Audio-Biofeedback Improves Balance in Patients With Bilateral Vestibular Loss

Dozza, Marco; Chiari, Lorenzo; Horak, Fay B.

doi:10.1016/j.apmr.2004.12.036

Cited by 142 publications

(99 citation statements)

References 10 publications

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“…These devices provide a neurofeedback, in other words, the feedback of the movement information which is turned into a stimulus, different from the original stimulus coming from the vestibular stimulation. These alternative stimuli, which inform about body movement, may be auditory, galvanic or vibro-tactile [14][15][16] . Among the organs which can work as receptors for these stimuli we have the tongue -a rich sensorial terminal connected to important structures in the brain stem.…”

Section: Discussionmentioning

confidence: 99%

Vestibular rehabilitation with biofeedback in patients with central imbalance

Bittar¹,

Barros

2011

Braz. j. otorhinolaryngol. (Impr.)

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Cent ral Nervous System disorders may cause important functional unbalance in the maintenance of balance and posture. There is no effective rehabilitation for these symptoms until now.Objective: The aim of this paper is to evaluate the use of tongue electrotactile stimulation on patients with central imbalance using BrainPort. Materials and Methods:This is a prospective case series study. We evaluated 8 patients with central imbalance, 6 men and 2 women, with mean age of 67.75 years. The patients were submitted to Computed Dynamic Posturography (CDP) and then received 18 sessions of electrotactile stimulation by BrainPort® device for 20 minutes, twice a day. Then they were submitted to a new CDP test and to a self-perception scale to assess symptom remission, partial improvement and no improvement at all.Results: 75% of the patients reported being more stable. There was no improvement in the balance control of the mass center in these patients. Conclusion:The patients were able to use the electrotactile stimulus to improve their balance control. Braz J Otorhinolaryngol. 2011;77(3):356-61. ORIGINAL ARTICLE BJORL

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Section: Discussionmentioning

confidence: 99%

Vestibular rehabilitation with biofeedback in patients with central imbalance

Bittar¹,

Barros

2011

Braz. j. otorhinolaryngol. (Impr.)

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“…They showed that auditory information related to trunk iBalance-ABF: a Smartphone-Based AudioBiofeedback Balance System C. Franco, A. Fleury*, Member, IEEE, P.Y. Gumery, B. Diot, J. Demongeot and N. Vuillerme I movement allowed healthy individuals and labyrinthinedefective patients to increase postural stability when sensory information from both vision and the surface were compromised by eye closure and stance on foam [11,12], by strengthening the closed-loop control of posture [12]. Interestingly, compared to healthy individuals, labyrinthinedefective patients exhibited greater reduction of postural sway when standing on foam with eyes closed, suggesting that ABF could substitute for lack of vestibular information [5,11].…”

Section: Related Work On Abf System For Balancementioning

confidence: 99%

“…Gumery, B. Diot, J. Demongeot and N. Vuillerme I movement allowed healthy individuals and labyrinthinedefective patients to increase postural stability when sensory information from both vision and the surface were compromised by eye closure and stance on foam [11,12], by strengthening the closed-loop control of posture [12]. Interestingly, compared to healthy individuals, labyrinthinedefective patients exhibited greater reduction of postural sway when standing on foam with eyes closed, suggesting that ABF could substitute for lack of vestibular information [5,11]. Recent studies further demonstrated the usability and efficacy of ABF-based balance training in patients with progressive supranuclear palsy [13] and in patients with Parkinsons didease [14].…”

Section: Related Work On Abf System For Balancementioning

confidence: 99%

iBalance-ABF: A Smartphone-Based Audio-Biofeedback Balance System

Franco

Fleury

Guméry

et al. 2013

IEEE Trans. Biomed. Eng.

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This article proposes an implementation of a Kalman Filter, using inertial sensors of a Smartphone, to estimate 3D angulation of the trunk. The developped system monitors the trunk angular evolution during bipedal stance and helps the user to improve balance through a configurable and integrated auditory-biofeedback loop. A proof-of-concept study was performed to assess the effectiveness of this so-called iBalance-ABF -smartphone-based audio-biofeedback system -in improving balance during bipedal standing. Results showed that young healthy individuals were able to efficiently use ABF on sagittal trunk tilt to improve their balance in the ML direction. These findings suggest that iBalance-ABF system as a Telerehabilitation system which could represent a suitable solution for Ambient Assisted Living technologies.

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“…Exteroceptive by nature, it may act as a supplementary kinesthetic signal and not as an exteroceptive one. Auditory feedback has already been tested successfully as a substitute of kinesthetic vestibular signals in patients with vestibular loss (Dozza et al, 2005) and is thought to allow for kinesthetic and tactile exploration of objects (Boyer et al, 2015). Thus, we suggest that different neural circuitries could be involved in the processing of these different kinds of auditory feedback with various influences on motor control and learning.…”

Section: Introductionmentioning

confidence: 99%

Investigating three types of continuous auditory feedback in visuo-manual tracking

et al. 2016

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The use of continuous auditory feedback for motor control and learning is still under-studied and deserves more attention regarding fundamental mechanisms and applications. This paper presents the results of three experiments studying the contribution of task-, error-, and user-related sonification to visuomanual tracking and assessing its benefits on sensorimotor learning. First results show that sonification can help decreasing the tracking error, as well as increasing the energy in participant's movement. In the second experiment, when alternating feedback presence, the user-related sonification did not show feedback dependency effects, contrary to the error and task-related feedback. In the third experiment, a reduced exposuré of 50% diminished the positive effect of sonification on performance whereas the increase of the average energy with sound was still significant. In a retention test performed on the next day without auditory feedback, movement energy was still superior for the groups previously trained with the feedback. Although performance was not affected by sound, a learning effect was measurable in both sessions and the user-related group improved its performance also in the retention test. These results confirm that a continuous auditory feedback can be beneficial for movement training and also show an interesting effect of sonification on movement energy. User-related sonification can prevent feedback dependency and increase retention. Consequently, sonification of the user's own motion appears as a promising solution to support movement learning with interactive feedback.

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Audio-Biofeedback Improves Balance in Patients With Bilateral Vestibular Loss

Cited by 142 publications

References 10 publications

Vestibular rehabilitation with biofeedback in patients with central imbalance

Vestibular rehabilitation with biofeedback in patients with central imbalance

iBalance-ABF: A Smartphone-Based Audio-Biofeedback Balance System

Investigating three types of continuous auditory feedback in visuo-manual tracking

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