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

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: Tertiar...

Full description

Saved in:
Bibliographic Details
Published in:Clinical rehabilitation 2019-01, Vol.33 (1), p.24-33
Main Authors: Viziano, Andrea, Micarelli, Alessandro, Augimeri, Ivan, Micarelli, Domenico, Alessandrini, Marco
Format: Article
Language:English
Subjects:
Adult
Aged
Clinical trials
Deviation
Dizziness
Evidence-based medicine
Exercise Therapy - methods
Female
Follow-Up Studies
Fourier transforms
Gait
Humans
Long term
Male
Middle Aged
Power
Questionnaires
Reflex, Vestibulo-Ocular - physiology
Rehabilitation
Self Report
Time Factors
Vestibular Diseases - physiopathology
Vestibular Diseases - rehabilitation
Video Games
Virtual Reality
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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 
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215518788598