International Journal For Multidisciplinary Research

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Effectiveness of Adapted Vestibular Activities On Fall Risk Among Clients with Vestibulopathy

Author(s) Ms. Nivedita Nivedita, Dr. Pankaj Kumar
Country India
Abstract Aim: This investigation aims to study effectiveness of adapted vestibular activities on fall risk among clients with vestibulopathy. Materials and Methods: This research used an RCT design to test whether adapted vestibular activities can decrease fall hazards for older adults who have vestibulopathy. Ethical permission was secured prior to conducting the research through the CARE-IHEC (Protocol No: IHEC-I/3754/25) and researchers registered the study with the Clinical Trials Registry-India (CTRI/2025/05/087969). Researchers selected 60 participants who had vestibulopathy and belonged to the age group 60 to 85 years through convenient sampling from Chettinad Hospital and Research Institute and other Chennai-based neurological and ENT clinics. The researchers used the chit method with sealed opaque envelopes to assign participants into experimental and control groups while the study used a single-blind design. The researchers used the Timed Up and Go (TUG) test to ascertain propensity for falls and functional mobility during both baseline testing and post-intervention evaluation. The experimental group completed their adapted vestibular activities for 4 weeks through two daily 48-session activity periods while the control group maintained their standard treatment. The researchers assessed the intervention's effectiveness through analysis of pre- and post-test data. Results: The study involved 60 participants who had vestibulopathy and were aged between 60 and 85 years. The mean age of participants in the control group was 66.37 ± 3.36 years, in contrast, the experimental group had a mean age of 67.23 ± 5.78 years and both groups showed no significant age difference according to the statistical test (p = 0.475). The study found that both groups had similar gender distribution patterns because analysis of the data did not demonstrate a notable difference (p = 0.43). The two groups demonstrated TUG score enhancements based on the results of within-group testing. The control group improved from 25.50 ± 0.90 seconds (pre-test) to 20.53 ± 1.17 seconds (post- test), t(29) = 24.09, p < 0.001. The Participants in the experimental group exhibited greater progress from 25.67 ± 1.54 seconds to 11.30 ± 3.53 seconds, t(29) = 34.49, p < 0.001. The analysis revealed that time exerted a significant effect, as shown by repeated measures analysis of variance (ANOVA) (F(1, 58) = 920.5, p < 0.001), while the interaction effect between group and time was also significant (F(1, 58) = 410.3, p < 0.001), showing that the experimental group decreased fall risk more than the control group. Effect size analysis also revealed very large improvements in the experimental group. Conclusion: The results underscore that adapted vestibular rehabilitation activities help older adults with vestibulopathy by decreasing their risk of falling and boosting their ability to move around. The control group showed improvement through standard care yet the participants who followed the adapted vestibular activity program achieved greater Timed Up and Go (TUG) score reductions together with a larger effect size. The significant group × time interaction shows that the intervention had a major impact on balance and mobility improvements which occurred during the four-week assessment period. The elderly with vestibular dysfunction can use adapted vestibular activities as a safe effective rehabilitation method which helps them decrease fall risk while maintaining their ability to perform daily tasks. The study needs larger sample groups together with extended study periods to confirm the results and assess the long-term effects.
Keywords Vestibulopathy, Fall risk, Vestibular Rehabilitation, Vestibular activities, Adapted vestibular activities
Field Medical / Pharmacy
Published In Volume 8, Issue 3, May-June 2026
Published On 2026-05-15
DOI https://doi.org/10.36948/ijfmr.2026.v08i03.78402
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