Improvements in Gait Speed and Weight Shift of Persons With Traumatic Brain Injury and Vestibular Dysfunction Using a Virtual Reality Computer-Assisted Rehabilitation Environment

Sessoms, Pinata H.; Gottshall, Kim R.; Collins, John D.; Markham, Amanda E.; Reini, Seth

doi:10.7205/milmed-d-14-00385

Cited by 57 publications

(36 citation statements)

References 10 publications

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“…Other rehabilitation methods that have been shown to have some usefulness in individuals with mTBI and vestibular symptoms include a virtual reality-based environment task [70] and cervical spine physiotherapy in combination with VR [71]. Pharmaceuticals have also been used to treat individuals with vestibular symptoms following TBI or blast exposure.…”

Section: Treatmentmentioning

confidence: 99%

Vestibular consequences of mild traumatic brain injury and blast exposure: a review

et al. 2017

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The purpose of this article is to review relevant literature on the effect of mild traumatic brain injury (mTBI) and blast injury on the vestibular system. Dizziness and imbalance are common sequelae associated with mTBI, and in some individuals, these symptoms may last for six months or longer. In war-related injuries, mTBI is often associated with blast exposure. The causes of dizziness or imbalance following mTBI and blast injuries have been linked to white matter abnormalities, diffuse axonal injury in the brain, and central and peripheral vestibular system damage. There is some evidence that the otolith organs may be more vulnerable to damage from blast exposure or mTBI than the horizontal semicircular canals. In addition, benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder following head injury that is treated effectively with canalith repositioning therapy. Treatment for (non-BPPV) mTBI-related vestibular dysfunction has focused on the use of vestibular rehabilitation (VR) augmented with additional rehabilitation methods and medication. New treatment approaches may be necessary for effective otolith organ pathway recovery in addition to traditional VR for horizontal semicircular canal (vestibulo-ocular reflex) recovery.

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Section: Treatmentmentioning

confidence: 99%

Vestibular consequences of mild traumatic brain injury and blast exposure: a review

et al. 2017

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“…In the present randomized controlled trial (RCT), we examined the effects of balance training utilizing the computer assisted rehabilitation environment (CAREN) system (Motek Medical BV, Amsterdam, Netherlands). Recently, balance training, using the CAREN system, showed an improvement in balance performance in persons with traumatic brain injury [ 24 ] and individuals with transtibial amputation [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of balance training on postural control in people with multiple sclerosis using the CAREN virtual reality system: a pilot randomized controlled trial

Kalron

Fonkatz

Frid

et al. 2016

J NeuroEngineering Rehabil

116

104

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Background: Multiple sclerosis (MS) is a multi-focal progressive disorder of the central nervous system often resulting in diverse clinical manifestations. Imbalance appears in most people with multiple sclerosis (PwMS). A popular balance training tool is virtual reality (VR) with several advantages including increased compliance and user satisfaction. Therefore, the aim of this pilot RCT (Trial registration number, date: ISRCTN14425615, 21/01/2016) was to examine the efficacy of a 6-week VR balance training program using the computer assisted rehabilitation environment (CAREN) system (Motek Medical BV, Amsterdam, Netherlands) on balance measures in PwMS. Results were compared with those of a conventional balance exercise group. Secondary aims included the impact of this program on the fear of falling. Methods: Thirty-two PwMS were equally randomized into the VR intervention group or the control group. Each group received balance training sessions for 6 consecutive weeks, two sessions per week, 30 min sessions. Clinical balance tests and instrumented posturography outcome measures were collected upon initiation of the intervention programs and at termination.

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“…Recently, researchers at Naval Health Research Center and Naval Medical Center San Diego have used the same boat navigation task in the CAREN IVRE as a method of vestibular physical therapy for wounded warriors with traumatic brain injury. Preliminary findings show patients who underwent 12 training sessions over a 6-week period started out with significantly lower scores than the non-injured control group reported in this paper, but were able to achieve similar scores by visit 12 [20]. This work provides support for the 12-visit training protocol in the CAREN IVRE as an effective program for providing task-specific training for patient populations, and it may be used to inform rehabilitation programs for other injuries, such as musculoskeletal injury or amputation.…”

mentioning

confidence: 45%

Learning and Long-Term Retention of a Complex Sensorimotor Task Within an Immersive Virtual Reality Environment in a Non-Injured Population

Markham¹,

Haluch²,

Viboch³

et al. 2017

EAI Endorsed Transactions on Game-Based Learning

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Task-specific training in immersive virtual reality environments (IVREs) can provide practice for skills that are transferred to real-world settings. The present study examined skill acquisition and retention of a non-injured population performing a complex, sensorimotor navigation task in the Computer Assisted Rehabilitation Environment (CAREN). Seventeen subjects participated twice weekly for 6 weeks, with follow-up visits at 3-month intervals for 1 year. Subjects performed a navigation task, where they drove a virtual boat through a scene using weight shifting and body movement. Subjects improved over time on all outcome measures. A significant effect was observed for visit number on total score, time to complete the task, number of buoys navigated successfully, and number of penalties incurred. Task-specific training in IVREs may be effective for operational skills training and rehabilitation of injured populations by employing tasks that lead to long-term retention.

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Improvements in Gait Speed and Weight Shift of Persons With Traumatic Brain Injury and Vestibular Dysfunction Using a Virtual Reality Computer-Assisted Rehabilitation Environment

Cited by 57 publications

References 10 publications

Vestibular consequences of mild traumatic brain injury and blast exposure: a review

Vestibular consequences of mild traumatic brain injury and blast exposure: a review

The effect of balance training on postural control in people with multiple sclerosis using the CAREN virtual reality system: a pilot randomized controlled trial

Learning and Long-Term Retention of a Complex Sensorimotor Task Within an Immersive Virtual Reality Environment in a Non-Injured Population

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