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Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo

Year 2024, , 1322 - 1328, 25.11.2024
https://doi.org/10.33438/ijdshs.1533155

Abstract

This study was aimed to investigate the therapeutic impact of Virtual Reality game-based exercises with Epley maneuver on cervicocephalic kinesthetic sensibility in individuals experiencing cervical vertigo. 8 subjects were selected by simple random sampling method included clinically diagnosed male and female cervical vertigo patients between 40-55 years of age, who had recurring symptom of dizziness over three months, episodic dizziness lasting minutes to hours .Written consent was taken and a detailed outcome assessment was done.Intervention includes Virtual Reality abyss sharks & sea worlds for a duration of 10 minutes with a five-minute rest period and Virtual Reality thrills, for a duration of 10 minutes with a five-minute rest period along with epley maneuver 10 minutes targeting cervicocephalic kinesthetic sensibility.Total duration of the intervention includes 40min/day for 6 days for 12 weeks. Pre test included Cervical Joint Position Error Test for cervicocephalic kinesthetic sensibility and Videonystagmography measures nystagmus, rapid eye movements with a slow and fast phase, to provide objective information about vertigo. Post test done on 6th and 12th week of intervention with the same measures. On comparing pre- and post-intervention outcomes shows higher mean value (P≤0.001).In conclusion the findings of this study had the potential to contribute valuable insights into the therapeutic utility of Virtual Reality game-based exercises in managing cervical vertigo, offering a novel and engaging approach to rehabilitation. Virtual Reality-based interventions is found effective treatment for individuals battling cervicocephalic kinesthetic sensibility among patients with cervical vertigo.

References

  • Adamovich, S.V., Fluet, G.G., Tunik, E., Merians, A.S. (2009). Sensorimotor training in Virtual Reality: a review. NeuroRehabilitation, 25(1):29–44. [Pubmed]
  • Brandt, T, Bronstein, A.M. (2001). Cervical vertigo. J Neurol Neurosurg Psychiatry, 71(1): 8–12. [Pubmed] Chu, E.C., Chin, W.L., Bhaumik, A. Cervicogenic dizziness s. (2019). Oxford Med Case Reports,9;2019(12):109.[ Pubmed]
  • Chi-Tam Nguyen; Mark Basso. Epley Maneuver. StatPearls,2022 oct
  • Gabriele Noreikaite., Ryan Winters., Carl Shermetaro. (2024). VNG/ENGTesting. StatPearls, [Pubmed]
  • Holden, M.K. (2005). Virtual environments for motor rehabilitation: review. Cyberpsychol Behav, 8(2):187–211.
  • Li, A., Montano, Z., Chen, V.J., Gold, J.I. (2011). Virtual Reality and pain management: current trends and future directions. Pain Manag,1(2):147–157. [Pubmed]
  • Li, Y., Peng, B. (2015). Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo. Pain Physician, 18:E583–E595. [Pubmed]
  • Jull, G., Falla, D., Treleaven, J., Hodges, P., Vicenzino, B.(2007) Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res, 25(3):404–412. [Pubmed]
  • Malloy, K.M., Milling, L.S. (2010). The effectiveness of Virtual Reality distraction for pain reduction: a systematic review. Clin Psychol Rev, 30(8):1011–1018.[ Pubmed]
  • Mahrer, N.E., Gold, J.I. (2009). The use of Virtual Reality for pain control: a review. Curr Pain Headache Rep, 13(2):100–109. [Pubmed]
  • Reiley, A.S., Vickory, F.M., Funderburg, S.E., Cesario, R.A., Clendaniel, R.A. ( 2017). How to diagnose cervicogenic dizziness. Arch Physiother,1;7:12. [Pubmed]
  • Revel, M., Minguet, M., Gregoy, P., Vaillant J., Manuel, J.L. (1994). Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil,75(8):895–899. [Pubmed]
  • Rix, G.D., Bagust, J. (2001). Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Arch Phys Med Rehabil,82(7):911–919.[ Pubmed]
  • Sarig Bahat, H., Croft, K., Carter, C., Hoddinott, A., Sprecher, E., Treleaven, J. (2018). Remote kinematic training for patients with chronic neck pain: a randomised controlled trial. Eur Spine J. 27(6):1309–1323. [Pubmed]
  • Stankiewicz, T., Gujski, M., Niedzielski, A.,Chmielik, L.P. (2021) Virtual Reality Vestibular Rehabilitation in 20 Patients with Vertigo Due to Peripheral Vestibular Dysfunction .Med Sci Monit, 31:26:e930182. [ Pubmed]
  • Sung, Y.H. (2020). Upper cervical spine dysfunction and dizziness. J Exerc Rehabil, 16(5):467–470. [Pubmed]
  • Treleaven,J. (2008). Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther,13(1):2–11. [Pubmed]
  • Takahashi, S. (2018). Importance of cervicogenic general dizziness. J Rural Med, 13:48–56. [Pubmed]
  • Wrisley, D.M., Sparto, P.J., Whitney, S.L, Furman JM. (2000). Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther, 30(12):755–766. [Pubmed]
  • Wah, SW., Puntumetakul, R., Boucaut, R. (2021). Effects of Proprioceptive and Craniocervical Flexor Training on Static Balance in University Student Smartphone Users with Balance Impairment: A Randomized Controlled Trial. J Pain Res, 25:14:1935-1947. [Pubmed]
  • Vincent, A., van Vugt., Johannes, C., van der Wouden., Rosie Essery., Lucy Yardley., Jos W. R Twisk., Henriette, E., van der Horst., Otto R Maarsingh. (2019). Internet based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice: three armed randomised controlled trial. BMJ, 5:367:l5922. [Pubmed]
Year 2024, , 1322 - 1328, 25.11.2024
https://doi.org/10.33438/ijdshs.1533155

