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首页> 外文期刊>IEEE transactions on neural systems and rehabilitation engineering >Comparison of Virtual Reality Based Therapy With Customized Vestibular Physical Therapy for the Treatment of Vestibular Disorders
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Comparison of Virtual Reality Based Therapy With Customized Vestibular Physical Therapy for the Treatment of Vestibular Disorders

机译：基于虚拟现实的疗法与定制的前庭物理疗法治疗前庭障碍的比较

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摘要

We examined outcomes in persons with vestibular disorders after receiving virtual reality based therapy (VRBT) or customized vestibular physical therapy (PT) as an intervention for habituation of dizziness symptoms. Twenty subjects with vestibular disorders received VRBT and 18 received PT. During the VRBT intervention, subjects walked on a treadmill within an immersive virtual grocery store environment, for six sessions approximately one week apart. The PT intervention consisted of gaze stabilization, standing balance and walking exercises individually tailored to each subject. Before, one week after, and at six months after the intervention, subjects completed self-report and balance performance measures. Before and after each VRBT session, subjects also reported symptoms of nausea, headache, dizziness, and visual blurring. In both groups, significant improvements were noted on the majority of self-report and performance measures one week after the intervention. Subjects maintained improvements on self report and performance measures at six months follow up. There were not between group differences. Nausea, headache, dizziness and visual blurring increased significantly during the VRBT sessions, but overall symptoms were reduced at the end of the six-week intervention. While this study did not find a difference in outcomes between PT and VRBT, the mechanism by which subjects with chronic dizziness demonstrated improvement in dizziness and balance function may be different.
机译：我们在接受基于虚拟现实的疗法（VRBT）或定制的前庭物理疗法（PT）作为习惯性头晕症状的干预措施后，检查了前庭疾病患者的结局。 20名前庭疾病受试者接受VRBT，18名接受PT。在VRBT干预期间，受试者在沉浸式虚拟杂货店环境中的跑步机上行走，相距大约一周，共进行了六次锻炼。 PT干预包括凝视稳定，站立平衡和针对每个受试者量身定制的步行锻炼。干预之前，一周后和六个月后，受试者完成自我报告和平衡表现指标。在每次VRBT训练前后，受试者还报告有恶心，头痛，头晕和视物模糊的症状。在干预后一周，两组的大部分自我报告和绩效指标均得到了显着改善。在六个月的随访中，受试者保持了自我报告和绩效指标的改善。组间没有差异。在VRBT疗程期间，恶心，头痛，头晕和视物模糊明显增加，但在进行为期六周的干预后，总体症状有所减轻。尽管这项研究没有发现PT和VRBT的结局有所不同，但慢性头晕受试者证明头晕和平衡功能改善的机制可能不同。

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