establish referral pathways and integrate vestibular physiotherapy into concussion care protocols.
It will lay the foundation for future interventional studies targeting early recovery and rehabilitation of concussion-induced vertigo.
Conclusion:
Given the clinical burden, patient suffering, and diagnostic ambiguity surrounding post-concussive vertigo—especially in tertiary centers catering to underserved populations—this study is both timely and clinically relevant. It aims to bridge the knowledge and practice gap in the diagnosis and management of dizziness following head concussion in Bihar. 
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