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Randomized Controlled Trial
. 2013 May-Jun;79(3):366-74.
doi: 10.5935/1808-8694.20130064.

Vestibular rehabilitation with virtual reality in Ménière's disease

[Article in English, Portuguese]
Adriana Pontin Garcia  1 , Mauricio Malavasi Ganança, Flávia Salvaterra Cusin, Andreza Tomaz, Fernando Freitas Ganança, Heloisa Helena Caovilla
Affiliations
Randomized Controlled Trial

Vestibular rehabilitation with virtual reality in Ménière's disease

[Article in English, Portuguese]
Adriana Pontin Garcia et al. Braz J Otorhinolaryngol. 2013 May-Jun.

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.

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