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Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy
Patients with bilateral vestibulopathy (BVP) suffer from postural imbalance during daily life conditions, which in turn leads to a high frequency of falls. Unfortunately, vestibular rehabilitation has only modest and somewhat inconsistent effects in this patient group. Approximately 50% of BVP patie...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452499/ https://www.ncbi.nlm.nih.gov/pubmed/37626575 http://dx.doi.org/10.3390/brainsci13081219 |
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author | Basta, Dietmar Rossi-Izquierdo, Marcos Wonneberger, Kai Brugnera, Cibele Bittar, Roseli Saraiva Moreira Greters, Mário Edvin Ernst, Arne Soto-Varela, Andrés |
author_facet | Basta, Dietmar Rossi-Izquierdo, Marcos Wonneberger, Kai Brugnera, Cibele Bittar, Roseli Saraiva Moreira Greters, Mário Edvin Ernst, Arne Soto-Varela, Andrés |
author_sort | Basta, Dietmar |
collection | PubMed |
description | Patients with bilateral vestibulopathy (BVP) suffer from postural imbalance during daily life conditions, which in turn leads to a high frequency of falls. Unfortunately, vestibular rehabilitation has only modest and somewhat inconsistent effects in this patient group. Approximately 50% of BVP patients show an improved postural control after conventional vestibular rehabilitation training. New and more promising approaches are required. The individualized vibrotactile neurofeedback training (IVNT) in stance and gait conditions has already been described as highly effective in patients with various vestibular disorders. The purpose of the present multicenter study was to determine the efficacy of the IVNT in improving balance, reducing self-perceived disability, and improving gait in patients with confirmed BVP. In total, 22 patients performed the IVNT with the Vertiguard(®) system for 10 daily sessions. The dizziness handicap inventory (DHI), the stance stability score of the sensory organization test (SOT) and the score for everyday life mobility in stance and gait tasks (SBDT) were obtained immediately before and after the rehabilitation training period, as well as 3 and 12 months later. All measures improved significantly after the IVNT. Between 77.3% and 94.4% of patients showed an individual benefit (depending on outcome measure). The effect was not significantly reduced within the follow-up period of 12 months. The results demonstrate a high efficacy of the IVNT for vestibular rehabilitation in BVP patients. |
format | Online Article Text |
id | pubmed-10452499 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104524992023-08-26 Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy Basta, Dietmar Rossi-Izquierdo, Marcos Wonneberger, Kai Brugnera, Cibele Bittar, Roseli Saraiva Moreira Greters, Mário Edvin Ernst, Arne Soto-Varela, Andrés Brain Sci Article Patients with bilateral vestibulopathy (BVP) suffer from postural imbalance during daily life conditions, which in turn leads to a high frequency of falls. Unfortunately, vestibular rehabilitation has only modest and somewhat inconsistent effects in this patient group. Approximately 50% of BVP patients show an improved postural control after conventional vestibular rehabilitation training. New and more promising approaches are required. The individualized vibrotactile neurofeedback training (IVNT) in stance and gait conditions has already been described as highly effective in patients with various vestibular disorders. The purpose of the present multicenter study was to determine the efficacy of the IVNT in improving balance, reducing self-perceived disability, and improving gait in patients with confirmed BVP. In total, 22 patients performed the IVNT with the Vertiguard(®) system for 10 daily sessions. The dizziness handicap inventory (DHI), the stance stability score of the sensory organization test (SOT) and the score for everyday life mobility in stance and gait tasks (SBDT) were obtained immediately before and after the rehabilitation training period, as well as 3 and 12 months later. All measures improved significantly after the IVNT. Between 77.3% and 94.4% of patients showed an individual benefit (depending on outcome measure). The effect was not significantly reduced within the follow-up period of 12 months. The results demonstrate a high efficacy of the IVNT for vestibular rehabilitation in BVP patients. MDPI 2023-08-18 /pmc/articles/PMC10452499/ /pubmed/37626575 http://dx.doi.org/10.3390/brainsci13081219 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Basta, Dietmar Rossi-Izquierdo, Marcos Wonneberger, Kai Brugnera, Cibele Bittar, Roseli Saraiva Moreira Greters, Mário Edvin Ernst, Arne Soto-Varela, Andrés Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy |
title | Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy |
title_full | Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy |
title_fullStr | Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy |
title_full_unstemmed | Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy |
title_short | Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy |
title_sort | individualized vibrotactile neurofeedback training in patients with chronic bilateral vestibulopathy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10452499/ https://www.ncbi.nlm.nih.gov/pubmed/37626575 http://dx.doi.org/10.3390/brainsci13081219 |
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