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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...
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| Published in: | Clinical rehabilitation 2019-01, Vol.33 (1), p.24-33 |
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| cites | cdi_FETCH-LOGICAL-c431t-3628d6347a7a899571b45aa07f61cf9e0c900c3f714d33721f3214a22f91a7b43 |
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| container_title | Clinical rehabilitation |
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| creator | Viziano, Andrea Micarelli, Alessandro Augimeri, Ivan Micarelli, Domenico Alessandrini, Marco |
| description | 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 |
| doi_str_mv | 10.1177/0269215518788598 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2071570948</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0269215518788598</sage_id><sourcerecordid>2071570948</sourcerecordid><originalsourceid>FETCH-LOGICAL-c431t-3628d6347a7a899571b45aa07f61cf9e0c900c3f714d33721f3214a22f91a7b43</originalsourceid><addsrcrecordid>eNp1kUuLFDEUhYMoTs_o3pUE3LgpzU2qKlXuZNBRaHCj6-J2KunOmEraPEbGn-UvNEWPDwZcJXDO_c69HEKeAXsFIOVrxvuRQ9fBIIehG4cHZAOtlA0bpHhINqvcrPoZOU_pmjE28BYekzPBGHDG-Yb83Aa_b7KOC9XGaJUTDYbe6JTtrjiMNOoD7qyzGbMNnqKf6UHj3Cyh-KxnusfF-j3NmL7SYwxKzyVqaj0t3jqsYHT_4g63x2CKVyvsDUUKvJJ8PlATnAvfm3Jc85HGGhQW-6MmqKrHqtZvjhbdE_LIoEv66d17Qb68f_f58kOz_XT18fLttlGtgNyIng9zL1qJEodx7CTs2g6RSdODMqNmamRMCSOhnYWQHIzg0CLnZgSUu1ZckJcnbj3rW6knTItNSjuHXoeSJs4kdJKN7VCtL-5Zr0OJvm43ceihZ1yKFchOLhVDSlGb6RjtgvF2AjatfU73-6wjz-_AZbfo-c_A7wKroTkZEu7139T_An8BqtOp7Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2161602734</pqid></control><display><type>article</type><title>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</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE</source><creator>Viziano, Andrea ; Micarelli, Alessandro ; Augimeri, Ivan ; Micarelli, Domenico ; Alessandrini, Marco</creator><creatorcontrib>Viziano, Andrea ; Micarelli, Alessandro ; Augimeri, Ivan ; Micarelli, Domenico ; Alessandrini, Marco</creatorcontrib><description>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.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215518788598</identifier><identifier>PMID: 30012022</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>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</subject><ispartof>Clinical rehabilitation, 2019-01, Vol.33 (1), p.24-33</ispartof><rights>The Author(s) 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-3628d6347a7a899571b45aa07f61cf9e0c900c3f714d33721f3214a22f91a7b43</citedby><cites>FETCH-LOGICAL-c431t-3628d6347a7a899571b45aa07f61cf9e0c900c3f714d33721f3214a22f91a7b43</cites><orcidid>0000-0002-6413-1785</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30978,79110</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30012022$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Viziano, Andrea</creatorcontrib><creatorcontrib>Micarelli, Alessandro</creatorcontrib><creatorcontrib>Augimeri, Ivan</creatorcontrib><creatorcontrib>Micarelli, Domenico</creatorcontrib><creatorcontrib>Alessandrini, Marco</creatorcontrib><title>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</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>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.</description><subject>Adult</subject><subject>Aged</subject><subject>Clinical trials</subject><subject>Deviation</subject><subject>Dizziness</subject><subject>Evidence-based medicine</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fourier transforms</subject><subject>Gait</subject><subject>Humans</subject><subject>Long term</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Power</subject><subject>Questionnaires</subject><subject>Reflex, Vestibulo-Ocular - physiology</subject><subject>Rehabilitation</subject><subject>Self Report</subject><subject>Time Factors</subject><subject>Vestibular Diseases - physiopathology</subject><subject>Vestibular Diseases - rehabilitation</subject><subject>Video Games</subject><subject>Virtual Reality</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kUuLFDEUhYMoTs_o3pUE3LgpzU2qKlXuZNBRaHCj6-J2KunOmEraPEbGn-UvNEWPDwZcJXDO_c69HEKeAXsFIOVrxvuRQ9fBIIehG4cHZAOtlA0bpHhINqvcrPoZOU_pmjE28BYekzPBGHDG-Yb83Aa_b7KOC9XGaJUTDYbe6JTtrjiMNOoD7qyzGbMNnqKf6UHj3Cyh-KxnusfF-j3NmL7SYwxKzyVqaj0t3jqsYHT_4g63x2CKVyvsDUUKvJJ8PlATnAvfm3Jc85HGGhQW-6MmqKrHqtZvjhbdE_LIoEv66d17Qb68f_f58kOz_XT18fLttlGtgNyIng9zL1qJEodx7CTs2g6RSdODMqNmamRMCSOhnYWQHIzg0CLnZgSUu1ZckJcnbj3rW6knTItNSjuHXoeSJs4kdJKN7VCtL-5Zr0OJvm43ceihZ1yKFchOLhVDSlGb6RjtgvF2AjatfU73-6wjz-_AZbfo-c_A7wKroTkZEu7139T_An8BqtOp7Q</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Viziano, Andrea</creator><creator>Micarelli, Alessandro</creator><creator>Augimeri, Ivan</creator><creator>Micarelli, Domenico</creator><creator>Alessandrini, Marco</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6413-1785</orcidid></search><sort><creationdate>20190101</creationdate><title>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</title><author>Viziano, Andrea ; Micarelli, Alessandro ; Augimeri, Ivan ; Micarelli, Domenico ; Alessandrini, Marco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-3628d6347a7a899571b45aa07f61cf9e0c900c3f714d33721f3214a22f91a7b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Clinical trials</topic><topic>Deviation</topic><topic>Dizziness</topic><topic>Evidence-based medicine</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fourier transforms</topic><topic>Gait</topic><topic>Humans</topic><topic>Long term</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Power</topic><topic>Questionnaires</topic><topic>Reflex, Vestibulo-Ocular - physiology</topic><topic>Rehabilitation</topic><topic>Self Report</topic><topic>Time Factors</topic><topic>Vestibular Diseases - physiopathology</topic><topic>Vestibular Diseases - rehabilitation</topic><topic>Video Games</topic><topic>Virtual Reality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Viziano, Andrea</creatorcontrib><creatorcontrib>Micarelli, Alessandro</creatorcontrib><creatorcontrib>Augimeri, Ivan</creatorcontrib><creatorcontrib>Micarelli, Domenico</creatorcontrib><creatorcontrib>Alessandrini, Marco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Viziano, Andrea</au><au>Micarelli, Alessandro</au><au>Augimeri, Ivan</au><au>Micarelli, Domenico</au><au>Alessandrini, Marco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>33</volume><issue>1</issue><spage>24</spage><epage>33</epage><pages>24-33</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>30012022</pmid><doi>10.1177/0269215518788598</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6413-1785</orcidid></addata></record> |
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| identifier | ISSN: 0269-2155 |
| ispartof | Clinical rehabilitation, 2019-01, Vol.33 (1), p.24-33 |
| issn | 0269-2155 1477-0873 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2071570948 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE |
| 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 |
| title | 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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