Contextual sensory integration training via head mounted display for individuals with vestibular disorders: a feasibility study

Lubetzky, Anat V.; Kelly, Jennifer L.; Wang, Zhu; Gospodarek, Marta; Fu, Gene; Sutera, John; Hujsak, Bryan D.

doi:10.1080/17483107.2020.1765419

Cited by 21 publications

(31 citation statements)

References 33 publications

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“…One of the reasons why VRi devices have become a suitable option is because of their accurate tracking systems that record movements by gyroscopes, magnetometers, and accelerometers in six degrees of freedom [ 42 ]. Likewise, the control of movement, visual information, and changes in the virtual environment are broken down into cephalic movements, just as the information is provided by the vestibular system [ 42 , 43 ]. Furthermore, thanks to the characteristics of these devices, the neuroplastic mechanisms by which the vestibular system recovers can be trained.…”

Section: Discussionmentioning

confidence: 99%

Immersive Virtual Reality and Vestibular Rehabilitation in Multiple Sclerosis: Case Report

et al. 2022

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Background Dizziness and imbalance are common and disabling symptoms in patients with multiple sclerosis (MS) and are caused by a central, peripheral, or mixed vestibulopathy. Central vestibular disorder is the most frequently reported vestibular problem in the MS population due to demyelination. Vestibular rehabilitation ameliorates these symptoms and their repercussions and improves quality of life. Immersive virtual reality (VRi) is an emerging tool in this field; however, no previous research has been performed studying its effects in MS. Objective The aim of this study was to apply a VRi vestibular training protocol to a patient with MS and assess the effects induced by the experimental intervention. Methods This case study included a 54-year-old woman with relapsing-remitting MS. We developed a standardized VRi exercise protocol for vestibular rehabilitation based on the gold-standard Cawthorne-Cooksey vestibular training protocol. The 20-session intervention was made up of 10 initial sessions and 10 advanced sessions. Each 50-minute session was performed two to three times per week for 7 weeks. Four evaluations were carried out over the study period: at baseline (T0), between initial and advances phases (T1), postintervention (T2), and 1 month after the experimental procedure (T3). The research outcomes were dizziness, balance, gait, impact of fatigue, quality of life, repercussions in muscular tone, and usability of the head-mounted display device. Results After implementing the VRi vestibular protocol, improvements were seen in the following patient parameters: Dizziness Handicap Inventory score (62 points at T0; 4 points at T2); Berg Balance Scale score (47 points at T0; 54 points at T2); instrumented Timed Up and Go time (8.35 seconds at T0; 5.57 seconds at T2); muscular tone of the erector spinae, rectus femoris, and soleus; Modified Fatigue Impact Scale score (61 points at T0; 37 points at T2); and Multiple Sclerosis Quality of Life-54 values (67.16% in the physical health area at T2; 33.56% in the mental health area at T2). The patient rated the usability of the system as 90%, based on the System Usability Scale, and gave the system a grade of A. Conclusions Although further research is needed, this study provided initial evidence that the first VRi vestibular protocol for the MS population can improve dizziness, balance, gait, impact of fatigue, quality of life, and muscular tone through an exergame intervention. This study may help establish a standardized VRi protocol for vestibular rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Immersive Virtual Reality and Vestibular Rehabilitation in Multiple Sclerosis: Case Report

et al. 2022

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“…The combination of coupling goggles with the gyroscopic and accelerometer devices fully permits any displaced head movements to be fully observed by created VR inputs within a 360-degree range. This significantly enhances the experience of VR, provides stronger stimuli, and evokes real-life sensations [ 34 , 36 ]. A study by Virre and Sitarz showed that VR has a beneficial effect on the efficiency of the vestibulo-ocular reflex and in reducing vertigo [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Virtual Reality Vestibular Rehabilitation in 20 Patients with Vertigo Due to Peripheral Vestibular Dysfunction

et al. 2020

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Background Vestibular compensation is disrupted in patients with chronic vestibular syndrome. Vestibular rehabilitation is an exercise therapy that optimizes the process of vestibular compensation. This study aimed to evaluate virtual reality (VR) vestibular rehabilitation in 20 patients with vertigo due to peripheral vestibular dysfunction at a single center. Our study aim was to initially assess the impact of using virtual reality technology in vestibular rehabilitation. Material/Methods The subjects were 20 patients with unilateral vestibular hypofunction (UVH), as confirmed by videonystagmography. These were divided into 2 groups: Group 1 underwent vestibular rehabilitation using virtual reality and Group 2 was treated by conventional therapy. A VSS-SF questionnaire and the VAS scale were used to assess the effects and levels of patient satisfaction with therapy. Results Both groups demonstrated significantly ( P <0.001) lower values on the VSS-SF scales and VAS scales when assessed after treatment as compared to before treatment. Those undergoing conventional therapy reported significantly more severe symptoms on the VAS scale than did Group 1 at their second and third therapy visits. Indeed, Group 1 patients that underwent rehabilitation with the virtual reality component awarded significantly higher ( P =0.015) levels of subjective satisfaction when compared to Group 2. Conclusions We found that virtual reality vestibular rehabilitation in patients with vertigo due to peripheral vestibular dysfunction was as effective as conventional rehabilitation, with significantly increased levels of patient satisfaction.

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“…The contribution of each individual sensory channel and multisensory integration to perception and movement can be assessed and stimulated based on the individual needs and functioning of the child and adult. Recent studies further suggested that headsets can stimulate multiple sensory systems in people with sensory processing disorders [ 27 ], promote multisensory integration in cases of vestibular disorders [ 28 ], and provide three-dimensional auditory stimuli in a play context, thereby reducing perceived anxiety toward target auditory stimuli in adolescents with ASD [ 29 ]. This corpus of studies indicates that stimulation via IVR might be relevant for people with sensory processing difficulties over and above the specific diagnostic label they were ascribed.…”

Section: Keep the Senses In Mindmentioning

confidence: 99%

Multimedia Interventions for Neurodiversity: Leveraging Insights from Developmental Cognitive Neuroscience to Build an Innovative Practice

2022

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Multimedia technologies and virtual reality offer unique possibilities to manipulate sensory, motor, interpersonal, and cognitive processes contributing to atypical developmental trajectories, thus holding an explosive potential to design innovative and engaging interventions. However, there has been little progress in developing interventions that go beyond the patient’s diagnosis or the fascination of technology and rather spring from a deep understanding of the specific neuropsychological processes to be nurtured in individuals. This perspective paper outlines how recent insights from developmental cognitive neuroscience can be leveraged to promote children’s multidimensional development and highlight future directions and challenges for innovating both research and clinical practice. Finally, we focus on some practical examples of multimedia and virtual reality activities we have designed to stimulate bodily-self experiences, which are crucial for building up a coherent sense of self and lay the foundation for interacting with the external world. Atypical bodily self is an early marker of heterogeneous neurodevelopmental conditions (such as autism spectrum disorders) and seems to be under-targeted in research and clinical approaches.

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Contextual sensory integration training via head mounted display for individuals with vestibular disorders: a feasibility study

Cited by 21 publications

References 33 publications

Immersive Virtual Reality and Vestibular Rehabilitation in Multiple Sclerosis: Case Report

Immersive Virtual Reality and Vestibular Rehabilitation in Multiple Sclerosis: Case Report

Virtual Reality Vestibular Rehabilitation in 20 Patients with Vertigo Due to Peripheral Vestibular Dysfunction

Multimedia Interventions for Neurodiversity: Leveraging Insights from Developmental Cognitive Neuroscience to Build an Innovative Practice

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