Journal of IMAB
Publisher: Peytchinski Publishing Ltd.
ISSN:
1312-773X (Online)
Issue:
2024, vol. 30, issue4
Subject Area:
Medicine
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DOI:
10.5272/jimab.2024304.5829
Published online: 31 October 2024
Review article
J of IMAB. 2024 Oct-Dec;30(4):5829-5833
ADVANCEMENTS IN VESTIBULAR PHYSIOTHERAPY: A COMPREHENSIVE REVIEW
Aleksandar Andreev1, 2, Stefka Mindova2,
1) Medical center "Medika Expert", Ruse, Bulgaria.
2) Department of Public Health, University of Ruse, Bulgaria.
ABSTRACT:
Purpose. Vestibular disorders pose significant challenges to individuals' daily functioning and quality of life, necessitating effective management strategies. This comprehensive review explores modern advancements in vestibular physiotherapy, encompassing assessment techniques, intervention modalities, technological innovations, and interdisciplinary collaboration.
Material/Methods. Accurate assessment and diagnosis are essential for tailoring treatment plans to individual needs. Traditional clinical tests, such as the Dix-Hallpike maneuver and head impulse test (HIT), remain foundational while emerging technologies like video head impulse testing (vHIT) offer objective measures of vestibular function. Treatment of benign paroxysmal positional vertigo (BPPV) often involves canalith repositioning maneuvers (CRM), with recent modifications and augmented reality applications enhancing efficacy and patient comfort.
Results. Vestibular rehabilitation therapy (VRT) plays a pivotal role in promoting central nervous system compensation for vestibular deficits. Incorporating exercises targeting balance, gaze stabilization, habituation, and sensory integration, VRT facilitates symptom reduction and functional improvement. Technological innovations, including virtual reality (VR) systems and smartphone applications, augment traditional VRT approaches, enhancing engagement and accessibility. Moreover, interdisciplinary collaboration among healthcare professionals ensures comprehensive management of vestibular disorders. Physiotherapists, otolaryngologists, neurologists, audiologists, and psychologists collaborate to deliver personalized care and empower patients through education and counseling.
Conclusions. Modern vestibular physiotherapy offers a multifaceted approach to address the complex needs of individuals with vestibular disorders. By leveraging evidence-based practices, integrating technological solutions, and fostering interdisciplinary partnerships, healthcare providers can optimize treatment outcomes and enhance patients' overall well-being.
Keywords: vestibular disorders, rehabilitation, vestibular rehabilitation therapy,
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Please cite this article as: Andreev A, Mindova S. Advancements in Vestibular Physiotherapy: A Comprehensive Review. J of IMAB. 2024 Oct-Dec;30(4):5829-5833. [Crossref - 10.5272/jimab.2024304.5829]
Correspondence to: Aleksandar Andreev, Medical center "Medika Expert", Ruse, Bulgaria; E-mail: aandreev@uni-ruse.bg
REFERENCES:
1. Herdman SJ. Vestibular rehabilitation. Curr Opin Neurol. 2013 Feb;26(1):96-101. [Crossref]
2. McGarvie LA, MacDougall HG, Halmagyi GM, Burgess AM, Weber KP, Curthoys IS. The Video Head Impulse Test (vHIT) of Semicircular Canal Function - Age-Dependent Normative Values of VOR Gain in Healthy Subjects. Front Neurol. 2015 Jul;6:154. [Crossref]
3. Agrawal Y, Merfeld DM, Horak FB, Redfern MS, Manor B, Westlake KP, et al. Aging, Vestibular Function, and Balance: Proceedings of a National Institute on Aging/National Institute on Deafness and Other Communication Disorders Workshop. J Gerontol A Biol Sci Med Sci. 2020 Nov 13;75(12):2471-2480. [PubMed]
4. Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev. 2014 Dec 8;2014(12):CD003162. [PubMed]
5. Cavaliere M, Mottola G, Iemma M. Benign paroxysmal positional vertigo: a study of two manoeuvres with and without betahistine. Acta Otorhinolaryngol Ital. 2005 Apr;25(2):107-12. [PubMed]
6. Noda M, Kuroda T, Nomura A, Ito M, Yoshizaki T, Fushiki H. Smartphone-Assisted Medical Care for Vestibular Dysfunction as a Telehealth Strategy for Digital Therapy Beyond COVID-19: Scoping Review. JMIR Mhealth Uhealth. 2023 Sep 11;11:e48638. [PubMed]
7. Whitney SL, Alghwiri AA, Alghadir A. An overview of vestibular rehabilitation. Handb Clin Neurol. 2016;137:187-205. [PubMed]
8. Scherer M, Migliaccio AA, Schubert MC. Effect of vestibular rehabilitation on passive dynamic visual acuity. J Vestib Res. 2008;18(2-3):147-57. [PubMed]
9. Meldrum D, Herdman S, Vance R, Murray D, Malone K, Duffy D, et al. Effectiveness of conventional versus virtual reality-based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial. Arch Phys Med Rehabil. 2015 Jul;96(7):1319-1328.e1. [PubMed]
10. Manukova A, Andreev A. Application of the e-Health and Prevention System in Physiotherapeutic Procedures Proceedings of University of Ruse.2022; 61(3.1):93-98. [Internet]
