Federal University of São Paulo, Paulista Medical School (UNIFESP-EPM), Brazil.
Braz J Otorhinolaryngol. 2013 May-Jun;79(3):366-74. doi: 10.5935/1808-8694.20130064.
Virtual reality technology can provide a wide range of sensory stimuli to generate conflicts of varying degrees of complexity in a safe environment.
To verify the effect of a virtual realitybased balance rehabilitation program for patients with Menière's disease.
This observational clinical study included 44 patients aged between 18 and 60 years diagnosed with Menière's disease submitted to a controlled randomized therapeutic intervention. The case and control groups took betahistine and followed a diet. Case group subjects underwent 12 rehabilitation sessions with virtual reality stimuli in a Balance Rehabilitation Unit (BRU TM). Patients were assessed based on DHI scores, the dizziness visual analogue scale, and underwent posturography with virtual reality before and after the intervention.
After the intervention, the case group showed significantly lower scores in DHI (p < 0,001) and in the dizziness visual analog scale (p = 0.012), and had significantly greater limit of stability areas (p = 0.016) than controls.
Virtual reality-based balance rehabilitation effectively improved dizziness, quality of life, and limit of stability of patients with Menière's disease.
验证基于虚拟现实的平衡康复方案对梅尼埃病患者的疗效。
本观察性临床研究纳入了 44 名年龄在 18 至 60 岁之间的梅尼埃病患者，他们接受了对照随机治疗干预。病例组和对照组均接受了倍他司汀治疗和饮食管理。病例组患者在平衡康复单元（BRU TM）中接受了 12 次虚拟现实刺激的康复治疗。患者在干预前后均接受了 DHI 评分、头晕视觉模拟量表评估和虚拟现实下的平衡测试。
干预后，病例组的 DHI 评分（p < 0.001）和头晕视觉模拟量表评分（p = 0.012）显著降低，平衡稳定性区域显著增大（p = 0.016），与对照组相比差异有统计学意义。
基于虚拟现实的平衡康复可有效改善梅尼埃病患者的头晕、生活质量和平衡稳定性。
