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Research on the effects of a web-based system with oculomotor and optokinetic stimuli on vestibular rehabilitation [with consumer summary] |
Gulcelik GE, Tarakci D, Soyuyuce OG, Gumus ZG, Korkut N, Algun ZC |
American Journal of Physical Medicine & Rehabilitation 2021 Jun;100(6):555-562 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: The variety and use of technologies used in vestibular rehabilitation is very limited. The purpose of this study was to investigate the effects of a web-based system on vestibular rehabilitation in patients with vestibular hypofunction. DESIGN: 20 patients with unilateral vestibular hypofunction were randomly assigned to two groups. Conventional vestibular rehabilitation was applied to the control group, whereas the study group received treatment with the web-based system supporting the vestibulo-ocular reflex with oculomotor and optokinetic stimulus (SVORE -- simulation of vestibulo-ocular reflex exercises). Vestibular and balance tests, oculomotor level, Tampa Kinesiophobia Scale (TKS) and Dizziness Handicap Inventory (DHI) were used to evaluate the efficacy treatment's. RESULTS: Vestibular symptoms and findings, balance tests, oculomotor functions, Tampa Kinesiophobia Scale and Dizziness Handicap Inventory improved significantly in both of the groups after the interventions (p < 0.05). In the intergroup analysis, improvement was found in eyes closed Romberg, semi-tandem and left one-foot position balance tests in favor of the study group (p < 0.05). CONCLUSION: The new vestibular technology, SVORE was found to be effective in vestibular rehabilitation.
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