Visual Influences on Vestibular Adaptation
NCT07380256 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2026-04-17
Summary
The goal of this study is to learn whether a balance-training exercise called incremental vestibulo-ocular reflex adaptation (IVA) is safe and effective for adults with vision impairments, with or without additional vestibular (inner-ear balance) problems.
The main questions it aims to answer are:
* Does IVA cause only mild, temporary symptoms and no serious adverse events?
* Does IVA improve eye-movement reflexes, balance, and walking, and do these improvements differ between people with vision problems alone and those with both vision and vestibular impairments?
Researchers will compare adults with vision impairment only to adults who have both vision and vestibular impairments to see whether the groups respond differently to IVA.
Participants will:
* Complete symptom ratings before and after IVA
* Undergo tests of vestibular reflexes (e.g., VOR gain)
* Complete balance and walking assessments
Conditions
- Vestibular Hypofunction
- Binocular Vision Abnormalities
- Reduced Vision
Interventions
- DEVICE
-
StableEyes: Incremental Vestibulo-Ocular Reflex Adaptation (IVA)
IVA is delivered using the StableEyes device, which includes a lightweight head-mounted unit with inertial sensors and a micromirror that controls the position of a low-power laser target projected onto a wall. The device adjusts the target's movement based on the participant's head velocity to create a controlled visual error signal that induces vestibulo-ocular reflex (VOR) adaptation. During each session, participants sit about one meter from a blank wall and perform rapid, self-generated head impulses while visually tracking the moving laser target. The target appears at neutral, moves at a fraction of head velocity during each impulse, and briefly disappears before reappearing at center. Each session lasts 15 minutes and includes roughly 150 head impulses in the horizontal or vertical plane. The procedure has been well-tolerated in prior studies with no reported adverse events.
Sponsors & Collaborators
-
Emory University
lead OTHER
Principal Investigators
-
Colin Grove, PT, DPT, PhD · Emory University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- DOUBLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-04
- Primary Completion
- 2029-12-31
- Completion
- 2029-12-31
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Concurrent Vestibular Activation and Postural Training Using Virtual Reality
NCT05942781 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Spatial Orientation and Vestibular Function
NCT02212847 ·Status: COMPLETED ·Phase: NA
-
Virtual Environments for Vestibular Rehabilitation
NCT04268745 ·Status: COMPLETED ·Phase: NA
-
Early Rehabilitation Using Head Impulse Test for Acute Vestibular Deficit
NCT06660082 ·Status: RECRUITING ·Phase: NA
-
Visuo-Vestibular Adaptation in Virtual Reality
NCT06213792 ·Status: COMPLETED
-
Vestibulopathy With Vestibulo Ocular Reflex (VOR) Gain Deficit
NCT03271775 ·Status: UNKNOWN ·Phase: NA
-
Dose of Vestibular Rehabilitation for Vestibular Hypofunction
NCT04851184 ·Status: TERMINATED ·Phase: NA
-
Incremental Vestibulo-ocular Reflex Adaptation as a Novel Treatment for Dizziness in People With Multiple Sclerosis
NCT06495138 ·Status: RECRUITING ·Phase: NA
-
Virtual Reality Compared to Other Forms of Optokinetic Stimulation in the Rehabilitation of Vestibular Syndromes.
NCT03838562 ·Status: COMPLETED ·Phase: NA
-
Determining the Incidence of Vestibular Dysfunction in Traumatic Brain Injury Patients
NCT04592575 ·Status: COMPLETED
-
Incremental Velocity Error as a New Treatment in Vestibular Rehabilitation
NCT03846830 ·Status: COMPLETED ·Phase: NA
-
Visual Restoration for Hemianopia
NCT03350919 ·Status: COMPLETED ·Phase: NA
-
VOR Suppression in Non-Gymnast Adults
NCT03227718 ·Status: COMPLETED
-
Pilot Study to Evaluate Levodopa as Treatment for Residual Amblyopia
NCT00789672 ·Status: COMPLETED ·Phase: PHASE2
-
Eyetracking and Neurovision Rehabilitation of Oculomotor Dysfunction in Mild Traumatic Brain Injury
NCT03319966 ·Status: COMPLETED
-
Covert-saccades, Dynamic Visual Acuity and Quality of Life
NCT02753179 ·Status: COMPLETED ·Phase: NA
-
Dichoptic Treatment vs. Patching for Moderate Anisometropic Amblyopia
NCT04302701 ·Status: UNKNOWN ·Phase: NA
-
Computerized Vestibular Rehabilitation
NCT03589859 ·Status: COMPLETED
-
Natural History of MTBI-related Convergence Insufficiency & Effectiveness of Vision Therapy for MTBI-related CI
NCT06848673 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
The Use of Virtual Reality for the Treatment of Visual Vertigo.
NCT03020654 ·Status: UNKNOWN ·Phase: NA
-
Effect of Visual Retraining on Visual Loss Following Visual Cortical Damage
NCT05098236 ·Status: COMPLETED ·Phase: NA
-
Visual Function Abnormalities in Strabismus and Amblyopia and Response to Therapy
NCT04310241 ·Status: RECRUITING
-
Vestibular Rehabilitation and Otolith Dysfunction
NCT02652442 ·Status: COMPLETED ·Phase: NA
-
Ameliorating Stroke-induced Hemianopia Via Multisensory Training
NCT05894434 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
App-supported Vestibular Rehabilitation (RCT)
NCT06350669 ·Status: COMPLETED ·Phase: NA