Three-dimensional head-mounted gaming task procedure maximizes effects of vestibular rehabilitation in unilateral vestibular hypofunction: a randomized controlled pilot trial
Three-dimensional head-mounted gaming task procedure maximizes effects of vestibular rehabilitation in unilateral vestibular hypofunction: a randomized controlled pilot trial
复制标题
DOI：
10.1097/mrr.0000000000000244
复制
发表时间：
2017-12-01
影响因子：
1.7
通讯作者：
Alessandrini, Marco
中科院分区：
文献类型：
--
作者：
Micarelli, Alessandro;Viziano, Andrea;Alessandrini, Marco
考虑到与临床康复中的虚拟现实实现相关的新兴优势，本研究的目的是发现（i）当与经典的前庭康复方案相结合时，使用自我评估的基于头戴式设备（HMD）的游戏程序，单侧前庭功能减退患者可获得的改善（ii）HMD程序相关的副作用。因此，24前庭康复和23匹配的HMD单侧前庭功能减退的个人同时进行了为期4周的康复方案。通过组间/受试者内方差分析模型分析耳神经学测量（通过研究姿势描记参数和身体振荡的光谱值获得前庭眼反射增益和姿势安排）以及表现和自我报告测量（意大利头晕障碍量表;活动特异性平衡信心量表; Zung焦虑障碍量表，动态步态指数;和模拟器疾病问卷）。一个显着的治疗后间效应被发现，HMD组表现出整体改善前庭眼反射增益的病变侧，姿势参数，在低频频谱域，以及在意大利头晕障碍清单和活动特定的平衡信心量表评分。与此同时，模拟器疾病调查问卷分数表明，在HMD程序期间，与实验性家庭游戏任务相关的症状显著减少。我们的研究结果揭示了HMD在前庭康复中的可能优势，表明它是一种创新的，自我评估的，低成本的，顺应性的工具，可用于最大限度地提高前庭康复效果。
Considering the emerging advantages related to virtual reality implementation in clinical rehabilitation, the aim of the present study was to discover possible (i) improvements achievable in unilateral vestibular hypofunction patients using a self-assessed head-mounted device (HMD)-based gaming procedure when combined with a classical vestibular rehabilitation protocol (HMD group) as compared with a group undergoing only vestibular rehabilitation and (ii) HMD procedure-related side effects. Therefore, 24 vestibular rehabilitation and 23-matched HMD unilateral vestibular hypofunction individuals simultaneously underwent a 4-week rehabilitation protocol. Both otoneurological measures (vestibulo-ocular reflex gain and postural arrangement by studying both posturography parameters and spectral values of body oscillation) and performance and self-report measures (Italian Dizziness Handicap Inventory; Activities-specific Balance Confidence scale; Zung Instrument for Anxiety Disorders, Dynamic Gait Index; and Simulator Sickness Questionnaire) were analyzed by means of a between-group/within-subject analysis of variance model. A significant post-treatment between-effect was found, and the HMD group demonstrated an overall improvement in vestibulo-ocular reflex gain on the lesional side, in posturography parameters, in low-frequency spectral domain, as well as in Italian Dizziness Handicap Inventory and Activities-specific Balance Confidence scale scores. Meanwhile, Simulator Sickness Questionnaire scores demonstrated a significant reduction in symptoms related to experimental home-based gaming tasks during the HMD procedure. Our findings revealed the possible advantages of HMD implementation in vestibular rehabilitation, suggesting it as an innovative, self-assessed, low-cost, and compliant tool useful in maximizing vestibular rehabilitation outcomes.