Vestibular rehabilitation with virtual reality in Ménière's disease

Braz J Otorhinolaryngol. 2013 May-Jun;79(3):366-74. doi: 10.5935/1808-8694.20130064.
[Article in English, Portuguese]

Abstract

Virtual reality technology can provide a wide range of sensory stimuli to generate conflicts of varying degrees of complexity in a safe environment.

Objective: To verify the effect of a virtual realitybased balance rehabilitation program for patients with Menière's disease.

Method: 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.

Results: 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.

Conclusion: Virtual reality-based balance rehabilitation effectively improved dizziness, quality of life, and limit of stability of patients with Menière's disease.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Betahistine / therapeutic use*
  • Combined Modality Therapy
  • Female
  • Histamine Agonists / therapeutic use*
  • Humans
  • Male
  • Meniere Disease / drug therapy*
  • Meniere Disease / rehabilitation*
  • Middle Aged
  • Postural Balance
  • Treatment Outcome
  • Vestibular Function Tests
  • Virtual Reality Exposure Therapy / methods*
  • Young Adult

Substances

  • Histamine Agonists
  • Betahistine