Use of Virtual Reality Tools for Vestibular Disorders Rehabilitation: A Comprehensive Analysis.
Use of Virtual Reality Tools for Vestibular Disorders Rehabilitation: A Comprehensive Analysis.
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DOI：
10.1155/2015/916735
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发表时间：
2015
影响因子：
--
通讯作者：
Guitton MJ
中科院分区：
文献类型：
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作者：
Bergeron M;Lortie CL;Guitton MJ
经典的外周前庭障碍康复是一个漫长而昂贵的过程。虽然虚拟现实设置已被多次建议为帮助康复过程的可能工具，但迄今为止还没有进行过系统的研究。我们系统地回顾了当前的文献，分析了已发表的记录使用虚拟现实环境进行外周前庭疾病康复的协议。有一个重要的多样性的设置和协议，涉及虚拟现实设置治疗这种病理。对症状的评估往往没有标准化。然而，我们的研究结果揭示了基于虚拟现实设置的患者症状康复的明显效果，通过DHI（平均降低27分）等客观工具进行评估，将症状障碍感知从中度改变为轻度影响生活。此外，我们发现了暴露于虚拟现实环境的持续时间与治疗效果的大小之间的关系，这表明虚拟现实治疗应该持续至少150分钟的累积暴露，以确保积极的结果。虚拟现实为患者提供了舒适和安全的环境。未来的研究应该标准化评估工具，进一步记录假定的副作用，比较虚拟现实和传统的物理治疗，并评估这些策略的经济成本/效益。
Classical peripheral vestibular disorders rehabilitation is a long and costly process. While virtual reality settings have been repeatedly suggested to represent possible tools to help the rehabilitation process, no systematic study had been conducted so far. We systematically reviewed the current literature to analyze the published protocols documenting the use of virtual reality settings for peripheral vestibular disorders rehabilitation. There is an important diversity of settings and protocols involving virtual reality settings for the treatment of this pathology. Evaluation of the symptoms is often not standardized. However, our results unveil a clear effect of virtual reality settings-based rehabilitation of the patients' symptoms, assessed by objectives tools such as the DHI (mean decrease of 27 points), changing symptoms handicap perception from moderate to mild impact on life. Furthermore, we detected a relationship between the duration of the exposure to virtual reality environments and the magnitude of the therapeutic effects, suggesting that virtual reality treatments should last at least 150 minutes of cumulated exposure to ensure positive outcomes. Virtual reality offers a pleasant and safe environment for the patient. Future studies should standardize evaluation tools, document putative side effects further, compare virtual reality to conventional physical therapy, and evaluate economical costs/benefits of such strategies.