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CTRI Number  CTRI/2025/12/099828 [Registered on: 24/12/2025] Trial Registered Prospectively
Last Modified On: 22/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of balance exercises using a mobile phone headset with and without head movements in people with balance problems related to the inner ear 
Scientific Title of Study   Comparison of the Effectiveness of Virtual Reality Training With and Without Head Movements in Patients With Unilateral Peripheral Vestibular Dysfunction: An Experimental Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chaitali Patil  
Designation  PG Student  
Affiliation  TMVs Lokmanya Tilak College of Physiotherapy 
Address  TMV’s Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai
TMV’s Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai,Maharashtra
Raigarh
MAHARASHTRA
410210
India 
Phone  9834541953  
Fax    
Email  chaipatil2002@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Trupti Deshmukh  
Designation  Associate Professor 
Affiliation  TMVs Lokmanya Tilak College of Physiotherapy 
Address  TMV’s Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9867631730  
Fax    
Email  tkulkarni1110@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Trupti Deshmukh  
Designation  Associate Professor 
Affiliation  TMVs Lokmanya Tilak College of Physiotherapy 
Address  TMV’s Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9867631730  
Fax    
Email  tkulkarni1110@gmail.com  
 
Source of Monetary or Material Support  
TMV’s Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai, Maharashtra,India - 410210  
 
Primary Sponsor  
Name  TMVs Lokmanya Tilak College of Physiotherapy 
Address  TMV’s Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai,Maharashtra,India-410210 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
TMVs Lokmanya Tilak College of Physiotherapy  TMV’s Lokmanya Tilak College of Physiotherapy, Third Floor, Department of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chaitali Patil   TMVs Lokmanya Tilak College of Physiotherapy  Third Floor, Department of Neuro Physiotherapy, B Wing, Room No. 303, J Block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai, Maharashtra, India - 410210
Raigarh
MAHARASHTRA 
9834541953

chaipatil2002@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
TMVs Lokmanya Tilak College of Physiotherapy Institutional Ethics Committee (Academics)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H813||Other peripheral vertigo,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Virtual Reality Training with Head Movements  Participants will use VR goggles with the VR Roller Coaster application. Head movements will be performed under supervision while sitting in week 1, standing in week 2, and standing on uneven ground in week 3 and continuing at the same highest challenge level in week 4. Sessions will be delivered 4 times per week, each session consisting of 10 minutes of VR exposure with a 5-minute interval repeated for 2 sets. Total duration- 4 weeks. 
Comparator Agent  Virtual Reality Training without Head Movements  Participants will use the same VR goggles with VR Roller Coaster application but will not perform head movements. Sessions will be delivered 4 times per week, each session consisting of 10 minutes of VR exposure with a 5-minute interval repeated for 2 sets. Total duration-4 weeks  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Adults aged 30–60 years
2. Positive findings on relevant clinical tests, from ENT specialist.
3. Clinically diagnosed vertigo with chronic unilateral peripheral vestibular dysfunction .
4. Mild to moderate vertigo and dizziness symptoms, as measured by the Dizziness Handicap Inventory (DHI)scale.
5. Patient able to understand and follow instructions.
6. Patient currently not on medications (chronic patients). 
 
ExclusionCriteria 
Details  1. Patients who cannot tolerate virtual reality due to physical or health limitations.
2. Patients with a positive Dix-Hallpike test (indicating Benign Paroxysmal Positional Vertigo [BPPV]). This is because BPPV has specific treatments (e.g. repositioning maneuvers).
3. Contraindications to Virtual Reality (VR) use, such as:
•Severe visual impairments (Nystagmus, Double vision, cataracts, photosensitivity).
•Severe motor impairments affecting VR engagement.
4. Severe dizziness symptoms in patients that prevent safe participation in therapeutic exercises.
5. Central vestibular disorders like vestibular migraines
6. Severe cognitive impairments that hamper the ability to understand or perform the intervention protocols. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Dizziness Handicap Inventory  Baseline, 2 weeks (mid-intervention), 4 weeks (post-intervention) 
 
Secondary Outcome  
Outcome  TimePoints 
Vertigo Symptom Scale–Short Form   Baseline, 2 weeks (mid-intervention), 4 weeks (post-intervention) 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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   Phase 3 
Date of First Enrollment (India)   15/01/2026 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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   This study aims to compare the effectiveness of virtual reality training with head movements versus without head movements in individuals with unilateral peripheral vestibular dysfunction. Participants will be randomly allocated into two groups. Group A will perform head movements during VR training using VR goggles with the VR Roller Coaster application, progressing from sitting in week 1, standing in week 2, standing on uneven ground in week 3, and continuing at the same highest challenge level in week 4. Group B will perform VR training with the same application but without head movements, following the same session structure. Both groups will undergo supervised four-week interventions, with each session consisting of 10 minutes of VR exposure plus a 5-minute interval for 2 sets, 4 sessions per week. Dizziness, vertigo symptoms, and quality of life will be assessed using the Dizziness Handicap Inventory and Vertigo Symptom Scale Short Form at baseline, two weeks, and four weeks. 
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