Evaluation of the effectiveness of a Virtual Reality-based exercise program for Unilateral Peripheral Vestibular Deficit.
Evaluation of the effectiveness of a Virtual Reality-based exercise program for Unilateral Peripheral Vestibular Deficit.
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DOI：
10.3233/ves-180647
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发表时间：
2018
影响因子：
2.3
通讯作者：
Jozefowicz-Korczynska, Magdalena
中科院分区：
文献类型：
--
作者：
Rosiak, Oskar;Krajewski, Krzysztof;Woszczak, Marek;Jozefowicz-Korczynska, Magdalena
最近，虚拟现实 (VR) 治疗中引入了两种类型的运动传感器：运动跟踪器和测力板平台。结合这两种方法可以产生更好的康复效果。此类设备包括运动跟踪器和力平台，被称为“混合”VR 单元。 为了评估基于低成本混合 VR 的前庭康复计划的有效性，我们进行了一项前瞻性、非随机、对照组研究，比较了对外周前庭功能障碍患者使用混合 VR 装置（第 1 组 n = 25）与带有视觉反馈的静态姿势描记法（第 2 组 n = 25）进行的训练。受试者在 10 天内接受了 10 次训练（30 分钟）。所有患者在康复开始时和康复后 1 个月都在姿势描记平台上进行了检查，并完成了眩晕症状量表 - 简表 (VSS-SF) 问卷。两组的姿势参数均有所改善，具有统计学意义，但比较两组之间的结果时，没有发现差异。患者报告 VSS-SF 量表对症状的主观感知有所改善，这在两组中均具有统计学意义，但在 VR 组中更大。 两种方法都可以减少姿势摇摆，但 VR 组的症状主观减轻程度更大。
Recently, two types of movement sensors have been introduced into Virtual Reality (VR) therapy: motion trackers and force-plate platforms. Combining these two methods could produce better rehabilitation outcomes. Such devices, encompassing motion trackers and force platforms, are referred to as “hybrid” VR units. To assess the effectiveness of a low-cost hybrid VR based vestibular rehabilitation program A prospective, non-randomized, controlled group study comparing training using a hybrid VR unit (Group 1 n = 25) vs. static posturography with visual feedback (Group 2 n = 25) in patients with peripheral vestibular dysfunction was conducted. The subjects underwent 10 training sessions over 10 days (30 minute sessions). All were examined on a posturography platform at the start and 1 month after rehabilitation and completed the Vertigo Symptom Scale – Short Form (VSS-SF) questionnaire. Both groups demonstrated improvement in posturographic parameters, which were statistically significant, but when comparing results between both groups there were no differences. The patients reported improvement in their subjective perception of symptoms on the VSS-SF scale, which were statistically significant in both groups, but greater in the VR group. Both methods reduce postural sway, however subjective reduction of symptoms was greater in the VR group.