Virtual reality in vestibular rehabilitation: a pilot study

Miziara, Otávio Corrêa; Oliveira, Vanessa Rossato de; Gasparini, Andréa Licre Pessina; Souza, Beatriz Coelho; Santos, Angela Cristina Silva dos; Shimano, Suraya Gomes Novais; Souza, Luciane Aparecida Pascucci Sande de

doi:10.12968/ijtr.2018.0056

Cited by 5 publications

(6 citation statements)

References 37 publications

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“…Miziara et al, on the other hand, applied vestibular rehabilitation to BPPV patients using the “ski slalom” game and “tightrope walking VR game systems”, consisting of two sessions and 30 min per week for 4 weeks. Researchers have shown that individuals’ DHI scores and postural oscillations decreased significantly after 4 weeks [ 32 ]. In our VRT protocol, the game called ‘Beat Saber’ aims to use the foot and hip ankle strategy in a balanced way for obstacles coming from the right, left, and ahead.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of virtual reality-based vestibular rehabilitation in patients with peripheral vestibular hypofunction

BAŞOĞLU¹,

ŞERBETÇİOĞLU²,

ÇELİK³

et al. 2022

Turkish Journal of Medical Sciences

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Background/aim The rehabilitation of classical peripheral vestibular disorders is long and costly. Recently, interactive systems based on virtual reality (VR) technology have reduced the cost of vestibular rehabilitation therapy (VRT) and made the process more enjoyable. This study aims to investigate the effects of VR-based VRT in patients diagnosed with peripheral vestibular hypofunction (PVH). Materials and methods In this study, a VR-based VRT program that utilized Sony Playstation®4 VR Head Mounted Display was applied to 25 patients (between 18–60) diagnosed with PVH. PVH was diagnosed by evaluating the patients’ clinical histories, the findings in the “Micromedical Technologies VisualEyes Spectrum” videonystagmography (VNG) and the “Micromedical Aqua Stim” model bithermal water caloric tests. VR-based VRT program was applied to the patients for 4 weeks, 2 sessions per week, 8 sessions in total. Each session lasted around 30 to 40 min. All patients underwent the Dizziness Handicap Inventory (DHI), Sensory Organization Test (SOT), Adaptation Test (ADT), Limits of Stability (LOS), and Rhythmic Weight Shift (RWS) before, after, and 8-week follow-up of the VRT program. In addition, the Cybersickness Survey was applied to the patients at the end of the VR-based VRT session every week. Results The DHI mean scores of the patients were 54.60, 19.20, and 16.84, respectively, before, just after, and at the 8-week follow-up VRT (p < 0.001). The mean SOT composite score of the patients was obtained as 58.08 before VRT; 77.16 after VRT and 76.40 at 8-week after VRT (p < 0.000). On the other hand, the values in the ‘movement velocity’ and “direction control” parameters of the patients in LOS and RWS showed a significant improvement after VRT compared to before VRT (p < 0.000). From before VRT to 8 weeks after VRT, the patient’s oscillation averages in the ‘toes up’ and ‘toes down’ positions in ADT reduced progressively (p < 0.000). Conclusion This study demonstrates that implementing a VR-based VRT protocol may be an efficient option to improve posture stability and the quality of life in patients with PVH. In addition, VR-based vestibular rehabilitation therapy has shown to be effective for PVH patients in the mid-term.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of virtual reality-based vestibular rehabilitation in patients with peripheral vestibular hypofunction

BAŞOĞLU¹,

ŞERBETÇİOĞLU²,

ÇELİK³

et al. 2022

Turkish Journal of Medical Sciences

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“…The existing literature on VR technology in vestibular rehabilitation includes peripheral vestibular disorders other than BPPV (i.e. labyrinthitis, neuronitis, Meniere's disease, acoustic neuroma, chronic dizziness) and central vestibular disorders using 3D head-mounted VR gaming, [8,11,12,[14][15][16][17][18][19] 2D computer-based VR gaming [18,[20][21][22] and non-exergaming VR systems. [16,23] Therefore, the primary hypothesis of this study was that 3D-VRT are effective on gait speed with and without head turns (horizontal and vertical) in patients with BPPV compared to a control group.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Three-dimensional exergaming conjunction with vestibular rehabilitation in individuals with Benign Paroxysmal Positional Vertigo: A feasibility randomized controlled study

