Simulator based rehabilitation in refractory dizziness

Pavlou, Marousa; Lingeswaran, Ari; Davies, Rosalyn; Gresty, Michael A.; Bronstein, Adolfo M.

doi:10.1007/s00415-004-0476-2

Cited by 173 publications

(142 citation statements)

References 42 publications

(47 reference statements)

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“…Hemiparetic stoke patients who performed a task-orientated exercise program under conditions of vision and surface manipulations showed more improvement in their standing balance than a control group that performed a conventional task-oriented program [25]. Patients with balance control problems [26][27][28] and gait disturbances [29,30] have also demonstrated improvement following adaptive generalization training. We believe analogous improvements might be made in the reduction of gait ataxia in returning astronauts if they are trained to make rapid adjustments to novel physical and sensory stimuli such as that produced by variations in visual flow and support surface stability.…”

Section: Discussionmentioning

confidence: 99%

Strategies of healthy adults walking on a laterally oscillating treadmill

2009

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Abstract:We mounted a treadmill on top of a six degree-of-freedom motion base platform to investigate locomotor responses produced by healthy adults introduced to a dynamic walking surface. The experiment examined self-selected strategies employed by participants when exposed to continuous, sinusoidal lateral motion of the support surface while walking. Torso translation and step width were used to classify responses used to stabilize gait in a novel, dynamic environment. Two response categories emerged. Participants tended to either fix themselves in space (FIS), allowing the treadbelt to move laterally beneath them, or they fixed themselves to the base (FTB), moving laterally as the motion base oscillated. The degree of fixation in both extremes varied across participants. This finding suggests that normal adults have innate and varied preferences for reacquiring gait stability, some depending more heavily on vision (FIS group) and others on proprioception (FTB group).

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Section: Discussionmentioning

confidence: 99%

Strategies of healthy adults walking on a laterally oscillating treadmill

2009

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“…After the title and abstract screening, 28 studies were identified as potentially eligible. However, after full text screening, 19 studies were excluded due to the following reasons: sample outside the pre-specified age range (n=14) [8][9][10][11][12][13][14][15][16][17][18][19][20][21] , lack of randomization (n=4) [22][23][24][25] , and sample with no complaints or vestibular disorders (n=1) 26 . Thus, nine randomized controlled trials were eligible for inclusion in this review and had their content critically analyzed.…”

Section: Resultsmentioning

confidence: 99%

Revisão sistemática sobre os efeitos da reabilitação vestibular em adultos de meia-idade e idosos

Ricci¹,

Aratani²,

Doná³

et al. 2010

Rev. bras. fisioter.

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Objective: To summarize the results of clinical trials on vestibular rehabilitation (VR) in middle-aged and elderly people with vestibular disorders. Methods: A search for relevant trials was performed in the databases LILACS, EMBASE, MEDLINE, SciELO, Cochrane, ISI Web of Knowledge and virtual libraries of theses and dissertations. Randomized controlled trials published in the last 10 years and written in English, Portuguese or Spanish were included. The methodological quality of the studies was assessed by the PEDro scale.Results from the included studies were analyzed through a critical review of content. Results: Nine studies were included in the review.Four studies reported on participants aged over 40 years (middle-aged and elderly) and five studies consisted exclusively of elderly subjects (over 60 years). Findings of vestibular dysfunction were diverse and the most common complaints were body imbalance or postural instability (3 studies), and vertigo or dizziness (3 studies). The Visual Analogue Scale (VAS) was the most commonly used instrument to assess subjective perception of symptoms of vestibular dysfunction (4 studies). According to the PEDro scale, four studies were considered to be of good quality. The most common experimental intervention was the Cawthorne & Cooksey protocol (4 studies). For most outcome measures, the studies comparing VR with another type of intervention showed no differences between the groups after the therapy. Conclusions: The studies included in this review provide evidence for the positive effects of VR in elderly and middle-aged adults with vestibular disturbances.Key words: vestibular diseases; rehabilitation; older adults. ResumoObjetivo: Sistematizar os resultados de ensaios clínicos sobre reabilitação vestibular (RV) em indivíduos de meia-idade e idosos com distúrbios vestibulares. Métodos: A busca de publicações sobre a RV em indivíduos com distúrbios vestibulares foi realizada nas bases de dados LILACS, EMBASE, MEDLINE, SciELO, Cochrane, ISI Web of Knowledge e bibliotecas virtuais de teses e dissertações.Foram selecionados ensaios clínicos aleatórios e controlados dos últimos 10 anos em língua inglesa, portuguesa e espanhola. A qualidade metodológica dos estudos foi avaliada pela escala PEDro. A análise dos resultados dos estudos foi feita por meio de revisão crítica dos conteúdos. Resultados: Nove estudos foram revisados na íntegra, sendo a faixa etária dos participantes acima de 40 anos (n= 4) e composta exclusivamente por idosos (n=5). Os achados de disfunção vestibular foram diversificados, sendo os mais comuns queixa de desequilíbrio corporal ou instabilidade postural (n=3) e queixa de vertigem ou tontura (n=3). A Escala Visual Analógica (EVA) foi o instrumento mais utilizado para avaliar a percepção subjetiva da sintomatologia da disfunção vestibular (n=4). A escala PEDro revelou que quatro dos artigos apresentaram delineamento de boa qualidade para a condução do estudo experimental. A proposta de intervenção mais utilizada foi o protocolo de Cawthorne ...

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“…B. Trainingsprogramme, die verschiedene Balanceaufgaben [19] oder spezielle TaiChi-Übungen [12] verwenden. Bei anderen Methoden befindet sich der Patient in einem Simulator, mit dessen Hilfe Übun-gen in einer virtuellen (visuellen) Realität durchgeführt werden [14,23].…”

Section: Placebokontrollierte Doppelblind-pilot-studie Zur Rehabilitaunclassified