Vestibüler Rehabilitasyonda Sanal Gerçeklik Teknolojisi

Year 2021, Issue: 15, 639 - 645, 31.12.2021

Rumeysa Nur Akbaş

https://doi.org/10.38079/igusabder.999714

Cited By: 2

Abstract

Denge, vücudun ağırlık merkezini destek tabanı üzerinde tutma yeteneğidir. Dengenin sürdürülmesi, santral sinir sisteminin vestibüler, görsel ve proprioseptif sistemlerden gelen duyusal girdiyi koordine ettiği ve bütünleştirdiği karmaşık bir etkileşim ile sağlanır. Bu sistemlerden herhangi biri hasar gördüğünde veya yetersiz kaldığında, bireylerin denge işlevleri belirgin şekilde etkilenir ve baş dönmesine neden olur. Vestibüler bozuklukların tedavisinin temel dayanağı olan vestibüler rehabilitasyon, baş dönmesi, yaşam kalitesinin ve denge kontrolünün iyileşmesine olanak tanır. Vestibüler rehabilitasyon için sanal gerçeklik teknolojisinin kullanılması, daha gerçekçi ve sürükleyici bir ortamın simüle edilmesini sağlar. Bu sayede bireyin ilgisini daha fazla çekerek rehabilitasyona uyumunu artırır. Geleneksel vestibüler rehabilitasyon seanslarının uzun süreli ve maliyetinin yüksek olması, seans sırasında hasta kooperasyonu gerektirmesi gibi dezavantajlarından dolayı başarısızlıkla sonuçlanabilir. Sanal gerçeklik temelli vestibüler rehabilitasyon, geleneksel vestibüler rehabilitasyonun yerini alabilir veya katkıda bulunabilir.  

Keywords

Sanal gerçeklik, vestibüler hastalıklar, rehabilitasyon

Supporting Institution

İstanbul Gelişim Üniversitesi

Virtual Reality Technology in Vestibular Rehabilitation

Abstract

Balance is the body's ability to keep its center of gravity on the base of support. Maintaining balance is achieved through a complex interaction in which the central nervous system coordinates and integrates sensory input from the vestibular, visual and proprioceptive systems. When any of these systems is damaged or insufficient, the balance functions of individuals are significantly affected, causing dizziness. Vestibular rehabilitation, which is the mainstay of the treatment of vestibular disorders, allows to improve dizziness, quality of life and balance control. The use of virtual reality technology for vestibular rehabilitation allows simulating a more realistic and immersive environment. In this way, it attracts more attention of the individual and increases his/her adaptation to rehabilitation. Traditional vestibular rehabilitation sessions may fail due to their disadvantages such as being long and costly and requiring patient cooperation during the session. Virtual reality-based vestibular rehabilitation can replace or add to traditional vestibular rehabilitation.