Ozdil,

Iyigun,

Balci

2024

Medicine

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Background: To examine the effectiveness of 3D (dimensional)-vestibular rehabilitation therapy (VRT) on gait, balance problems, processing time speed and subjective complaints in patients with Benign Paroxysmal Positional Vertigo (BPPV) compared to a control group (CG). This study aimed to test the feasibility of virtual reality-based 3D exergaming conjunction with vestibular rehabilitation. Methods: Twenty-two patients with BPPV (negative DixHallpike/Roll test results, existing dizziness/balance complaints) were randomly allocated to the study group (SG, n:11 3D-VRT) or Control group (CG n:11, no exercise-rehabilitation) for 8 week. The SG performed 3D-VRT for 45 to 50 min/d, 3 times/wk, and the CG did receive only Canalith Repositioning Maneuver (CRM). CRM was applied in both groups before the study. Outcome measures included 10-Meter-Walk-Test (10-MWT) (with/without head turns), Dynamic Gait Index (DGI), Choice-Stepping-Reaction-Time-ped (CSRT-MAT), Fullerton Advanced Balance Scale (FAB), and Visual Analog Scale (VAS). Results: The SG showed significantly improvement in 10-MWT without (p5 = 0.00,η2 = 0.49), with horizontal (p5 = 0.00,η2 = 0.57),vertical (p5 = 0.01,η2 = 0.48) head turns, DGI (p5 = 0.00,η2 = 0.74), CSRT-MAT, FAB (p5 = 0.00,η2 = 0.78) and VAS-dizziness (p5 = 0.00,η2 = 0.65), VAS-balance problem (p5 = 0.00,η2 = 0.43), VAS-fear of falling (p5 = 0.00,η2 = 0.42) compared to the CG. Conclusion: The 3D-VRT were effective in improving gait, balance, processing speed and resolving the subjective complaints in BPPV. The 3D-VRT method is feasible for patients who suffer from residual dizziness or balance complaints after CRM. Furthermore, the 3D-VRT is more accessible and less expensive than other virtual reality applications, which may facilitate further research or clinical use.

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“…1940'larda Cawthorne (1944) ve Cooksey (1946), vestibüler bozuklukların semptomlarını iyileştirmeye yönelik çeşitli egzersizler tanımlayarak vestibüler rehabilitasyonun temelini atmıştır 7 . Vestibüler rehabilitasyon, baş dönmesi ve denge bozukluğuna yol açan vestibüler sistem patolojilerinde, hastaların yetersizlik, özürlülük veya engelliliklerinin değerlendirilerek, azaltılmasını amaçlayan egzersiz temelli tedavi şeklidir 8 . Vestibüler bozuklukların tedavisinin temel dayanağı olan vestibüler rehabilitasyon, baş dönmesi, yaşam kalitesinin iyileşmesine ve dengenin sürdürülmesine olanak tanır.…”

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“…Ayrıca nöroplastisite mekanizmalarını kullanarak, statik-dinamik postüral stabiliteyi, görsel vestibüler etkileşimleri geliştiren ve bakış stabilitesini artıran etkili bir yöntem olarak bilinmektedir 9 . Vestibüler rehabilitasyon, adaptasyon yoluyla santral sinir sistemi plastisitesini kolaylaştırması, denge bozukluğu olan hastalarda denge mekanizmalarının üretilmesi ile dengeyi iyileştirmesi ve hastaların günlük yaşam aktivitelerine devam etmelerine yardımcı olması amacıyla tasarlanan bir dizi egzersiz olarak da tanımlanabilir 8 . Vestibüler rehabilitasyon, insan beynindeki kompansatuar ve adaptif mekanizmaları harekete geçirmeyi ve hızlandırmayı hedefler.…”

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Virtual Reality Technology in Vestibular Rehabilitation

AKBAŞ

2021

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi

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Denge, vücudun ağırlık merkezini destek tabanı üzerinde tutma yeteneğidir. Dengenin sürdürülmesi, santral sinir sisteminin vestibüler, görsel ve proprioseptif sistemlerden gelen duyusal girdiyi koordine ettiği ve bütünleştirdiği karmaşık bir etkileşim ile sağlanır. Bu sistemlerden herhangi biri hasar gördüğünde veya yetersiz kaldığında, bireylerin denge işlevleri belirgin şekilde etkilenir ve baş dönmesine neden olur. Vestibüler bozuklukların tedavisinin temel dayanağı olan vestibüler rehabilitasyon, baş dönmesi, yaşam kalitesinin ve denge kontrolünün iyileşmesine olanak tanır. Vestibüler rehabilitasyon için sanal gerçeklik teknolojisinin kullanılması, daha gerçekçi ve sürükleyici bir ortamın simüle edilmesini sağlar. Bu sayede bireyin ilgisini daha fazla çekerek rehabilitasyona uyumunu artırır. Geleneksel vestibüler rehabilitasyon seanslarının uzun süreli ve maliyetinin yüksek olması, seans sırasında hasta kooperasyonu gerektirmesi gibi dezavantajlarından dolayı başarısızlıkla sonuçlanabilir. Sanal gerçeklik temelli vestibüler rehabilitasyon, geleneksel vestibüler rehabilitasyonun yerini alabilir veya katkıda bulunabilir.

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Virtual reality in vestibular rehabilitation: a pilot study

Cited by 5 publications

References 37 publications

Effectiveness of virtual reality-based vestibular rehabilitation in patients with peripheral vestibular hypofunction

Effectiveness of virtual reality-based vestibular rehabilitation in patients with peripheral vestibular hypofunction

Three-dimensional exergaming conjunction with vestibular rehabilitation in individuals with Benign Paroxysmal Positional Vertigo: A feasibility randomized controlled study

Virtual Reality Technology in Vestibular Rehabilitation

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