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20世纪40年代前庭医学研究者开发了前庭康复训练，对患有脑损伤和头晕/眩晕的患者进行康复治疗。训练方法是通过眼球运动、头部运动及躯体运动刺激前庭系统进行康复，但这一方法缺少凝视稳定和个体化训练，病人的依从性较差。之后很多学者开始研究个体化前庭训练方案，包括凝视稳定性训练、习服训练以及平衡和步态训练等，但依从性差的问题仍未解决。近年来，虚拟现实技术作为一种新兴技术，凭借其独特的优势和特点，已经应用于前庭康复治疗领域。本文从虚拟现实辅助下前庭康复训练的概念、原理、分类、在康复治疗中的应用及优缺点几方面进行论述，以期为相关研究者提供参考。
Abstract：In the 1940s, vestibular medicine researchers developed vestibular rehabilitation training to treat patients with brain injury and dizziness. The training method involved stimulating the vestibular system through eye movements, head movements and body movements to achieve rehabilitation goals. However, this method lacks gaze stability training and individualization, with poor patient compliance. In the following years, a number of scholars began to study individualized vestibular training programs, incorporating gaze stability training, acclimatization training, balance and gait training, although these still leave the problem of poor compliance unsolved. With rapid development of science and technology in recent years, virtual reality technology has been widely used in the field of rehabilitation therapy with unique advantages and characteristics. This paper discusses the concept, principle, classification, application, advantages and disadvantages of virtual reality-assisted vestibular rehabilitation training, in order to provide reference for relevant researchers.
1 Viirre E, Sitarz R. Vestibular rehabilitation using visual displays:preliminary study[J]. The Laryngoscope, 2002, 112(3):500-503.
2 Cuthbert J P, Staniszewski K, Hays K, et al. Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury[J]. Brain injury,2014, 28(2):181-188.
3 Sulway Shaleen, Whitney Susan L, Advances in vestibular rehabilitation[J]. Adv Otorhinolaryngology, 2019, 82:164-169.
4 刘斌,段作伟,张海峰,等.前庭康复训练治疗良性发作性位置性眩晕患者残余头晕的疗效观察[J].中华物理医学与康复杂志,2017,39(11):860-862.Liu B, Duan ZW, Zhang HF, et al. Clinical observation of vestibular rehabilitation training in the treatment of residual dizziness in patients with benign paroxysmal positional vertigo[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2017, 39(11):860-862.
5 Hall C D, Herdman S J, Whitney S L, et al. Vestibular rehabilitation for peripheral vestibular hypofunction:an updated clinical practice guideline from the academy of neurologic physical therapy of the american physical therapy association[J]. Journal of Neurologic Physical Therapy, 2022, 46(2):118.
6 Ashiri M, Lithgow B, Mansouri B, et al. Differences between physical vs. virtual evoked vestibular responses[J]. Ann Biomed Eng, 2020, 48:1241-1255.
7 Ashiri M, Lithgow B, Mansouri B, et al. Comparison between vestibular responses to a physical and virtual reality rotating chair[C]//Proceedings of the 11th Augmented Human International Conference, 2020:1-4.
8 李瑞香,戢小军,高修明.前庭康复治疗在中枢性眩晕患者中的疗效观察[J].中华耳科学杂志,2017,15(06):675-678.Li RX, Ji XJ, Gao XM. Clinical observation of vestibular rehabilitation in patients with central vertigo[J]. Chinese Journal of Otology, 2017, 15(06):675-678.
9 Rosiak O, Krajewski K, Woszczak M, et al. Evaluation of the effectiveness of a virtual reality-based exercise program for unilateral peripheral vestibular deficit[J]. Journal of Vestibular Research, 2018, 28(5-6):409-415.
10 Micarelli A, Viziano A, Augimeri I, et al. Three-dimensional head-mounted gaming task procedure maximizes effects of vestibular rehabilitation in unilateral vestibular hypofunction:a randomized controlled pilot trial[J]. International Journal of Rehabilitation Research, 2017, 40(4):325-332.
11 Viziano A, Micarelli A, Augimeri I, et al. Long-term effects of vestibular rehabilitation and head-mounted gaming task procedure in unilateral vestibular hypofunction:a 12-month follow-up of a randomized controlled trial[J]. Clinical rehabilitation, 2019,33(1):24-33.
12 Hondebrink M S, Mert A, van der Lint R, et al. Motion-based equilibrium reprocessing therapy a novel treatment method for chronic peripheral vestibulopathies:a pilot study[J]. Medicine,2017, 96(24):e7128.
13 Sparrer I, Duong Dinh T A, Ilgner J, et al. Vestibular rehabilitation using the nintendo?wii balance board–a user-friendly alternative for central nervous compensation[J]. Acta oto-laryngologica, 2013, 133(3):239-245.
