Rehabilitación vestibular en la dependencia visual y somatosensorial.

Bauer, Michael; Benito-Orejas, José Ignacio; Ramírez-Salas, Jesús Eduardo

doi:10.14201/orl.21241

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…On the other hand, our results are in line with the literature that states that greater visual dependence could be a response to proprioceptive deficits [48]. Alterations in the somatosensory system have been extensively studied in FMS [49,50].…”

Section: Discussionsupporting

confidence: 93%

Misperception of Visual Verticality Measured with a Virtual Reality Device in Patients with Fibromyalgia Syndrome: A Cross-Sectional Study

Lomas-Vega,

Ogáyar-Anguita,

Segura-Sánchez

et al. 2023

Applied Sciences

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The objective of this study was to analyze the perception of visual verticality (VV) in subjects with Fibromyalgia Syndrome (FMS) and to correlate this with the symptoms of the disease and balance capacity. A cross-sectional study including 54 patients (51 female) was conducted. The evaluation of visual verticality was carried out with a virtual reality device by calculating the Mean Absolute Error (MAE) of degrees deviation in two tests: the Subjective Visual Vertical (SVV) test for the contribution of the vestibular system to the perception of verticality and the Rod and Frame test (RFT) for the contribution of the visual system. In total, 16 subjects (29.6%) presented good VV perception, 6 subjects (11.1%) presented an exclusive alteration of the SVV test, 19 subjects (35.2%) presented an exclusive alteration of the RFT and 13 subjects (24.1%) showed alteration in the two tests. The MAE in the SVV test showed medium correlations with several variables such as the Fibromyalgia Impact Questionnaire (FIQ) (Rho = 0.399, p = 0.003), the Pain Catastrophizing Scale (PCS) (Rho = 0.417, p = 0.002), the Dizziness Handicap Inventory (DHI) (Rho = 0.376, p = 0.005), and the Activities-Specific Balance Confidence Scale (ABC-16) (Rho = −0.367, p = 0.006). The MAE in the RFT showed medium correlations with the Instability Support Reduced (Rho = 0.327, p = 0.016) and Instability Gait Eyes Open (Rho = 0.312, p = 0.022) subscales of the JAEN (Joined Assessment of Equilibrium and Neuro-motor) Scale. Conclusions: Around 70% of the subjects with FMS showed some alteration in the perception of VV; 60% of these patients presented visual system dependence. The SVV test correlates with the impact and health status of FMS, and the RFT correlates with the alteration in the dynamic balance.

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Section: Discussionsupporting

confidence: 93%

Misperception of Visual Verticality Measured with a Virtual Reality Device in Patients with Fibromyalgia Syndrome: A Cross-Sectional Study

Lomas-Vega,

Ogáyar-Anguita,

Segura-Sánchez

et al. 2023

Applied Sciences

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“…En otras ocasiones, la dependencia es somatosensorial y el paciente pierde con facilidad el equilibrio al alterarse la superficie de soporte. Bauer y cols., describen en este tema las características de la dependencia [8]. El tratamiento se basa en la terapia física, la realidad virtual y la estimulación optocinética progresiva, con el objetivo de desensibilizar al individuo y mejorar su sintomatología.…”

Section: Batuecas-caletrío á Et Alunclassified

Guía de rehabilitación vestibular

Batuecas‐Caletrío

Benito-Orejas

Pardal-Refoyo

2019

ORL

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Conflicto de intereses: Los autores declaran no tener conflictos de intereses Imágenes: Los autores declaran haber obtenido las imágenes con el permiso de los pacientes Política de derechos y autoarchivo: se permite el autoarchivo de la versión post-print (SHERPA/RoMEO) Licencia CC BY-NC-ND. Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional Universidad de Salamanca. Su comercialización está sujeta al permiso del editor

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“…Antidepressant medication prescriptions such as Selective Serotonin Reuptake Inhibitors (SSRIs) have also been used as pharmacological treatments for the improvement of chronic dizziness [19]. Vestibular Rehabilitation (VR) is used in functional vestibular disorders [20] and pretends to promote vestibular compensation by focusing on exercises that improve postural stability and facilitate habituation to conflicting sensory inputs (own movements or environmental situations that cause symptoms) in order to desensitize the patient, increase their tolerance to these sensory stimuli [21], decrease restrictions on activities of daily living and encourage social participation [13]. In addition, several studies have also reported improvements in subjective dizziness and postural control after VR supervised and delivered by physiotherapists [20,22].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial

et al. 2023

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Background: Fibromyalgia Syndrome (FMS) is a highly prevalent health problem whose main symptom is widespread pain, although it presents as other manifestations, such as loss of balance, that seem to mainly affect visuo-vestibular information. Objective: to compare the effects of a Vestibular Rehabilitation (VR) program versus those of a Conventional Physical Exercise (CPE) program on the health status of patients with FMS. Methods: A single-blind randomized controlled trial was performed. Patients with FMS were randomly assigned to VR or CPE programs. The protocols were performed in 40 min group sessions, twice weekly, for 16 sessions. Perceived health status, static and dynamic balance, verticality perception, confidence in balance, sensitization and kinesiophobia were measured at baseline, post-treatment and at the three-month follow-up and analyzed using an intention-to-treat approach. Results: Forty-eight subjects were randomly assigned, of whom thirty-five completed the planned VR (n = 19) or CPE (n = 16) program. At the three-month follow-up, there were differences in physical health status measured with the SF-12 (mean = −4.36, SE = 1.88, p = 0.027), balance during walking (mean = 1.90, SE = 0.57, p = 0.002), the perception of verticality in degrees (mean = 3.61, SE = 1.51, p = 0.024) and the anteroposterior position of the center of pressure (mean = −7.88, SE = 2.80, p = 0.009), as well as a decrease in the number of falls (mean = 0.98, SE = 0.44, p = 0.033), favoring the VR group. Conclusions: Vestibular Rehabilitation can be as beneficial as conventional exercise in improving the state of health in patients with Fibromyalgia Syndrome, providing additional improvements in physical health status, body balance, the perception of verticality and the number of falls.

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Rehabilitación vestibular en la dependencia visual y somatosensorial.

Cited by 3 publications

References 33 publications

Misperception of Visual Verticality Measured with a Virtual Reality Device in Patients with Fibromyalgia Syndrome: A Cross-Sectional Study

Misperception of Visual Verticality Measured with a Virtual Reality Device in Patients with Fibromyalgia Syndrome: A Cross-Sectional Study

Guía de rehabilitación vestibular

Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial

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