Long-term effects of vestibular rehabilitation and head-mounted gaming task procedure in unilateral vestibular hypofunction: a 12-month follow-up of a randomized controlled trial

Viziano, Andrea; Micarelli, Alessandro; Augimeri, Ivan; Micarelli, Domenico; Alessandrini, Marco

doi:10.1177/0269215518788598

Cited by 59 publications

(65 citation statements)

References 35 publications

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“…Los pacientes tratados mejoraron su control direccional y su balanceo, especialmente en las primeras fases de la enfermedad [27]. Viziano et al (2018), estudiaron los efectos a largo plazo de la rehabilitación vestibular con HMD. De los 47 pacientes con hipofunción vestibular unilateral, a 24 se le administró una terapia vestibular convencional y a 23 con gafas de realidad virtual durante un mes.…”

Section: Discussionunclassified

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Revisión sobre la aplicación de la realidad virtual en la rehabilitación vestibular

Álvarez-Otero

2019

ORL

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Conflicto de intereses: Los autores declaran no tener conflictos de intereses Figuras: Los autores declaran disponer del permiso, con atribución, para modificar y compartir las fuentes utlizadas para su elaboración. Política de derechos y autoarchivo: se permite el autoarchivo de la versión post-print (SHERPA/RoMEO) Licencia CC BY-NC-ND. Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional Universidad de Salamanca. Su comercialización está sujeta al permiso del editor RESUMEN: Introducción y objetivo: Las nuevas tecnologías nos conceden nuevas fórmulas para analizar y modificar la relación del sujeto con el medio. La realidad virtual sería su máxima expresión. Explicaremos los fundamentos básicos que se aplican en estas tecnologías, las cuales poseen muchos elementos en común con la organización de nuestro sentido del equilibrio. Método: Revisión narrativa. Resultados: Expondremos las características técnicas y los mecanismos de compensación aplicados en los dispositivos de rehabilitación vestibular. Discusión: Revisaremos algunos estudios que analizan las ventajas e inconvenientes de la realidad virtual frente a la terapia física convencional. Conclusiones: Los sistemas de seguimiento ocular, postural o de giro cefálico aplicados a la realidad virtual, pueden emplearse en el desarrollo de dispositivos diagnósticos o de rehabilitación vestibular. Se necesitas más estudios que comparen su eficacia respecto a la terapia física tradicional. PALABRAS CLAVE: realidad virtual; movimientos oculares; movimientos cefálicos; pruebas vestibulares; trastornos vestibulares.

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Section: Discussionunclassified

“…De los 47 pacientes con hipofunción vestibular unilateral, a 24 se le administró una terapia vestibular convencional y a 23 con gafas de realidad virtual durante un mes. Este último grupo mejoró significativamente al año, tanto en la ganancia como en los parámetros posturográficos [28].…”

Section: Discussionunclassified

Revisión sobre la aplicación de la realidad virtual en la rehabilitación vestibular

Álvarez-Otero

2019

ORL

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“…Less is known about possible variations in longterm rehabilitation outcomes; to this regard, it is of relevance that patients who were treated with HMDbased exercises maintained improvements in VOR gain and self-report measures as far as 12 months after discontinuation [7]. Such experiences seem to confirm that patient-tailored, VR-based vestibular rehabilitation may induce long-lasting adaptations in the central nervous system and that patients can remain free of symptoms after long periods of time.…”

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confidence: 89%

Role of head-mounted displays in enhancing vestibular rehabilitation effects, comment on: “Evaluation of the effectiveness of a Virtual Reality-based exercise program for Unilateral Peripheral Vestibular Deficit”

Micarelli

Viziano

Alessandrini

2023

VES

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“…Video-games that require whole-body physical activity to play the game combine motor and cognitive exercises and are labeled Exergames ( 25 ). Exergames provide a motivational and entertaining way to be physically active for patients ( 12 , 26 ), and recent studies demonstrated a positive effect of virtual reality-based interventions on patients with vestibular hypofunction ( 27 – 29 ). This form of training theoretically allows addressing all four important exercise components for vestibular subjects ( 11 ) into one exercise program: gaze stability exercises and habituation exercises ( 24 ), balance and gait exercises ( 30 , 31 ), and endurance ( 32 ).…”

Section: Introductionmentioning

confidence: 99%

Exergaming With Integrated Head Turn Tasks Improves Compensatory Saccade Pattern in Some Patients With Chronic Peripheral Unilateral Vestibular Hypofunction

et al. 2020

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Background: This study aimed to determine whether vestibular rehabilitation using active video games (Exergames), including promoted head turns and unsupported locomotion, may facilitate vestibular compensation and gait in subjects with one-sided chronic peripheral vestibular hypofunction (cPVH). Methods: 12 patients with cPVH (mean age of 65 ± 12 years, 8 male) were recruited for this study. The study consisted of a four-week baseline control period T1-T2 followed by a four-week intervention period T2-T3. The intervention included exergames that required physical tasks such as steps, weight shifts or balance control to cognitive challenges, in a virtual environment to play the game. The subjects participated in a total of 176 min of exergaming in eight sessions. Because of the changing projection direction of the game to the wall, the subjects had to turn their heads constantly while playing the game. Dynamic visual acuity (DVA) was assessed. Vestibulo-Ocular reflex (VOR) gain deficit and cumulative overt saccade amplitude (COSA) were measured with the video head-impulse test. Additionally, the functional gait assessment (FGA), Extended Timed Get-Up-and-Go (ETGUG), and the Dizziness handicap inventory (DHI), were assessed. Results: DVA showed no significant group level change (p = 0.475, z = −0.714, d = 0.295) with a small effect size and improvements in five out of 12 subjects. Ipsilesional VOR gain did not improve (p = 0.157, z = −1.414, d = 0.481) on group level while there was an intermediate effect size and improvements in six out of 12 subjects. COSA got significant smaller (p = 0.006, z = −2.746, d = 1.354) with improvements in seven out of 12 subjects. The contralesional sides did not change. The FGA for the group significantly improved with an intermediate effect size (p < 0.001, z = −3.08, d = 1.617) and five individuals showed clinically relevant improvements. The ETGUG group value improved significantly with a strong effect size (p < 0.001, z = −2.67, d = 1.030), with Swanenburg et al. Exergaming With Integrated Head Turn seven individuals contributing to this change. The DHI showed no change (p = 0.172, z = −1.381, d = 0.592) neither on the group nor on the individuals' level. The game scores of the subjects improved during the intervention period of the intervention for every game. Conclusion: The results of this study demonstrate that exergaming with promoted head turns facilitates vestibular compensation in some subjects with cPVH. This is the first study that shows an improvement in cumulative overt saccade amplitude after exergaming in chronic vestibular subjects.

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Long-term effects of vestibular rehabilitation and head-mounted gaming task procedure in unilateral vestibular hypofunction: a 12-month follow-up of a randomized controlled trial

Abstract: Results suggest that head-mounted gaming home exercises are a viable, effective, additional measure to improve long-term vestibular rehabilitation outcomes.

Cited by 59 publications

References 35 publications

Revisión sobre la aplicación de la realidad virtual en la rehabilitación vestibular

Revisión sobre la aplicación de la realidad virtual en la rehabilitación vestibular

Role of head-mounted displays in enhancing vestibular rehabilitation effects, comment on: “Evaluation of the effectiveness of a Virtual Reality-based exercise program for Unilateral Peripheral Vestibular Deficit”

Exergaming With Integrated Head Turn Tasks Improves Compensatory Saccade Pattern in Some Patients With Chronic Peripheral Unilateral Vestibular Hypofunction

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