14 Ward B K, Agrawal Y, Hoffman H J, et al. Prevalence and impact of bilateral vestibular hypofunction:results from the 2008 us national health interview survey[J]. JAMA otolaryngology–head&neck surgery, 2013, 139(8):803-810.
15 Matsumura M, Murofushi T. Vestibular rehabilitation after vestibulopathy focusing on the application of virtual reality[J]. Journal of Otorhinolaryngology, Hearing and Balance Medicine,2021, 2(2):5.
16 Herdman S J, Hall C D, Maloney B, et al. Variables associated with outcome in patients with bilateral vestibular hypofunction:preliminary study[J]. Journal of Vestibular Research, 2015, 25(3-4):185-194.
17 Xie M, Zhou K, Patro N, et al. Virtual reality for vestibular rehabilitation:a systematic review[J]. Otology&Neurotology, 2021,42(7):967-977.
18 Song J J. Virtual reality for vestibular rehabilitation[J]. Clinical and experimental otorhinolaryngology, 2019, 12(4):329-330.
19 Garcia A P, Ganan?a M M, Cusin F S, et al. Vestibular rehabilitation with virtual reality in ménière's disease[J]. Brazilian journal of otorhinolaryngology, 2013, 79(3):366-374.
20 Hsu S Y, Fang T Y, Yeh S C, et al. Three-dimensional, virtual reality vestibular rehabilitation for chronic imbalance problem caused by ménière’s disease:a pilot study[J]. Disability and rehabilitation, 2017, 39(16):1601-1606.
21 吴佳妮,陈志凌,乔祖康,等.前庭康复训练改善良性阵发性位置性眩晕复位后残余症状的疗效分析[J].中国中西医结合耳鼻咽喉科杂志,2021,29(06):414-417.Wu JN, Chen ZL, Qiao ZK, et al. Effect of vestibular rehabilitation training on the residual symptoms of benign paroxysmal positional vertigo after reduction[J]. Chinese Journal of Otolaryngology of Integrated Traditional Chinese and Western Medicine,2021, 29(06):414-417.
22 Miziara O C, de Oliveira V R, Gasparini A L P, et al. Virtual reality in vestibular rehabilitation:a pilot study[J]. International Journal of Therapy and Rehabilitation, 2019, 26(7):1-13.
23 焦粤农,林颖,张欣睿,等.沉浸式虚拟现实系统辅助前庭功能康复的应用[J].临床耳鼻咽喉头颈外科杂志,2020,34(05):447-451.Jiao YN, Lin Y, Zhang XR, et al. Application of immersive virtual reality system in vestibular function rehabilitation[J]. Journal of Clinical Otolaryngology Head and Neck Surgery, 2020, 34(05):447-451.
24 舒福,石磊,冷辉,等.沉浸式前庭功能康复训练系统治疗BPPV复位后的残余症状[J].听力学及言语疾病杂志,2021,29(05):509-513.Shu F, Shi L, Leng H, et al. Immersed vestibular rehabilitation training system for the treatment of residual symptoms after bppv reduction[J]. Journal of audiology and speech pathology,2021, 29(05):509-513.
25 Kuwabara J, Kondo M, Kabaya K, et al. Acceptance and commitment therapy combined with vestibular rehabilitation for persistent postural-perceptual dizziness:a pilot study. Am J Otolaryngol, 2020, 41(6):102609.
26 Mempouo E,Lau K,Green F, et al. Customised vestibular rehabilitation with the addition of virtual reality based therapy in the management of persistent postural-perceptual dizziness[J]. J Laryngol Otol, 2021, 135:887-891.
27 赵奕雯,李育玲,陈钢钢,等.持续性姿势知觉性头晕的治疗研究进展[J].中华耳科学杂志,2022,20(02):349-353.Zhao YW, Li YL, Chen GG, et al. Progress in treatment of persistent postural perceived dizziness[J]. Chinese Journal of Otology,2022, 20(02):349-353.
28 Perez-Marcos D. Virtual reality experiences, embodiment, videogames and their dimensions in neurorehabilitation[J]. Neuroeng Rehabil, 2018, 15(1):113.
29 Gustavsson Martha, Kj?rk Emma K, Erhardsson Mattias et al.Virtual reality gaming in rehabilitation after stroke-user experiences and perceptions[J]. Disabil Rehabil, 2021, undefined:1-7.
30 Cai H, Lin T, Chen L, et al. Evaluating the effect of immersive virtual reality technology on gait rehabilitation in stroke patients:a study protocol for a randomized controlled trial. Trials, 2021,22(1):91.
