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...
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MDPI AG
2023-08-01
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| Series: | Brain Sciences |
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| author | Dietmar Basta Marcos Rossi-Izquierdo Kai Wonneberger Cibele Brugnera Roseli Saraiva Moreira Bittar Mário Edvin Greters Arne Ernst Andrés Soto-Varela |
| author_facet | Dietmar Basta Marcos Rossi-Izquierdo Kai Wonneberger Cibele Brugnera Roseli Saraiva Moreira Bittar Mário Edvin Greters Arne Ernst Andrés Soto-Varela |
| author_sort | Dietmar Basta |
| collection | DOAJ |
| 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<sup>®</sup> 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. |
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| id | doaj.art-4703431eaef1468eab9553bd049759d1 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-11T00:04:13Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-4703431eaef1468eab9553bd049759d12023-11-19T00:27:33ZengMDPI AGBrain Sciences2076-34252023-08-01138121910.3390/brainsci13081219Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral VestibulopathyDietmar Basta0Marcos Rossi-Izquierdo1Kai Wonneberger2Cibele Brugnera3Roseli Saraiva Moreira Bittar4Mário Edvin Greters5Arne Ernst6Andrés Soto-Varela7Department of Otolaryngology, Unfallkrankenhaus Berlin, University of Berlin, 12683 Berlin, GermanyDepartment of Otolaryngology, University Hospital Lucus Augusti, 27003 Lugo, SpainCenter for Otolaryngology, 47829 Krefeld, GermanyDepartment of Otolaryngology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo 01246-903, BrazilDepartment of Otolaryngology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo 01246-903, BrazilDepartment of Otolaryngology, Pontifícia Universidade Católica de Campinas, Campinas 13034-685, BrazilDepartment of Otolaryngology, Unfallkrankenhaus Berlin, University of Berlin, 12683 Berlin, GermanyDepartment of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, 15706 Santiago de Compostela, SpainPatients 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<sup>®</sup> 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.https://www.mdpi.com/2076-3425/13/8/1219postural imbalancebilateral vestibulopathyvibrotactile neurofeedback |
| spellingShingle | Dietmar Basta Marcos Rossi-Izquierdo Kai Wonneberger Cibele Brugnera Roseli Saraiva Moreira Bittar Mário Edvin Greters Arne Ernst Andrés Soto-Varela Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy Brain Sciences postural imbalance bilateral vestibulopathy vibrotactile neurofeedback |
| 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 | postural imbalance bilateral vestibulopathy vibrotactile neurofeedback |
| url | https://www.mdpi.com/2076-3425/13/8/1219 |
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