Vestibular rehabilitation with virtual reality in Ménière's disease |
| |
| Authors: | Adriana Pontin Garcia Mauricio Malavasi Ganança Flávia Salvaterra Cusin Andreza Tomaz Fernando Freitas Ganança Heloisa Helena Caovilla |
| |
| Institution: | 1. PhD in Sciences at the Graduate Program on Human Communication Disorders of the Federal University of São Paulo - Paulista Medical School (UNIFESP-EPM). (Professor in the Speech and Hearing Therapy Program at FMU).;2. Full Professor of Otorhinolaryngology at UNIFESP-EPM.;3. MSc in Sciences at the Graduate Program on Human Communication Disorders at UNIFESP-EPM; Speech and Hearing Therapist. (Professor in the Speech and Hearing Therapy at Faculdade Metropolitana Unida - FMU).;4. MSc in Sciences in the Graduate Program on Human Communication Disorders at UNIFESP-EPM (PhD student in Sciences at the UNIFESP-EPM Graduate Program on Human Communication Disorders).;5. Post-doctoral degree in Medicine at UNIFESP-EPM (Adjunct Professor in the Otoneurology Course in the Department of Otorhinolaryngology and Head and Neck Surgery at UNIFESP-EPM).;6. Senior Associate Professor in the Course of Otology and Otoneurology at UNIFESP-EPM. Course of Otology and Otoneurology - UNIFESP-EPM. |
| |
| Abstract: | Virtual reality technology can provide a wide range of sensory stimuli to generate conflicts of varying degrees of complexity in a safe environment.ObjectiveTo verify the effect of a virtual reality-based balance rehabilitation program for patients with Menière's disease.MethodThis observational clinical study included 44 patients aged between 18 and 60 years diagnosed with Menière's disease submitted to a controlled randomized therapeutic intervention. The case and control groups took betahistine and followed a diet. Case group subjects underwent 12 rehabilitation sessions with virtual reality stimuli in a Balance Rehabilitation Unit (BRU?). Patients were assessed based on DHI scores, the dizziness visual analogue scale, and underwent posturography with virtual reality before and after the intervention.ResultsAfter the intervention, the case group showed significantly lower scores in DHI (p < 0.001) and in the dizziness visual analog scale (p = 0.012), and had significantly greater limit of stability areas (p = 0.016) than controls.ConclusionVirtual reality-based balance rehabilitation effectively improved dizziness, quality of life, and limit of stability of patients with Menière's disease. |
| |
| Keywords: | dizziness Ménière disease rehabilitation |
| 本文献已被 ScienceDirect 等数据库收录！ |
