Efficacy and Comparison of Vestibular Rehabilitation Exercises on Quality of Life in Patients with Vestibular Disorders

Sharma, Kumar Gourav; Gupta, Ashok

doi:10.1007/s12070-020-01920-y

Cited by 9 publications

(12 citation statements)

References 13 publications

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“…At the 8-week evaluation, the AE-HE group had better scores for the performance and most subjective parameters than AE and HE groups. Our results are consistent with those reported by Sharma and Gupta (40), who stated that individuals with a variety of vestibular disorders showed better outcomes in the Vestibular Activities and Participation scale when they performed a combined VR approach instead of solely performing habituation, adaptation, or substitution exercises.…”

Section: Discussionsupporting

confidence: 92%

Different Vestibular Rehabilitation Modalities in Unilateral Vestibular Hypofunction: A Prospective Study

Lilios¹,

Chimona²,

Papadakis³

et al. 2023

Otol Neurotol

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ObjectiveTo assess the effectiveness of three vestibular rehabilitation protocols in patients with chronic unilateral vestibular hypofunction.Study DesignProspective randomized trial.SettingAudiology-neurootology laboratory in a general public hospital.PatientsEighty-one patients were randomly allocated into three groups: adaptation exercises (AEs), habituation exercises (HEs), and combined exercises (AE-HEs).Intervention(s)Each patient completed an 8-week vestibular rehabilitation program with exercise, depending on their allocation group.Main Outcome Measure(s)Evaluations performed at baseline, 4 weeks, and 8 weeks with (a) Functional Gait Assessment (FGA), (b) Mini-BESTest, (c) Vestibular Rehabilitation Benefit Questionnaire, and (d) Dizziness Handicap Inventory.ResultsFGA and Mini-BESTest scores showed significant improvement between the baseline and 8-week scores in all groups (p < 0.001), except for the FGA score in the HE group. The AE-HE group showed better scores for all measurements at 4 weeks and had significantly better FGA and Mini-BESTest scores than the AE group and better FGA scores than the HE group. The Vestibular Rehabilitation Benefit Questionnaire and Dizziness Handicap Inventory scores in the AE-HE group were significantly better (p ≤ 0.001) than those in the HE group at 8 weeks.ConclusionsThe AE-HE group showed faster improvement and significantly better outcomes for static balance, dynamic postural stability, and self-perceived disability than the single-exercise protocols in chronic unilateral vestibular hypofunction.

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Section: Discussionsupporting

confidence: 92%

Different Vestibular Rehabilitation Modalities in Unilateral Vestibular Hypofunction: A Prospective Study

Lilios¹,

Chimona²,

Papadakis³

et al. 2023

Otol Neurotol

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“…As a nal conclusion it was stated that more than 96.5% of the DHI score variances resulted from unaccounted factors, just like central compensation or neurocognitive behavioural factors [15]. Central compensation is a highly complex and vital process after vestibular de cits [23]. Central vestibular compensation involves several anatomical structures of the central nervous system (i.e., vestibular nuclei, vestibulocerebellum, midbrain, dorsolateral/anterior thalamic nuclei, and posterior inferior vestibular cortex) [24], and is in uenced by other factors, including behavioural strategies, sociocultural background, age, physical activity, etc.…”

Section: Discussionmentioning

confidence: 97%

Depression Scores and Quality of Life of Vertiginous Patients, Suffering from Different Vestibular Disorders

