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

Visual dependence after vestibular rehabilitation by virtual reality in individuals with unilateral peripheral vestibular dysfunction – one year of results

European Journal of Public Health ◽

10.1093/eurpub/ckaa040.028 ◽

2020 ◽

Vol 30 (Supplement_2) ◽

Author(s):

B Cunha

Keyword(s):

Virtual Reality ◽

Visual Cues ◽

Vestibular Rehabilitation ◽

Vestibular Dysfunction ◽

Dynamic Posturography ◽

Velocity Parameter ◽

Pressure Centre ◽

Before And After ◽

One Year ◽

Visual Dependence

Abstract Introduction One of the most common approaches in individuals with unilateral peripheral vestibular dysfunction (UPVD) is vestibular rehabilitation (RV). Many factors can negatively affect the result of RV. Virtual reality based treatment may represent an important tool in the solution of these problems. In individuals with UPVD there is a decrease in the reception of vestibular stimuli and there is an adjustment in the reception of visual and proprioceptive stimuli. They use more visual cues to minimise the decrease in vestibular stimuli – visual dependence (VD). Although the importance and results of virtual reality as a tool in improving balance in individuals with UPVD have already been demonstrated, we intend to demonstrate that virtual reality allows significant improvements in the decrease in VD. Objectives The aim of the study is to compare VD levels in individuals with UPVD after RV program by virtual reality. Methodology For the evaluation of VD, dynamic posturography was performed with the Balance Rehabilition Unit equipment for 39 people with UPVD, before and after the RV program by virtual reality. Ten conditions were tested, with different visual and propriocetive stimuli. The parameters considered were the oscillation area of the pressure centre and the sway velocity. Results In the parameter of the oscillation area of the pressure centre, statistically significant results were found in the 10 conditions tested. In the sway velocity parameter, statistically significant results were found in the condition 1, 2, 3, 4, 5 e 10. Conclusion Virtual reality incorporated in the RV programs presents itself as an important tool in improving VD in individuals with UPVD.

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Balance rehabilitation with a virtual reality protocol for patients with hereditary spastic paraplegia: Protocol for a clinical trial

PLoS ONE ◽

10.1371/journal.pone.0249095 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0249095

Author(s):

Bianca Simone Zeigelboim ◽

Maria Renata José ◽

Geslaine Janaina Bueno dos Santos ◽

Maria Izabel Rodrigues Severiano ◽

Hélio Afonso Ghizoni Teive ◽

...

Keyword(s):

Clinical Trial ◽

Virtual Reality ◽

Hereditary Spastic Paraplegia ◽

Vestibular Rehabilitation ◽

Rehabilitation Program ◽

Controlled Clinical Trial ◽

Spastic Paraplegia ◽

Post Intervention ◽

Group I ◽

Alternative Treatment Option

Background Neurodegenerative diseases are sporadic hereditary conditions characterized by progressive dysfunction of the nervous system. Among the symptoms, vestibulopathy is one of the causes of discomfort and a decrease in quality of life. Hereditary spastic paraplegia is a heterogeneous group of hereditary degenerative diseases involving the disorder of a single gene and is characterized by the progressive retrograde degeneration of fibers in the spinal cord. Objective To determine the benefits of vestibular rehabilitation involving virtual reality by comparing pre intervention and post intervention assessments in individuals with hereditary spastic paraplegia. Methods In this randomized controlled clinical trial from the Rebec platform RBR-3jmx67 in which allocation concealment was performed and the evaluators be blinded will be included. The participants will include 40 patients diagnosed with hereditary spastic paraplegia. The interventions will include vestibular rehabilitation with virtual reality using the Wii® console, Wii-Remote and Wii Balance Board (Nintendo), and the studies will include pre- and post intervention assessments. Group I will include twenty volunteers who performed balance games. Group II will include twenty volunteers who performed balance games and muscle strength games. The games lasted from 30 minutes to an hour, and the sessions were performed twice a week for 10 weeks (total: 20 sessions). Results This study provides a definitive assessment of the effectiveness of a virtual reality vestibular rehabilitation program in halting the progression of hereditary spastic paraplegia, and this treatment can be personalized and affordable. Conclusion The study will determine whether a vestibular rehabilitation program with the Nintendo Wii® involving virtual reality can reduce the progressive effect of hereditary spastic paraplegia and serve as an alternative treatment option that is accessible and inexpensive. Rebec platform trial: RBR-3JMX67.

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Machine learning-based assessment tool for imbalance and vestibular dysfunction with virtual reality rehabilitation system

Computer Methods and Programs in Biomedicine ◽

10.1016/j.cmpb.2014.04.014 ◽

2014 ◽

Vol 116 (3) ◽

pp. 311-318 ◽

Cited By ~ 19

Author(s):

Shih-Ching Yeh ◽

Ming-Chun Huang ◽

Pa-Chun Wang ◽

Te-Yung Fang ◽

Mu-Chun Su ◽

...

Keyword(s):

Machine Learning ◽

Virtual Reality ◽

Assessment Tool ◽

Vestibular Dysfunction ◽

Rehabilitation System ◽

Virtual Reality Rehabilitation

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Virtual and augmented reality in the vestibular rehabilitation of peripheral vestibular disorders: systematic review and meta-analysis

Scientific Reports ◽

10.1038/s41598-021-97370-9 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Austin Heffernan ◽

Mohammed Abdelmalek ◽

Desmond A. Nunez

Keyword(s):

Side Effects ◽

Augmented Reality ◽

Meta Analysis ◽

Vestibular Rehabilitation ◽

Vestibular Dysfunction ◽

Symptom Improvement ◽

Vestibular Disorders ◽

Post Intervention ◽

Eligibility Criteria ◽

Bias Assessment

AbstractVestibular rehabilitation therapy is an established treatment for patients with vestibular dysfunction. Virtual reality (VR) and augmented reality (AR) can be utilised in vestibular rehabilitation. Evidence of the efficacy of VR and AR delivered rehabilitation in patients with peripheral vestibular disorders is reviewed. MEDLINE, EMBASE, CENTRAL, CINAHL, PsychInfo, PsychBITE, OTSeeker, Ei Compendex, IEE, Clinical trials.gov and WebofScience databases were searched. Reduction in vestibular dysfunction symptoms 0–3 months post-intervention was the primary outcome. Secondary outcomes included long-term symptom improvement and side effects. Risk of bias assessment and meta analyses were planned. Five studies meeting eligibility criteria were included. Dizziness Handicap Inventory (DHI) scores 0–3 months post-intervention were reported by four studies. Meta-analysis identified a 1.13 (95% CI, − 1.74, − 0.52) standardized mean difference reduction in DHI in VR and AR treated patients compared to controls. Side effects reported by two studies were reduced by week four of VR intervention. Bias assessment identified DHI scores and side effects to be at high risk or of some concern. Adjunct VR interventions reduced patient DHI significantly more than vestibular rehabilitation alone 0–3 months post-intervention in adult patients diagnosed with unilateral vestibular disease. High quality studies are needed.

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