Virtual reality versus optokinetic stimulation in visual vertigo rehabilitation

Mandour, Alaa El-Sayed; El-Gharib, Amani Mohamed; Emara, Afaf; Elmahallawy, Trandil Hassan

doi:10.1007/s00405-021-07091-y

Cited by 5 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At the same time, computer games connected to the motion sensor were added [14]. In addition to these, optokinetic stimulation or creating a virtual environment by attaching smartphones to the head for use in the home environment has also been utilized [20][21][22].…”

Section: Vestibular Rehabilitation Methodsmentioning

confidence: 99%

Vestibular Rehabilitation: Conventional and Virtual Reality-Based Methods

Mutlu¹

2022

Recent Advances in Audiological and Vestibular Research

View full text Add to dashboard Cite

The vestibular system is responsible for sensing the velocity and acceleration of angular and linear movements of the head and sensitivity to gravity in maintaining balance with its peripheral and central structures. It performs this function through vestibular reflexes. When peripheral vestibular diseases occur unilaterally or bilaterally, the functions of vestibular reflexes are affected, resulting in deterioration in eye movements compatible with head movements and anti-gravity muscle activity coordination, which ensures upright posture against gravity. Dizziness and/or imbalance persist in patients in whom the central compensation process cannot be completed, resulting in restrictions in the patient’s independent movements, daily activities, and quality of life. In the middle and long term, these restrictions cause sedentary life, fear of falling, loss of general condition, emotional problems, and social isolation. In patients diagnosed with unilateral peripheral vestibular disease, vestibular rehabilitation methods based on exercise and living environment arrangements are used as valid and reliable methods to support central compensation mechanisms and to eliminate movement restrictions. Along with conventional exercises, virtual reality-based vestibular rehabilitation systems on stable or unstable platforms are also used for this purpose. In this chapter, the essential principles of conventional and virtual reality-based vestibular rehabilitation methods take place.

show abstract

Section: Vestibular Rehabilitation Methodsmentioning

confidence: 99%

Vestibular Rehabilitation: Conventional and Virtual Reality-Based Methods

Mutlu¹

2022

Recent Advances in Audiological and Vestibular Research

View full text Add to dashboard Cite

show abstract

Optokinetic stimulation for the treatment of vestibular and balance disorders: a systematic review with meta-analysis

Obrero-Gaitán,

Sedeño-Vidal,

Peinado-Rubia

et al. 2024

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Objectives To analyse the effectiveness of optokinetic stimulation (OKS) for improving symptoms and function in patients with vestibular and balance disorders. Methods PubMed (MEDLINE), SCOPUS, Web of Science (WOS), CINAHL Complete, and PEDro databases were searched to identify randomized controlled trials (RCTs) that included patients with vestibular and balance disorders and compared the effects of OKS versus other interventions or no intervention on subjective or objective functional outcomes. Data were analysed by the standardized mean difference (SMD) and its 95% confidence interval. Results A total of 10 studies were selected including 468 patients, 177 of whom received OKS. There were no significant differences in scores on the Dizziness Handicap Inventory (DHI) (SMD = 0.02; 95% CI − 0.18 to 0.23; p = 0.83) or the visual analogue scale (VAS) for vertigo (SMD = 0.16; 95% CI − 1.25 to 1.58; p = 0.82). However, there were statistically significant differences in the timed up and go (TUG) test, with a large effect (SMD = − 1.13; 95% CI -2 to − 0.28; p = 0.009), and in the sensory organization test (SOT), with a medium effect (SMD = − 0.7; 95% CI − 1.21 to − 0.19; p = 0.007). Subgroup analysis showed significant effects of OKS on VAS (p = 0.017), TUG (p = 0.009) and SOT (p = 0.001) only in patients with balance disorders without vestibular disease (p > 0.05). Conclusions OKS may improve dizziness intensity measured with VAS or dynamic balance measured whit TUG and SOT in patients with balance disorders not due to vestibular disease. The quality of the evidence was low or very low due to the small number of included studies. PROSPERO Registry number CRD42023445024.

show abstract

Feasibility of gamified visual desensitisation for visually-induced dizziness

Goodwin,

Powell,

Loizides

et al. 2024

Sci Rep

View full text Add to dashboard Cite

Visually-induced dizziness (visual vertigo) is a core symptom of Persistent Perceptual Postural Dizziness (PPPD) and occurs in other conditions and general populations. It is difficult to treat and lacks new treatments and research. We incorporated the existing rehabilitation approach of visual desensitisation into an online game environment to enhance control over visual motion and complexity. We report a mixed-methods feasibility trial assessing: Usage and adherence; rehabilitation potential; system usability and enjoyment; relationship with daily dizziness. Participants played online with (intervention, N = 37) or without (control, N = 39) the visual desensitisation component for up to 5–10 min, twice daily for 6 weeks. Dropout was 45%. In the intervention group, N = 17 played for the recommended time while N = 20 played less. Decreases in visual vertigo symptoms, anxiety and depression correlated with playtime for the intervention but not control. System usability was high. Daily symptoms predicted playtime. Qualitative responses broadly supported the gamified approach. The data suggest gamified visual desensitisation is accessible, acceptable and, if adherence challenges can be overcome, could become a useful addition to rehabilitation schedules for visually-induced dizziness and associated anxiety. Further trials are needed.

show abstract

Virtual reality versus optokinetic stimulation in visual vertigo rehabilitation

Cited by 5 publications

References 17 publications

Vestibular Rehabilitation: Conventional and Virtual Reality-Based Methods

Vestibular Rehabilitation: Conventional and Virtual Reality-Based Methods

Optokinetic stimulation for the treatment of vestibular and balance disorders: a systematic review with meta-analysis

Feasibility of gamified visual desensitisation for visually-induced dizziness

Contact Info

Product

Resources

About