Reabilitação vestibular com realidade virtual na doença de Ménière

• Autor(a) principal: Garcia, Adriana Pontin [UNIFESP]
• Data de Publicação: 2013
• Outros Autores: Ganança, Mauricio Malavasi [UNIFESP], Cusin, Flávia Salvaterra [UNIFESP], Tomaz, Andreza [UNIFESP], Ganança, Fernando Freitas [UNIFESP], Caovilla, Heloisa Helena [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.5935/1808-8694.20130064; http://repositorio.unifesp.br/handle/11600/7777
• topic: dizziness; Ménière disease; rehabilitation; doença de Ménière; reabilitação; tontura

Virtual reality technology can provide a wide range of sensory stimuli to generate conflicts of varying degrees of complexity in a safe environment. OBJECTIVE: To verify the effect of a virtual realitybased balance rehabilitation program for patients with Menière's disease. METHOD: This observational clinical study included 44 patients aged between 18 and 60 years diagnosed with Menière's disease submitted to a controlled randomized therapeutic intervention. The case and control groups took betahistine and followed a diet. Case group subjects underwent 12 rehabilitation sessions with virtual reality stimuli in a Balance Rehabilitation Unit (BRU TM). Patients were assessed based on DHI scores, the dizziness visual analogue scale, and underwent posturography with virtual reality before and after the intervention. RESULTS: After the intervention, the case group showed significantly lower scores in DHI (p < 0,001) and in the dizziness visual analog scale (p = 0.012), and had significantly greater limit of stability areas (p = 0.016) than controls. CONCLUSION: Virtual reality-based balance rehabilitation effectively improved dizziness, quality of life, and limit of stability of patients with Menière's disease.