Abstract

References

  • Adamovich, S.V., Fluet, G.G., Tunik, E., Merians, A.S. (2009). Sensorimotor training in Virtual Reality: a review. NeuroRehabilitation, 25(1):29–44. [Pubmed]
  • Brandt, T, Bronstein, A.M. (2001). Cervical vertigo. J Neurol Neurosurg Psychiatry, 71(1): 8–12. [Pubmed] Chu, E.C., Chin, W.L., Bhaumik, A. Cervicogenic dizziness s. (2019). Oxford Med Case Reports,9;2019(12):109.[ Pubmed]
  • Chi-Tam Nguyen; Mark Basso. Epley Maneuver. StatPearls,2022 oct
  • Gabriele Noreikaite., Ryan Winters., Carl Shermetaro. (2024). VNG/ENGTesting. StatPearls, [Pubmed]
  • Holden, M.K. (2005). Virtual environments for motor rehabilitation: review. Cyberpsychol Behav, 8(2):187–211.
  • Li, A., Montano, Z., Chen, V.J., Gold, J.I. (2011). Virtual Reality and pain management: current trends and future directions. Pain Manag,1(2):147–157. [Pubmed]
  • Li, Y., Peng, B. (2015). Pathogenesis, Diagnosis, and Treatment of Cervical Vertigo. Pain Physician, 18:E583–E595. [Pubmed]
  • Jull, G., Falla, D., Treleaven, J., Hodges, P., Vicenzino, B.(2007) Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res, 25(3):404–412. [Pubmed]
  • Malloy, K.M., Milling, L.S. (2010). The effectiveness of Virtual Reality distraction for pain reduction: a systematic review. Clin Psychol Rev, 30(8):1011–1018.[ Pubmed]
  • Mahrer, N.E., Gold, J.I. (2009). The use of Virtual Reality for pain control: a review. Curr Pain Headache Rep, 13(2):100–109. [Pubmed]
  • Reiley, A.S., Vickory, F.M., Funderburg, S.E., Cesario, R.A., Clendaniel, R.A. ( 2017). How to diagnose cervicogenic dizziness. Arch Physiother,1;7:12. [Pubmed]
  • Revel, M., Minguet, M., Gregoy, P., Vaillant J., Manuel, J.L. (1994). Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil,75(8):895–899. [Pubmed]
  • Rix, G.D., Bagust, J. (2001). Cervicocephalic kinesthetic sensibility in patients with chronic, nontraumatic cervical spine pain. Arch Phys Med Rehabil,82(7):911–919.[ Pubmed]
  • Sarig Bahat, H., Croft, K., Carter, C., Hoddinott, A., Sprecher, E., Treleaven, J. (2018). Remote kinematic training for patients with chronic neck pain: a randomised controlled trial. Eur Spine J. 27(6):1309–1323. [Pubmed]
  • Stankiewicz, T., Gujski, M., Niedzielski, A.,Chmielik, L.P. (2021) Virtual Reality Vestibular Rehabilitation in 20 Patients with Vertigo Due to Peripheral Vestibular Dysfunction .Med Sci Monit, 31:26:e930182. [ Pubmed]
  • Sung, Y.H. (2020). Upper cervical spine dysfunction and dizziness. J Exerc Rehabil, 16(5):467–470. [Pubmed]
  • Treleaven,J. (2008). Sensorimotor disturbances in neck disorders affecting postural stability, head and eye movement control. Man Ther,13(1):2–11. [Pubmed]
  • Takahashi, S. (2018). Importance of cervicogenic general dizziness. J Rural Med, 13:48–56. [Pubmed]
  • Wrisley, D.M., Sparto, P.J., Whitney, S.L, Furman JM. (2000). Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther, 30(12):755–766. [Pubmed]
  • Wah, SW., Puntumetakul, R., Boucaut, R. (2021). Effects of Proprioceptive and Craniocervical Flexor Training on Static Balance in University Student Smartphone Users with Balance Impairment: A Randomized Controlled Trial. J Pain Res, 25:14:1935-1947. [Pubmed]
  • Vincent, A., van Vugt., Johannes, C., van der Wouden., Rosie Essery., Lucy Yardley., Jos W. R Twisk., Henriette, E., van der Horst., Otto R Maarsingh. (2019). Internet based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice: three armed randomised controlled trial. BMJ, 5:367:l5922. [Pubmed]
There are 21 citations in total.

