دورية أكاديمية
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.
| العنوان: | 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. |
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| المؤلفون: | Viziano A; 1 Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata,' Rome, Italy., Micarelli A; 1 Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata,' Rome, Italy.; 2 Department of Systems Medicine, Neuroscience Unit, University of Rome 'Tor Vergata,' Rome, Italy., Augimeri I; 3 ITER Center for Rehabilitation, Rome, Italy., Micarelli D; 3 ITER Center for Rehabilitation, Rome, Italy., Alessandrini M; 1 Department of Clinical Sciences and Translational Medicine, University of Rome 'Tor Vergata,' Rome, Italy. |
| المصدر: | Clinical rehabilitation [Clin Rehabil] 2019 Jan; Vol. 33 (1), pp. 24-33. Date of Electronic Publication: 2018 Jul 16. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications Country of Publication: England NLM ID: 8802181 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1477-0873 (Electronic) Linking ISSN: 02692155 NLM ISO Abbreviation: Clin Rehabil Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : SAGE Publications Original Publication: London : Edward Arnold ; New York : Cambridge University Press [distributor in North America], c1987- |
| مواضيع طبية MeSH: | Video Games* , Virtual Reality*, Exercise Therapy/*methods , Vestibular Diseases/*rehabilitation, Adult ; Aged ; Female ; Follow-Up Studies ; Gait ; Humans ; Male ; Middle Aged ; Reflex, Vestibulo-Ocular/physiology ; Self Report ; Time Factors ; Vestibular Diseases/physiopathology |
| مستخلص: | Objective:: To investigate the long-term effects of adding virtual reality-based home exercises to vestibular rehabilitation in people with unilateral vestibular hypofunction. Design:: Follow-up otoneurological examination in two randomized groups following a previous one-month trial. Setting:: Tertiary rehabilitation center. Subjects:: A total of 47 patients with unilateral vestibular hypofunction, one group ( n = 24) undergoing conventional vestibular rehabilitation and the other one ( n = 23) implementing, in addition, head-mounted gaming home exercises, 20 minutes per day for one month. Interventions:: One year after completing rehabilitation, patients underwent testing with static posturography, video head impulse test, self-report questionnaires, and a performance measure. Main Measures:: Vestibulo-ocular reflex gain, posturographic parameters such as length, surface, and fast Fourier transform power spectra, self-report, and gait performance measure scores. Results:: Vestibulo-ocular reflex gain was significantly better with respect to pretreatment in both groups. The mixed-method group showed significantly higher gain scores: mean (standard deviation (SD)) at 12 months was 0.71 (0.04), versus 0.64 (0.03) for the vestibular rehabilitation-only group ( P < 0.001). Accordingly, some classical posturography scores such as surface with eyes open and length with eyes closed and low-frequency power spectra were significantly different between groups, with the virtual reality group showing improvement ( P < 0.001). Self-report measures were significantly better in both groups compared to pretreatment, with significant improvement in the mixed-method group as compared to conventional rehabilitation alone: Dizziness Handicap Inventory mean total score was 24.34 (2.8) versus 35.73 (5.88) with a P-value <0.001. Conclusion:: Results suggest that head-mounted gaming home exercises are a viable, effective, additional measure to improve long-term vestibular rehabilitation outcomes. |
| فهرسة مساهمة: | Keywords: Vestibular rehabilitation; head-mounted devices; posturography; video Head Impulse Test; virtual reality |
| تواريخ الأحداث: | Date Created: 20180718 Date Completed: 20190709 Latest Revision: 20190709 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1177/0269215518788598 |
| PMID: | 30012022 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1477-0873 |
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| DOI: | 10.1177/0269215518788598 |