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

Yıl 2024, Cilt: 7 Sayı: 6, 1322 - 1328

G.vaishnavi Giridharan , Jibi Paul Prathap Suganthirababu C.v. Senthil Nathan

https://doi.org/10.33438/ijdshs.1533155

Öz

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.

Anahtar Kelimeler

cervicogenic dizziness, virtual reality, kinesthetic sensibility, videonystagmography

Kaynakça

• 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]