مروری بر کارایی توانبخشی مبتنی بر واقعیت مجازی در درمان اختلال دهلیزی

نوع مقاله: مقاله مروری

نویسندگان

1 دانشجوی دکترا، گروه شنوایی‏شناسی، دانشکده توانبخشی، دانشگاه علوم پزشکی تهران، تهران، ایران

2 استادیار، گروه شنوایی‏شناسی، دانشکده توانبخشی، دانشگاه علوم پزشکی تهران، تهران، ایران

10.22037/jrm.2020.114261.2516

چکیده

مقدمه و اهداف
تکنولوژی واقعیت مجازی پیچیدگی حسی جهان فیزیکی را در محیط کنترل­ شده آزمایشگاه ایجاد می‏کند. امروزه این تکنولوژی در برنامه توانبخشی دهلیزی مورد توجه قرار گرفته است. در توانبخشی دهلیزی مبتنی بر واقعیت مجازی تحریکات متنوع با سطوح مختلف پیچیدگی در محیط ایمن برای فرد ارائه می‎گردد که در شرایط واقعی ارائه این تحریکات امکان­پذیر نیست. هدف مقاله حاضر، مرور تکنولوژی ­های مختلف واقعیت مجازی در زمینه توانبخشی دهلیزی، یافته‏ های بالینی حاصل از کاربرد آنها به همراه مزایا و معایب هر یک است.
مواد و روش­ ها
جستجو در پایگاه‏‏ های اطلاعاتی Medline (PubMed)، Google scholar، Science Direct و Cochrane با کلیدواژه‏ های Vestibular Rehabilitation، Vertigo Rehabilitation، Vestibular Dysfunction Rehabilitation وVirtual Reality Rehabilitation بدون محدودیت سال انجام شد.
نتیجه­ گیری
به نظر می‏رسد استفاده از واقعیت مجازی علاوه بر ایجاد نتایج مشابه با برنامه‏ های مرسوم در کاهش علائم دهلیزی، به دلیل جذابیت سبب مشارکت فعال‏تر و رضایتمندی بیشتر بیماران می‏شود. همچنین، این تکنولوژی‏ها با افزایش غوطه ‏وری، تعارض حسی زیادی بین دستگاه دهلیزی و سیستم بینایی ایجاد می‏ کنند که در نهایت باعث رخداد سریع‏تر، بهتر و پایدارتر جبران دستگاه دهلیزی مرکزی می‏ گردد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

A review on effectiveness of virtual reality-based exercise programs for vestibular dysfunction

نویسندگان [English]

  • Bahareh Khavarghazalani 1
  • Mansoureh Adel Ghahraman 2
1 PhD Candidate, Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
2 Assistant Professor, Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aims: Virtual reality technology creates the sensory complexity of the physical world in a controlled laboratory environment. Today, this technology has been considered in the vestibular rehabilitation program. In virtual reality vestibular rehabilitation, various stimuli with different levels of complexity are presented to the individual in a safe environment that is not possible to provide in real conditions. Here, we introduced various virtual reality technologies used in vestibular rehabilitation programs along with their findings, advantages, and disadvantages.
 
Materials and Methods: We searched all articles in Medline (Pubmed), Google scholar, Science Direct, and Cochrane databases using the following keywords: “vestibular rehabilitation”, “vertigo rehabilitation”, “vestibular dysfunction rehabilitation”, and “virtual reality rehabilitation” without date limitation.
 
Conclusion: Virtual-based rehabilitation programs appear to not only decrease vestibular symptoms similar to the traditional vestibular programs, but because of their interesting features, they develop more active participation and satisfaction in patients. Moreover, virtual programs with increased immersion create extensive sensory conflicts between vestibular and visual system that eventually results in faster, better, and longer-lasting compensation in central vestibular system.

کلیدواژه‌ها [English]

  • Vestibular System
  • vestibular disorder
  • vestibular-virtual rehabilitation
  • vestibular compensation
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