The effectiveness of convectional vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis has been recently demonstrated in a meta-analysis by this research team (doi: 10.3390/jcm9020590). Furthermore, non-immersive virtual reality-based environments seem to be useful for balance and gait rehabilitation in this population (doi: 10.1177/0269215518768084). However, nothing is known about the feasibility and effectiveness of immersive virtual reality-based rehabilitation in people with multiple sclerosis. The primary aim of this research is to determine the feasibility, safety and effectiveness of an immersive virtual reality-based vestibular training for dizziness, balance and fatigue rehabilitation, compared to conventional vestibular training.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Vestibular rehabilitation based on virtual environment using a head mounted display
"Cawthorne-Cooksey" vestibular rehabilitation exercises.
Universidad de Sevilla
Seville, Sevilla, Spain
Feasibility of virtual reality-based vestibular rehabilitation
Usability of virtual reality device: System Usability Scale (0-100%). Higher Scores means higher usability Participation rate Retention rate Adherence to treatment rate
Time frame: 7 weeks of intervention
Safety of virtual reality-based vestibular rehabilitation
Cybersickness: Scores ranging between 10 and 15 mean significant symptoms and above 20 indicates a simulator problem Falls registry Adverse events registry
Time frame: 7 weeks of intervention
Change from baseline dizziness symptoms at 7 weeks
Dizziness Handicap Inventory (0-100 points). Higher scores mean worse dizziness symptoms.
Time frame: 7 weeks after intervention
Change from baseline static balance at 7 weeks
Static balance assessed by posturography Dynamic balance assessed by Balance Berg Scale. Higher score better balance.
Time frame: 7 weeks after intervention
Change from baseline fatigue at 7 weeks
Modified Fatigue Impact Scale (0-84 points). Higher scores mean worse fatigue symptoms.
Time frame: 7 weeks after intervention
Change from baseline quality of life at 7 weeks
Multiple Sclerosis Quality of Life Scale 54 (0-100 points). Higher values indicate better quality of life.
Time frame: 7 weeks after intervention
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