Contextual sensory integration training vs. traditional vestibular rehabilitation: a pilot randomized controlled trial

Journal of NeuroEngineering and Rehabilitation

Research

Zhu Wang¹  Ken Perlin¹  Daphna Harel²  Maura Cosetti³  Sarah Mischinati⁴  Andrew Medlin⁴  Anat V. Lubetzky⁴  Brittani Morris⁴  Santosh Krishnamoorthy⁵  Gene Fu⁵  Jennifer Kelly⁵  John Sutera⁶ 

[1]Computer Science Department, New York University, Courant Institute of Mathematical Sciences, New York, NY, USA

[2]Department of Applied Statistics, Social Science and Humanities, Steinhardt School of Culture Education and Human Development, New York University, New York, NY, USA

[3]Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

[4]Department of Physical Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA

[5]Vestibular Rehabilitation, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA

[6]Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

[7]Vestibular Rehabilitation, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA

[8]Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA

[9]Department of Physical Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA

关键词: Head mounted Display;    HTC Vive;    Balance;    Vestibular Rehabilitation;   

DOI  :  10.1186/s12984-023-01224-6

 received in 2023-03-13, accepted in 2023-07-21,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundWe created a clinical virtual reality application for vestibular rehabilitation. Our app targets contextual sensory integration (C.S.I.) where patients are immersed in safe, increasingly challenging environments while practicing various tasks (e.g., turning, walking). The purpose of this pilot study was to establish the feasibility of a randomized controlled trial comparing C.S.I. training to traditional vestibular rehabilitation.MethodsThirty patients with vestibular dysfunction completed the Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABC), Visual Vertigo Analog Scale (VVAS), Functional Gait Assessment (FGA), Timed-Up-and-Go (TUG), and Four-Square Step Test (FSST). Following initial assessment, the patients were randomized into 8 weeks (once per week in clinic + home exercise program) of traditional vestibular rehabilitation or C.S.I. training. Six patients had to stop participation due to the covid-19 pandemic, 6 dropped out for other reasons (3 from each group). Ten patients in the traditional group and 8 in the C.S.I group completed the study. We applied an intention to treat analysis.ResultsFollowing intervention, we observed a significant main effect of time with no main effect of group or group by time interaction for the DHI (mean difference − 18.703, 95% CI [-28.235, -9.172], p = 0.0002), ABC (8.556, [0.938, 16.174], p = 0.028), VVAS, (-13.603, [-25.634, -1.573], p = 0.027) and the FGA (6.405, [4.474, 8.335], p < 0.0001). No changes were observed for TUG and FSST.ConclusionPatients’ symptoms and function improved following either vestibular rehabilitation method. C.S.I training appeared comparable but not superior to traditional rehabilitation.Trial registrationThis study (NCT04268745) was registered on clincaltrials.gov and can be found at https://clinicaltrials.gov/ct2/show/NCT04268745.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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