Molnár¹,

Maihoub²,

Mavrogeni³

et al. 2021

Preprint

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Background:Vertigo complaints are strongly associated with deterioration of patients’ quality of life (QoL). Vertigo and dizziness can result in depression and anxiety; therefore, the diagnosis and management of these concomitant psychiatric disorders can improve the patients’ quality of life. The aim of the present study was to contrast the QoL impairment and depression scores of patients suffering from different vestibular disorders. Methods:301 patients were examined due to vertiginous complaints at the Neurotologic Tertiary Rereferral Centre of the Department of Otolaryngology and Head and Neck Surgery of Semmelweis University. These patients completed the Hungarian version of the Dizziness Handicap Inventory (DHI), the Beck Depression Inventory, and the Symptom-Checklist-90-Revised (SCL-90-R) questionnaires. Results:According to neurotologic examination, the distribution of the different diagnoses was as follows: Ménière’s disease (n= 101), central vestibular disorders (n= 67), benign paroxysmal positional vertigo (n= 47), vestibular neuritis (n= 39), other unilateral peripheral vestibulopathy (n= 18), Persistent Postural-Perceptual Dizziness (n= 16), vestibular migraine (n= 8), and vestibular Schwannoma (n= 5). The results of the DHI questionnaire have indicated worsened QoL in 86.4%, out of which 33.6% was defined as severe. The Beck scale has shown depressive symptoms in 42.3% of the cases, with severe symptoms in 6.3%. Significantly higher total DHI and Beck scale results were observed in patients with central vestibular disorders, vestibular migraine, Persistent Postural-Perceptual Dizziness and unilateral peripheral vestibulopathy, contrasted to the results of the other four diagnosis groups. The onset of the symptoms did not significantly affect the severity of QoL worsening and depression symptoms.Conclusion:In this study, the QoL of vertiginous patients was worse in general, with the occurrence of depression symptoms. Difference was observed in case of the values of patients with different vestibular disorders, indicating the importance of different factors, e.g., central vestibular compensation, behavioural strategies and psychological factors.

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“…Virtual reality has previously been shown to improve enjoyment and motivation during vestibular rehabilitation in young and middle-aged adults and thus has the potential to increase treatment adherence [18,23]. For many chronic peripheral vestibular disorders, it is established that vestibular rehabilitation improves symptom scores and quality of life, however studies comparing the relative importance of gaze stabilization, habituation, and substitution exercises for specific vestibular pathologies are scarce and of poor quality [24,25]. VRTR, in contrast to VRWBR, lacks the ability to alter the amount of optokinetic stimulation which prevents progressive grading of exercise difficulty, which is considered a therapeutic program requirement for effective recovery [26].…”

Section: Discussionmentioning

confidence: 99%

Vestibular rehabilitation potential of commercially available virtual reality video games

Heffernan,

Booth,

Fletcher

et al. 2023

Journal of Otolaryngology - Head & Neck Surgery

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Background Peripheral vestibular disorders affect 2.8–6.5% of people. Standard treatment is vestibular rehabilitation therapy, and virtual reality (VR) could improve outcomes. The objective of this study was to identify the commercially available VR video game that is most congruent to vestibular rehabilitation therapy. Methods A term search “virtual reality racing” was performed on the App Store in March 2022. Results were screened for free point-of-view racing games compatible with Android and iOS devices. An investigator was filmed playing each game and videos were distributed to 237 physiotherapists. Physiotherapists completed a survey of 5-point Likert scale questions that assessed the video games vestibular rehabilitation potential. Survey responses were analyzed using Friedman Two-Way ANOVA (alpha = 0.05) and paired samples sign test with Bonferroni correction. Results The search yielded 58 games, 4 were included. Forty physiotherapists participated. VR Tunnel Race (VRTR) and VR Real World Bike Racing (VRWBR) had the greatest vestibular rehabilitation potential (median global scores = 18.00). VRTR replicated habituation exercises significantly (p < 0.001) better than Derby VR, and VRWBR replicated physiotherapist-prescribed exercises significantly (p < 0.001) better than VR X-Racer. There were no discernable significant differences between VRWBR and VRTR. Conclusions VRTR and VRWBR are the most congruent VR games to standard vestibular rehabilitation. VRWBR is preferable to VRTR with respect to ease of use and the ability to alter the amount of optokinetic stimulation. Prospective studies are needed to confirm the efficacy of these videos games and to determine if they could be used as solitary treatments. Trial registration: Not applicable. Graphical abstract

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Efficacy and Comparison of Vestibular Rehabilitation Exercises on Quality of Life in Patients with Vestibular Disorders

Cited by 9 publications

References 13 publications

Different Vestibular Rehabilitation Modalities in Unilateral Vestibular Hypofunction: A Prospective Study

Different Vestibular Rehabilitation Modalities in Unilateral Vestibular Hypofunction: A Prospective Study

Depression Scores and Quality of Life of Vertiginous Patients, Suffering from Different Vestibular Disorders

Vestibular rehabilitation potential of commercially available virtual reality video games

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