Vibrotactile feedback improves balance and mobility in patients with severe bilateral vestibular loss.
Balance
Bilateral vestibular loss
Sensory substitution
Vestibular prothesis
Journal
Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
05
09
2018
accepted:
19
11
2018
revised:
14
11
2018
pubmed:
7
12
2018
medline:
11
2
2020
entrez:
7
12
2018
Statut:
ppublish
Résumé
The impact of vibrotactile feedback of the gravity vector, provided by a "balance" belt worn around the waist, was evaluated in 39 patients with a severe bilateral vestibular loss, confirmed by extensive laboratory testing and suffering from a low quality of life, mainly due to imbalance. The mobility and balance score (MBS) of all patients prior to the use of the belt was equal or less than 5 out of a scale of 10. Thirty-one out of the 39 patients experienced the effect of the belt on their balance and mobility as positive in a preselection trial of 2 h in the hospital. The 31 positive responders then used the belt for 1 month in daily life. The average MBS increased significantly from 4.2 to 7.9 (paired T test, T = 9.82, p < 0.00001). Twenty-three out of 31 patients reported a benefit ranging from an improvement of 60-200% in their MBS. Eight patients did not experience any benefit. In summary, 23 out of 39 patients with a severe imbalance due to a bilateral vestibular loss experienced a clear benefit of vibrotactile feed = back in daily life. We conclude that vibrotactile feedback via the waist can serve as an effective prothesis for patients with severe bilateral vestibular loss to improve the quality of life.
Identifiants
pubmed: 30519776
doi: 10.1007/s00415-018-9133-z
pii: 10.1007/s00415-018-9133-z
pmc: PMC6722250
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
19-26Subventions
Organisme : Russian Science Support Foundation
ID : Project No. 17-15-01249
Organisme : Universiteit Maastricht
ID : n.a.
Organisme : Maastricht Universitair Medisch Centrum
ID : n.a.
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