11. Lee S, Hong M, Kim S, Choi SJ. Effect Analysis of Virtual-reality Vestibular Rehabilitation based on Eye-tracking. Transactions on Internet and Information Systems (KSII). 2020 Feb;14(2):826-840. [Crossref]
12. Ghislieri M, Gastaldi L, Pastorelli S, Tadano S, Agostini V. Wearable Inertial Sensors to Assess Standing Balance: A Systematic Review. Sensors (Basel). 2019 Sep 20;19(19):4075. [PubMed]
13.Atilla MH, Kesici GG. Dynamic visual acuity test findings of migraine patients: Observational case-control study. Am J Otolaryngol. 2022 Sep-Oct;43(5):103559. [PubMed]
14. Rosiak O, Puzio A, Kaminska D, Zwolinski G, Jozefowicz-Korczynska M. Virtual Reality—A Supplement to Posturography or a Novel Balance Assessment Tool? Sensors (Basel). 2022 Oct 17;22(20):7904. [PubMed]
15. Bonnechère B, Jansen B, Salvia P, Bouzahouene H, Omelina L, Moiseev F, еt al. Validity and reliability of the Kinect within functional assessment activities: comparison with standard stereophotogrammetry. Gait&Posture. 2014 Jan;39(1):593-598. [Crossref]
16. Meldrum D, Herdman S, Vance R, Murray D, Malone K, Duffy D, et al. Effectiveness of conventional versus virtual reality-based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial. Arch Phys Med Rehabil. 2015 Jul;96(7):1319-1328.e1. [PubMed]
17. McGarvie LA, MacDougall HG, Halmagyi GM, Burgess AM, Weber KP, Curthoys IS. The Video Head Impulse Test (vHIT) of Semicircular Canal Function - Age-Dependent Normative Values of VOR Gain in Healthy Subjects. Front Neurol. 2015 Jul 8;6:154. [PubMed]
18. Macdougall HG, McGarvie LA, Halmagyi GM, Curthoys IS, Weber KP. The video Head Impulse Test (vHIT) detects vertical semicircular canal dysfunction. PloS One. 2013 Apr 22;8(4):e61488. [PubMed]
19. Clark RA, Pua YH, Fortin K, Ritchie C, Webster KE, Denehy L, et al. Validity of the Microsoft Kinect for assessment of postural control. Gait Posture. 2012 Jul;36(3):372-7. [PubMed]
20. Lange B, Chang CY, Suma E, Newman B, Rizzo AS, Bolas M. Development and evaluation of low cost game-based balance rehabilitation tool using the Microsoft Kinect sensor. Annu Int Conf IEEE Eng Med Biol Soc. 2011;2011:1831-4. [PubMed]
21. Guerrero K, Umagat A, Barton M, Martinez A, Ho KY, Mann S, et al. The effect of a telehealth exercise intervention on balance in adults with Down syndrome. J Appl Res Intellect Disabil. 2023 Mar;36(2):385-393. [PubMed]
22. Schuster-Amft C, Eng K, Suica Z, Thaler I, Signer S, Lehmann I, et al. Effect of a four-week virtual reality-based training versus conventional therapy on upper limb motor function after stroke: A multicenter parallel group randomized trial. PloS One. 2018 Oct 24;13(10):e0204455. [PubMed]
23. McNulty PA, Thompson-Butel AG, Faux SG, Lin G, Katrak PH, Harris LR, et al. The Efficacy of Wii-Based Movement Therapy for Upper Limb Rehabilitation in the Chronic Poststroke Period: A Randomized Controlled Trial. Int J Stroke. 2015 Dec;10(8):1253-60. [PubMed]
24. Lendraitiene E, Tamosauskaite A, Petruseviciene D, Savickas R. Balance evaluation techniques and physical therapy in post-stroke patients: A literature review. Neurol Neurochir Pol. 2017 Jan-Feb;51(1);92-100. [PubMed]
25. Prosperini L, Fortuna D, Gianni C, Leonardi L, Marchetti MR, Pozzilli C. Home-based balance training using the Wii balance board: A randomized, crossover pilot study in multiple sclerosis. Neurorehabil Neural Repair. 2013 Jul-Aug;27(6):516-25. [PubMed]
26. Madhuranga PVH, Mathangasinghe Y, Anthony DJ. Improving balance with wobble board exercises in stroke patients: single-blind, randomized clinical trial. Top Stroke Rehabil. 2019 Dec26(8), 595-601. [PubMed]
27. Hain TC, Cherchi M. Mal de débarquement syndrome. Handb Clin Neurol. 2016;137:391-5. [PubMed]
28. Agrawal Y, Schubert MC, Migliaccio AA, Zee DS, Schneider E, Lehnen N, et al. Evaluation of quantitative head impulse testing using search coils versus video-oculography in older individuals. Otol Neurotol. 2014 Feb;35(2):283-8. [PubMed]
29. Kellerer S, Amberger T, Schlick C, Dlugaiczyk J, Wuehr M, Jahn K. Specific and individualized instructions improve the efficacy of booklet-based vestibular rehabilitation at home: a randomized controlled trial. J Vestib Res. 2023;33(3-4):253-261. [CrossRef]
30. Başoğlu Y, Şerbetçioğlu M, Celik I, Demirhan H. Effectiveness of virtual reality-based vestibular rehabilitation in patients with peripheral vestibular hypofunction. Turk J Med Sci. 2022;52(5):1176-1186. [PubMed]
31. Wu P, Wan Y, Zhuang Y, Wang C, Xi S, Zhu H. WeChat-based vestibular rehabilitation for patients with chronic vestibular syndrome: protocol for a randomised controlled trial. BMJ Open. 2021;11:e042637. [CrossRef]
32. Chen J, Liu Z, Xie Y, Jin S. Effects of vestibular rehabilitation training combined with anti-vertigo drugs on vertigo and balance function in patients with vestibular neuronitis: a systematic review and meta-analysis. Front Neurol. 2023;14:1278307. [CrossRef]
Received: 30 April 2024
Published online: 31 October 2024
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