Details

Primary Language English
Subjects Physical Medicine and Rehabilitation, Physiotherapy, Rehabilitation
Journal Section Original Article
Authors

G.vaishnavi Giridharan 0000-0002-7174-0685

Jibi Paul This is me 0000-0002-1359-9871

Prathap Suganthirababu This is me 0000-0002-1419-266X

C.v. Senthil Nathan This is me 0000-0001-5152-4400

Early Pub Date November 8, 2024
Publication Date November 25, 2024
Submission Date August 14, 2024
Acceptance Date November 4, 2024
Published in Issue Year 2024

Cite

APA Giridharan, G., Paul, J., Suganthirababu, P., Nathan, C. S. (2024). Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo. International Journal of Disabilities Sports and Health Sciences, 7(6), 1322-1328. https://doi.org/10.33438/ijdshs.1533155
AMA Giridharan G, Paul J, Suganthirababu P, Nathan CS. Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo. International Journal of Disabilities Sports and Health Sciences. November 2024;7(6):1322-1328. doi:10.33438/ijdshs.1533155
Chicago Giridharan, G.vaishnavi, Jibi Paul, Prathap Suganthirababu, and C.v. Senthil Nathan. “Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo”. International Journal of Disabilities Sports and Health Sciences 7, no. 6 (November 2024): 1322-28. https://doi.org/10.33438/ijdshs.1533155.
EndNote Giridharan G, Paul J, Suganthirababu P, Nathan CS (November 1, 2024) Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo. International Journal of Disabilities Sports and Health Sciences 7 6 1322–1328.
IEEE G. Giridharan, J. Paul, P. Suganthirababu, and C. S. Nathan, “Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo”, International Journal of Disabilities Sports and Health Sciences, vol. 7, no. 6, pp. 1322–1328, 2024, doi: 10.33438/ijdshs.1533155.
ISNAD Giridharan, G.vaishnavi et al. “Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo”. International Journal of Disabilities Sports and Health Sciences 7/6 (November 2024), 1322-1328. https://doi.org/10.33438/ijdshs.1533155.
JAMA Giridharan G, Paul J, Suganthirababu P, Nathan CS. Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo. International Journal of Disabilities Sports and Health Sciences. 2024;7:1322–1328.
MLA Giridharan, G.vaishnavi et al. “Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo”. International Journal of Disabilities Sports and Health Sciences, vol. 7, no. 6, 2024, pp. 1322-8, doi:10.33438/ijdshs.1533155.
Vancouver Giridharan G, Paul J, Suganthirababu P, Nathan CS. Unveiling the Therapeutic Impact of Virtual Reality Game-Based Exercises on Cervicocephalic Kinesthetic Sensibility in Individuals Battling Cervical Vertigo. International Journal of Disabilities Sports and Health Sciences. 2024;7(6):1322-8.


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