PDF(Pubmed)
Abstract：
BACKGROUND: To examine the effectiveness of 3D (dimensional)-vestibular rehabilitation therapy (VRT) on gait, balance problems, processing time speed and subjective complaints in patients with Benign Paroxysmal Positional Vertigo (BPPV) compared to a control group (CG). This study aimed to test the feasibility of virtual reality-based 3D exergaming conjunction with vestibular rehabilitation.
METHODS: Twenty-two patients with BPPV (negative DixHallpike/Roll test results, existing dizziness/balance complaints) were randomly allocated to the study group (SG, n:11 3D-VRT) or Control group (CG n:11, no exercise-rehabilitation) for 8 week. The SG performed 3D-VRT for 45 to 50 min/d, 3 times/wk, and the CG did receive only Canalith Repositioning Maneuver (CRM). CRM was applied in both groups before the study. Outcome measures included 10-Meter-Walk-Test (10-MWT) (with/without head turns), Dynamic Gait Index (DGI), Choice-Stepping-Reaction-Time-ped (CSRT-MAT), Fullerton Advanced Balance Scale (FAB), and Visual Analog Scale (VAS).
RESULTS: The SG showed significantly improvement in 10-MWT without (p5 = 0.00,η2 = 0.49), with horizontal (p5 = 0.00,η2 = 0.57),vertical (p5 = 0.01,η2 = 0.48) head turns, DGI (p5 = 0.00,η2 = 0.74), CSRT-MAT, FAB (p5 = 0.00,η2 = 0.78) and VAS-dizziness (p5 = 0.00,η2 = 0.65), VAS-balance problem (p5 = 0.00,η2 = 0.43), VAS-fear of falling (p5 = 0.00,η2 = 0.42) compared to the CG.
CONCLUSIONS: The 3D-VRT were effective in improving gait, balance, processing speed and resolving the subjective complaints in BPPV. The 3D-VRT method is feasible for patients who suffer from residual dizziness or balance complaints after CRM. Furthermore, the 3D-VRT is more accessible and less expensive than other virtual reality applications, which may facilitate further research or clinical use.
METHODS: Twenty-two patients with BPPV (negative DixHallpike/Roll test results, existing dizziness/balance complaints) were randomly allocated to the study group (SG, n:11 3D-VRT) or Control group (CG n:11, no exercise-rehabilitation) for 8 week. The SG performed 3D-VRT for 45 to 50 min/d, 3 times/wk, and the CG did receive only Canalith Repositioning Maneuver (CRM). CRM was applied in both groups before the study. Outcome measures included 10-Meter-Walk-Test (10-MWT) (with/without head turns), Dynamic Gait Index (DGI), Choice-Stepping-Reaction-Time-ped (CSRT-MAT), Fullerton Advanced Balance Scale (FAB), and Visual Analog Scale (VAS).
RESULTS: The SG showed significantly improvement in 10-MWT without (p5 = 0.00,η2 = 0.49), with horizontal (p5 = 0.00,η2 = 0.57),vertical (p5 = 0.01,η2 = 0.48) head turns, DGI (p5 = 0.00,η2 = 0.74), CSRT-MAT, FAB (p5 = 0.00,η2 = 0.78) and VAS-dizziness (p5 = 0.00,η2 = 0.65), VAS-balance problem (p5 = 0.00,η2 = 0.43), VAS-fear of falling (p5 = 0.00,η2 = 0.42) compared to the CG.
CONCLUSIONS: The 3D-VRT were effective in improving gait, balance, processing speed and resolving the subjective complaints in BPPV. The 3D-VRT method is feasible for patients who suffer from residual dizziness or balance complaints after CRM. Furthermore, the 3D-VRT is more accessible and less expensive than other virtual reality applications, which may facilitate further research or clinical use.
摘要：
背景：为了检查3D（维度）前庭康复治疗（VRT）对步态的有效性，平衡问题,与对照组（CG）相比，良性阵发性位置性眩晕（BPPV）患者的处理时间速度和主观主诉。本研究旨在测试基于虚拟现实的3D游戏与前庭康复的可行性。
方法：22例BPPV患者（DixHallpike/Roll试验结果阴性，现有的头晕/平衡投诉)随机分配到研究组(SG，n：113D-VRT）或对照组（CGn：11，无运动康复），为期8周。SG执行3D-VRT45至50分钟/天，3次/周，CG确实只收到了Canalith重新定位机动（CRM）。研究前两组均采用CRM。结果测量包括10米步行测试(10-MWT)(有/没有头转弯),动态步态指数(DGI)选择步进反应时间(CSRT-MAT)，富勒顿高级平衡秤（FAB），和视觉模拟量表(VAS)。
结果：SG在没有（p5=0.00，η2=0.49）的情况下显示出10-MWT的显着改善，水平（p5=0.00，η2=0.57），垂直(p5=0.01，η2=0.48)头转弯，DGI(p5=0.00,η2=0.74),CSRT-MAT,FAB（p5=0.00，η2=0.78）和VAS-头晕（p5=0.00，η2=0.65），VAS平衡问题(p5=0.00，η2=0.43)，VAS-与CG相比对跌倒的恐惧(p5=0.00,η2=0.42)。
结论：3D-VRT可有效改善步态，balance,处理速度和解决BPPV中的主观投诉。3D-VRT方法对于CRM后残留头晕或平衡不适的患者是可行的。此外，3D-VRT比其他虚拟现实应用程序更易于访问且更便宜，这可能有助于进一步的研究或临床使用。
方法：22例BPPV患者（DixHallpike/Roll试验结果阴性，现有的头晕/平衡投诉)随机分配到研究组(SG，n：113D-VRT）或对照组（CGn：11，无运动康复），为期8周。SG执行3D-VRT45至50分钟/天，3次/周，CG确实只收到了Canalith重新定位机动（CRM）。研究前两组均采用CRM。结果测量包括10米步行测试(10-MWT)(有/没有头转弯),动态步态指数(DGI)选择步进反应时间(CSRT-MAT)，富勒顿高级平衡秤（FAB），和视觉模拟量表(VAS)。
结果：SG在没有（p5=0.00，η2=0.49）的情况下显示出10-MWT的显着改善，水平（p5=0.00，η2=0.57），垂直(p5=0.01，η2=0.48)头转弯，DGI(p5=0.00,η2=0.74),CSRT-MAT,FAB（p5=0.00，η2=0.78）和VAS-头晕（p5=0.00，η2=0.65），VAS平衡问题(p5=0.00，η2=0.43)，VAS-与CG相比对跌倒的恐惧(p5=0.00,η2=0.42)。
结论：3D-VRT可有效改善步态，balance,处理速度和解决BPPV中的主观投诉。3D-VRT方法对于CRM后残留头晕或平衡不适的患者是可行的。此外，3D-VRT比其他虚拟现实应用程序更易于访问且更便宜，这可能有助于进一步的研究或临床使用。
