Vestibular rehabilitation with virtual reality in Ménière's disease

Garcia, Adriana Pontin; Ganança, Maurício Malavasi; Cusin, Flávia Salvaterra; Tomaz, Andreza; Ganança, Fernando Freitas; Caovilla, Heloísa Helena

doi:10.5935/1808-8694.20130064

Cited by 60 publications

(62 citation statements)

References 24 publications

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“…Interestingly, virtual reality-assisted therapy for the treatment of vestibular symptoms was used successfully and vestibular symptoms diminished within 4 to 6 weeks after the start of the intervention. [19–21] …”

Section: Discussionmentioning

confidence: 99%

Motion-based equilibrium reprocessing therapy a novel treatment method for chronic peripheral vestibulopathies

Hondebrink¹,

Mert²,

Lint³

et al. 2017

Medicine

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Rehabilitation for vestibular disease is a safe method to partially alleviate symptoms of vertigo. It was hypothesized that principles of military aviation vestibular desensitization procedures that have a success rate of more than 80% can be extrapolated to chronic vestibular disease as well.The virtual reality motion base computer-assisted rehabilitation environment was used as treatment modality in 17 patients. They were exposed to sinusoidal vertical passive whole body motion in increasing intensity for a maximum of 12 sessions. The Dizziness Handicap Inventory (DHI) was used for assessment of the subjective complaints of vertigo.The median DHI scores of 50 points at baseline dropped to 22 points (P <.001) at follow-up. Post hoc analysis showed significant differences in outcome between measurements at baseline and at the end of the treatment, between baseline and follow-up, but not between end of treatment and follow-up.This pilot study concerning motion-based equilibrium reprocessing therapy (MERT) shows that it is a simple, quick, and well-tolerated treatment option to alleviate symptoms in patients with chronic peripheral vestibulopathies.

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Section: Discussionmentioning

confidence: 99%

Motion-based equilibrium reprocessing therapy a novel treatment method for chronic peripheral vestibulopathies

Hondebrink¹,

Mert²,

Lint³

et al. 2017

Medicine

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“…La terapia rehabilitadora en la enfermedad de Ménière siempre ha sido compleja dados los episodios de vértigo recurrente, utilizándose los ejercicios vestibulares para recuperar la calidad de vida [50]. Hoy en día se está aplicando la realidad virtual como programa de RV, para mejorar no sólo esta Figura 3.…”

Section: Hipofunción Vestibular Unilateralunclassified

Terapia física en la hipofunción vestibular unilateral y bilateral

et al. 2019

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Conflicto de intereses: Los autores declaran no tener conflictos de intereses Imágenes: Los autores declaran haber obtenido las imágenes con el permiso de los pacientes 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: La rehabilitación vestibular (RV) basada en la terapia física, tiene el objetivo, en el caso de patología vestibular, de inducir la compensación del sistema nervioso central (SNC) a nivel de núcleos vestibulares y de otros niveles del SNC. Incluye ejercicios de habituación, adaptación y sustitución vestibular, ejercicios para mejorar el equilibrio y el control postural dinámico y ejercicios para el acondicionamiento general. En este capítulo discutimos los recientes avances sobre el adiestramiento del equilibrio y de la marcha, la estabilidad de la mirada y la habituación, en el contexto de los trastornos vestibulares uni y bilaterales. Método: Revisión narrativa. Resultados: Los ejercicios se prescriben para TERAPIA FÍSICA EN LA HIPOFUNCIÓN VESTIBULAR UNILATERAL Y BILATERAL

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“…Vestibular rehabilitation usually delivered by physiotherapists is not curative but uses exercises to deliberately and repetitively provoke symptoms to habituate, compensate, or reduce responsiveness to stimuli, or to substitute lost vestibular function using other balance pathways [23]. Vestibular rehabilitation may improve the perception of dizziness symptoms [24], dizziness handicap, postural control, and quality of life in people with M eni ere's disease [25,26], as well as the ability to cope with and understand symptoms, reduce anxiety and symptom severity, and diminish negative beliefs about symptoms [27]. Implicit psychotherapeutic elements within physical rehabilitation programmes are also thought to contribute to success [9].…”

Section: Introductionmentioning

confidence: 99%

Living with Ménière’s disease: an interpretative phenomenological analysis

Talewar

Cassidy

McIntyre

2019

Disability and Rehabilitation

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Purpose: To explore the meanings of M eni ere's disease from the perspective of people living with this condition and to understand what was considered significant and important in participants' everyday lives. Materials and methods: Four women with M eni ere's disease participated in face-to-face semi-structured interviews. Accounts were recorded, transcribed, and analysed using an iterative process integral to Interpretative Phenomenological Analysis. Results: Three interconnected themes were identified. "You have no control whatsoever" conveys participants' perceptions of vertigo as having a disruptive and ongoing impact on physical and psychosocial function in everyday life. "M eni ere's takes away your life completely" describes M eni ere's as impinging on participants' most meaningful activities and relationships, and as restricting their ability to live their lives on their own terms. "You get on with life" recounts participants' efforts to refashion their lives whilst living with this condition and manage its most harmful effects. The psychosocial impact of living with M eni ere's disease and its relevance to rehabilitation is discussed. Conclusions: M eni ere's disease has an enduring physical and psychosocial impact. Clinicians who acknowledge and respond to an individual's subjective experience of their condition may be key to their engagement in therapy. Service users should have a voice in health service design and delivery. ä IMPLICATIONS FOR REHABILITATION M eni ere's disease is a long-term disabling condition that not only impacts on physical and psychosocial functioning but also restricts quality of life through stigmatisation. Fear of triggering an attack of vertigo may prevent people with M eni ere's disease from engaging with rehabilitation. Therapists who adopt a biopsychosocial approach and who recognise patients' efforts to control their symptoms as a positive form of resistance may be better equipped to empathetically support patients to engage in new activities that may be vital to improving their lives.

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Vestibular rehabilitation with virtual reality in Ménière's disease

Abstract: Virtual reality-based balance rehabilitation effectively improved dizziness, quality of life, and limit of stability of patients with Menière's disease.

Cited by 60 publications

References 24 publications

Motion-based equilibrium reprocessing therapy a novel treatment method for chronic peripheral vestibulopathies

Motion-based equilibrium reprocessing therapy a novel treatment method for chronic peripheral vestibulopathies

Terapia física en la hipofunción vestibular unilateral y bilateral

Living with Ménière’s disease: an interpretative phenomenological analysis

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