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Vestibular Damage Assessment and Therapy Using Virtual Reality

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Augmented Reality, Virtual Reality, and Computer Graphics (AVR 2020)

Abstract

Vestibular damage can be very debilitating, requiring ongoing assessment and rehabilitation to return sufferers to normal function. The process of rehabilitation can require an extended period of therapy during which patients engage in repetitive and often boring tasks to recover as much normal vestibular function as possible. Making these tasks more engaging while at the same time obtaining quantitative participation data in these tasks is critical for a positive patient outcome. Here we describe the conversion of vestibular therapy tasks into virtual reality and technology that enables their deployment in both directly- and remotely-supervised vestibular rehabilitation. This infrastructure is currently being evaluated in tests within a clinical setting.

The financial support of the CFREF VISTA project is gratefully acknowledged. The authors would like to thank Yaser Kerachian for his support throughout the project.

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References

  1. Alsaheen, B.A., et al.: Vestibular rehabilitation for dizziness and balance disorders after concussion. J. Neurol. Phys. Therapy 34, 93–97 (2010)

    Google Scholar 

  2. Barnett-Cowan, M., Dyde, R.T., Fox, S.H., Moro, E., Hutchison, W.D., Harris, L.R.: Multisensory determinants of orientation perception in parkinson’s disease. Neuroscience 167, 1138–1150 (2010)

    Article  Google Scholar 

  3. Dearing, R., Harris, L.R.: The contribution of different parts of the visual field to the perception of upright. Vis. Res. 51, 2207–2215 (2011)

    Article  Google Scholar 

  4. Dyde, R.T., Jenkin, M., Harris, L.R.: The subjective visual vertical and the perceptual upright. Exp. Brain Res. 173, 612–622 (2006)

    Article  Google Scholar 

  5. Glasauer, S., Dieterich, M., Brandt, T.: Neuronal network based mathematical modelling of perceived verticality in acute unilateral vestibular lesions - from nerve to thalamus and cortex. J. Neurosci. 265, 101–112 (2018)

    Google Scholar 

  6. Hall, C.D., et al.: Vestibular rehabilitation for peripheral vestibular hypofunction: an evidence-based clinical practice guideline: from the american physical therapy association neurology section. J. Neurologic Phys. Therapy 40, 124 (2016)

    Article  Google Scholar 

  7. Han, B.I., Song, H.S., Kim, J.S.: Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises. J. Clin. Neurol. 7, 184–196 (2011)

    Article  Google Scholar 

  8. Harris, L.R., Jenkin, M.: The effect of blur on the perception of up. Optometry Vis. Sci. 91, 103–110 (2014)

    Article  Google Scholar 

  9. Herishanu, Y.O.: Abnormal cancellation of the vestibuloocular reflex (vor) after mild head and or neck trauma. Neuro-Ophthalmol. 12, 237–240 (1992)

    Article  Google Scholar 

  10. Hobeika, C.P.: Equilibrium and balance in the elderly. Ear, Nose Throat J. 78, 558–566 (1999)

    Article  Google Scholar 

  11. Holden, M.K., Dyar, T.: Virtual environment training: a new tool for neurorehabilitation. Neurol. Report 26(2), 62–71 (2002)

    Article  Google Scholar 

  12. Karnath, H.O., Broetz, D.: Understanding and treating ‘pusher syndrome’. Phys. Ther. 83, 1119–1125 (2003)

    Article  Google Scholar 

  13. Khan, O., Ahmed, I., Cottingham, J., Rahhal, M., Arvanitis, T.N., Elliott, M.T.: Timing and correction of stepping movements with a virtual reality avatar. PLoS ONE 15(2), e0229641 (2020). https://dx.plos.org/10.1371/journal.pone.0229641

  14. Saj, A., Honore, J., Bernati, T., Coello, Y., Rousseaux, M.: Subjective visual vertical in pitch and roll in right hemispheric stroke. Stroke 36, 588–591 (2005)

    Article  Google Scholar 

  15. Saposnik, G., Levin, M.: Virtual reality in stroke rehabilitation. Stroke 42(5), 1380–1386 (2011)

    Article  Google Scholar 

  16. Statistics Canada: Senior’s Falls in Canada: Second Report (2014). http://www.phac-aspc.gc.ca/seniors-aines/publications/public/injury-blessure/seniors_falls-chutes_aines/index-eng.php

  17. Telian, S.A., Shepard, N.T.: Update on vestibular rehabilitation therapy. Otolaryngol. Clin. North America 29, 359–371 (1996)

    Article  Google Scholar 

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Correspondence to C. Kuo .

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Adjindji, A., Kuo, C., Mikal, G., Harris, L.R., Jenkin, M. (2020). Vestibular Damage Assessment and Therapy Using Virtual Reality. In: De Paolis, L., Bourdot, P. (eds) Augmented Reality, Virtual Reality, and Computer Graphics. AVR 2020. Lecture Notes in Computer Science(), vol 12243. Springer, Cham. https://doi.org/10.1007/978-3-030-58468-9_12

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  • DOI: https://doi.org/10.1007/978-3-030-58468-9_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-58467-2

  • Online ISBN: 978-3-030-58468-9

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