Swaminathan Balaji, Shanmugam V U, Shanmugam Ruta, Prabhash P R, Siddiqi Mohamed, Divya P S
Department of ENT, Rajah Muthiah Medical College and Hospital, Annamalai University, Chidambaram, Tamil Nadu India.
Senior Consultant in Neurology, Apollo Specialty Hospital, Vanagaram, Chennai, Tamil Nadu India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2222-2226. doi: 10.1007/s12070-023-03678-5. Epub 2023 May 8.
This study aimed to evaluate 3D virtual reality rehabilitation therapy in patients with vertigo due to peripheral vestibular dysfunction. The subjects were 20 patients with peripheral vestibular dysfunction confirmed by Videonystagmography, Divided into 2 groups: Group 1 (study group) underwent vestibular rehabilitation therapy using 3D virtual reality in a customised VR lab with specific headset (Oculus rift and htc vive) with software application, which allows vestibular rehabilitation treatment using high quality immersive virtual reality console in which environment appears real and in 3D. The exercises are designed for gaze stability, increase postural stability, improve vertigo and daily activities, through sensory stimuli and in addition to conventional Cawthorne-Choksey exercises. Group 2 (control group) are treated by conventional Cawthorne-Choksey exercises alone. A VSS-SF (Vertigo Symptom Scale-short form) questionnaire and VAS (Visual Analog Scale) were used to assess the levels of patient satisfaction compared before and after each treatment session in both groups. A significant higher level of subjective satisfaction was observed in patients who underwent 3D virtual reality rehabilitation therapy with conventional therapy (group 1) compared to patients who underwent conventional cawthorne-Choksey exercises alone (group 2). The study gave a substantial subjective satisfaction in patients using 3D virtual reality rehabilitation therapy with conventional therapy (group1) than conventional Cawthorne-Choksey exercises alone (group 2). Future of VR rehabilitation therapy brings a revolutionary novelty in field of rehabilitation therapy were it involves real time stimulation and interaction between sensory, motor and cognitive channels.
本研究旨在评估三维虚拟现实康复疗法对周围性前庭功能障碍所致眩晕患者的疗效。研究对象为20例经视频眼震图确诊的周围性前庭功能障碍患者，分为两组：第1组（研究组）在配备特定头戴设备（Oculus rift和htc vive）的定制虚拟现实实验室中，使用三维虚拟现实技术及软件应用程序进行前庭康复治疗，该软件应用程序可利用高质量沉浸式虚拟现实控制台进行前庭康复治疗，其中环境呈现为真实的三维场景。这些练习旨在通过感觉刺激以及除传统的考索恩-乔克西练习之外的方式，提高注视稳定性、增强姿势稳定性、改善眩晕症状及日常活动能力。第2组（对照组）仅接受传统的考索恩-乔克西练习治疗。采用眩晕症状量表简表（VSS-SF）问卷和视觉模拟量表（VAS）对两组患者每次治疗前后的患者满意度水平进行评估。与仅接受传统考索恩-乔克西练习治疗的患者（第2组）相比，接受三维虚拟现实康复疗法联合传统疗法治疗的患者（第1组）主观满意度水平显著更高。该研究表明，与仅进行传统考索恩-乔克西练习治疗（第2组）相比，使用三维虚拟现实康复疗法联合传统疗法治疗的患者（第1组）获得了更高的主观满意度。虚拟现实康复疗法的未来为康复治疗领域带来了革命性的创新，它涉及感觉、运动和认知通道之间的实时刺激和互动。