31 梁明,魏珍,谢荣,等.虚拟现实训练治疗脑卒中后偏瘫患者上肢功能的弥散张量成像研究[J].中华物理医学与康复杂志,2022,44(02):131-134.Liang M, Wei Z, Xie R, et al. Diffusion tensor imaging study of upper limb function of hemiplegic patients after stroke treated by virtual reality training[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2022, 44(02):131-134.
32 Wu Y, Chang W. Research on the treatment of the elderly with alzheimer disease in virtual reality puzzle games[J]. The Frontiers of Society, Science and Technology, 2020, 3:5-8.
33 Cabinio M, Rossetto F, Isernia S, et al. The use of a virtual reality platform for the assessment of the memory decline and the hippocampal neural injury in subjects with mild cognitive impairment:The validity of smart aging serious game[J]. Journal of clinical medicine, 2020, 9(5):1355.
34 杨伟,王红,陈卓铭,等.中药治疗与传统认知训练联合虚拟技术对阿尔兹海默病患者的疗效评价[J].中国康复医学杂志,2018,33(07):783-788.Yang W, Wang H, Chen ZM, et al. Evaluation of curative effect of traditional chinese medicine treatment and traditional cognitive training combined with virtual technology on alzheimer's disease patients[J]. Chinese Journal of Rehabilitation Medicine,2018, 33(07):783-788.
35 Raggi A, Tasca D, Ferri R. A brief essay on non-pharmacological treatment of alzheimer’s disease[J]. Reviews in the Neurosciences, 2017, 28(6):587-597.
36 Severiano, Maria Izabel Rodrigues, et al. Effect of virtual reality in parkinson's disease:a prospective observational study[J]. Arq Neuropsiquiatr, 2018, 76(2):78-84.
37 Pelosin E, Ponte C, Putzolu M, et al. Motor-cognitive treadmill training with virtual reality in parkinson's disease:the effect of training duration[J]. Frontiers in aging neuroscience, 2021:871.
38 张晓丹,范伟女.虚拟现实技术在帕金森病康复中的应用进展[J].中华神经科杂志,2018,51(03):216-219.Zhang XD, Fan WN. Application progress of virtual reality technology in the rehabilitation of parkinson's disease[J]. Chinese Journal of Neurology, 2018, 51(03):216-219.
39 罗晓华,胡琳丽,徐静,等.沉浸式虚拟现实训练对帕金森病轻度认知功能障碍患者认知功能的影响[J].中国康复,2022,37(04):219-222.Luo XH, Hu LL, Xu J, et al. The effect of immersive virtual reality training on cognitive function of patients with mild cognitive dysfunction of parkinson's disease[J]. China Rehabilitation,2022, 37(04):219-222.
40 刘静,颜智,廖瑞松,等.虚拟现实技术对帕金森病患者平衡功能的康复效果[J].中国康复医学杂志,2020,35(06):682-687.Liu J, Yan Z, Liao RS, et al. Rehabilitation effect of virtual reality technology on balance function of parkinson's disease patients[J]. Chinese Journal of Rehabilitation Medicine, 2020, 35(06):682-687.
41 Sevcenko K, Lindgren I. The effects of virtual reality training in stroke and parkinson’s disease rehabilitation:a systematic review and a perspective on usability[J]. European Review of Aging and Physical Activity, 2022, 19(1):1-16.
42 Pennington David L,Reavis Jill V,Cano Monique T, et al. The impact of exercise and virtual reality executive function training on cognition among heavy drinking veterans with traumatic brain injury:A pilot feasibility study[J]. Front Behav Neurosci, 2022,16:802711.
43 Choi JY, Yi SH, Ao L, et al. Virtual reality rehabilitation in children with brain injury:a randomized controlled trial. Dev Med Child Neurol, 2021, 63(4):480-487.
44 García-Mu?oz C, Casuso-Holgado M J, Hernández-Rodríguez J C, et al. Feasibility and safety of an immersive virtual realitybased vestibular rehabilitation programme in people with multiple sclerosis experiencing vestibular impairment:a protocol for a pilot randomised controlled trial[J]. BMJ open, 2021, 11(11):e051478.
45 García-Mu?oz C, Cortés-Vega M D, Heredia-Rizo A M, et al. Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis:a systematic review and meta-analysis[J]. Journal of clinical medicine, 2020, 9(2):590.
基本信息:
中图分类号:TP391.9;R764
引用信息:
[1]赵雅楠,陈钢钢,潘乐,等.虚拟现实技术在前庭康复训练中的应用进展[J].中华耳科学杂志,2023,21(04):539-544.
基金信息:
2020年山西省医学重点科研项目,项目编号：2020XM13~~
2023-08-15
2023-08-15