Keywords

Virtual reality, vestibular diseases, rehabilitation

References

• Khan S, Chang R. Anatomy of the vestibular system: A Review. Neurorehabilitation, 2013;32(3):437-443. https://doi.org/10.3233/NRE-130866.
• Smith PF. The vestibular system and cognition. Current Opinion in Neurology. 2017;30(1):84-89. https://doi.org/10.1097/WCO.0000000000000403.
• Tascioglu AB. Brief review of vestibular system anatomy and its higher order projections. Neuroanatomy. 2005;4:24-27.
• Bispo AS, Silva LS, Pinto MVM, Baraúna MA, Silva CM, Costa DA. Vestibular system and postural control. https://www.efdeportes.com/efd149/vestibular-system-and-postural-control.htm. Published October 2010.
• Fernandez L, Breinbauer HA, Delano PH. Vertigo and dizziness in the elderly. Frontiers in Neurology. 2015;6:144-150. https://doi.org/10.3389/fneur.2015.00144
• Bergeron M, Lortie CL, Guitton MJ. Use of virtual reality tools for vestsis. Advances in Medicine. 2015;1-9. https://doi.org/10.1155/2015/916735.
• Ardıç FN. Vertigo. 2. baskı. İstanbul: US Akademi; 2019.
• Miziara OC, Oliveira VR, Gasparini ALP, et al. Virtual reality in vestibular rehabilitation: a pilot study. International Journal of Therapy and Rehabilitation. 2019;26(7):1-13. https://doi.org/10.12968/ijtr.2018.0056.
• Marioni G, Fermo S, Zanon D, Broi N, Staffieri A. Early rehabilitation for unilateral peripheral vestibular disorders: A prospective, randomized investigation using computerized posturography. European Archives of Oto-Rhino-Laryngology. 2013;270(2):425-435. https://doi.org/10.1007/s00405-012-1944-4.
• Micarelli A, Viziano A, Bruno E, Micarelli E, Augimeri I, Alessandrini M. Gradient impact of cognitive decline in unilateral vestibular hypofunction after rehabilitation: preliminary findings. European Archives of Oto-Rhino-Laryngology. 2018;275(10):2457-2465. https://doi.org/10.1007/s00405-018-5109-y .
• Viziano A, Micarelli A, Augimeri I, Micarelli D, Alessandrini M. 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. Clinical Rehabilitation. 2019;33(1):24-33. https://doi.org/10.1177/0269215518788598.
• Hsu SY, Fang TY, Yeh SC, Su MC, Wang PC, Wang VY. Three dimensional, virtual reality vestibular rehabilitation for chronic imbalance problem caused by ménière’s disease: a pilot study. Disability and Rehabilitation. 2017;39(16):1601-1606. https://doi.org/10.1080/09638288.2016.1203027.
• Micarelli A, Viziano A, Augimeri I, Micarelli D, Alessandrini M. Three-dimensional head-mounted gaming task procedure maximizes effects of vestibular rehabilitation in unilateral vestibular hypofunction: A randomized controlled pilot trial. International Journal of Rehabilitation Research. 2017;40(4):325-332. https://doi.org/10.1097/MRR.0000000000000244.
• Park JH, Jeon HJ, Lim EC, et al. Feasibility of eye tracking assisted vestibular rehabilitation strategy using immersive virtual reality. Clinical and Experimental Otorhinolaryngology. 2019;12(4):376-384. https://doi.org/10.21053/ceo.2018.01592.
• Scherer M, Schubert MC. High-velocity angular vestibulo-ocular reflex adaptation to position error signals. Journal of Neurologic Physical Therapy. 2010;34(2):82-76. https://doi.org/10.1097/NPT.0b013e3181dde7bc.
• Bush ML, Dougherty W. Assessment of vestibular rehabilitation therapy training and practice patterns. Journal of Community Health. 2015;40(4):802-807. https://doi.org/10.1007/s10900-015-0003-7.
• Valentina M, Ana Š, Valentina M, Martina Š, Željka K, Mateja, Z. Virtual reality in rehabilitation and therapy. Acta Clinica Croatica. 2013; 52(4):453-457.
• Meldrum D, Herdman S, Vance R, et al. Effectiveness of conventional versus virtual reality–based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 2015;96(7):1319-1328. https://doi.org/10.1016/j.apmr.2015.02.032.
• Rosiak O, Krajewski K, Woszczak M, Jozefowicz-Korczynska M. Evaluation of the effectiveness of a virtual reality-based exercise program for unilateral peripheral vestibular deficit. Journal of Vestibular Research. 2018;28(5-6):409-415. https://doi.org/ 10.3233/VES-180647.
• Lányi CS. Virtual reality in healthcare. In: N. Ichalkaranje, A. Ichalkaranje, eds. Intelligent Paradigms for Assistive and Preventive Healthcare. Berlin, Heidelberg: Springer; 2006:87-116. https://www.researchgate.net/publication/225733524_Virtual_Reality_in_Healthcare. https://doi.org/10.1007/11418337_3.
• Dennison MS, Wisti AZ, D’Zmura M. Use of physiological signals to predict cybersickness. Displays. 2016;44(1):42-52. https://doi.org/10.1016/j.displa.2016.07.002 .
• Xie M, Zhou K, Patro N, et al. Virtual Reality for vestibular rehabilitation: A systematic review. Otology & Neurotology. 2021;42(7):967-977. https://doi.org/10.1097/MAO.0000000000003155.
• Zeigelboim BS, José MR, Santos GJBD, et al. Balance rehabilitation with a virtual reality protocol for patients with hereditary spastic paraplegia: Protocol for a clinical trial. PLOS ONE. 2021;16(4). https://doi.org/10.1371/journal.pone.0249095.
• Alahmari KA, Sparto PJ, Marchetti GF. Comparison of virtual reality based therapy with customized vestibular physical therapy for the treatment of vestibular disorders. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2013;22(2):389-399. https://doi.org/10.1109/TNSRE.2013.2294904.
• Chen PY, Hsieh WL, Wei SH, Kao CL. Interactive wiimote gaze stabilization exercise training system for patients with vestibular hypofunction. Journal of NeuroEngineering and Rehabilitation. 2012;9(1):77. https://doi.org/10.1186/1743-0003-9-77.
• Van KG, Mert A, De Ru JA. Treatment of vertigo and postural instability using visual illusions. The Journal of Laryngology & Otology. 2014;128(11):1005–1007. https://doi.org/10.1017/S0022215114002254.
• Burns MK, Andeway K, Eppenstein P, Ruroede K. Use of the wii gaming system for balance rehabilitation: Establishing parameters for healthy individuals. Games For Health Journal. 2014;3(3):179-183. https://doi.org/10.1089/g4h.2013.0067.
• Sparrer I, Duong Dinh, TA, Ilgner J, Westhofen M. Vestibular rehabilitation using the nintendo® wii balance board - a user-friendly alternative for central nervous compensation. Acta Oto-Laryngologica. 2013;133(3):239–245. https://doi.org/10.3109/00016489.2012.732707.
• Tabanfar R, Chan HH, Lin V, Le T, Irish, JC. Development and face validation of a virtual reality epley maneuver system (VREMS) for home epley treatment of benign paroxysmal positional vertigo: A randomized, controlled trial. American Journal of Otolaryngology 2018;39(2):184-191. https://doi.org/10.1016/j.amjoto.2017.11.006.