Technology-enhanced visual desensitization home exercise program for post-concussive visually induced dizziness: a case series
| Autor: | Russell K. Gore, Julia Hurtado, Benjamin B. Risk, Syed A Abidi, Lisa Heusel-Gillig, Jason W. Allen, Anna Trofimova |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Technology medicine.medical_specialty Adolescent genetic structures medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Dizziness Young Adult Physical medicine and rehabilitation Concussion Humans Medicine Child Postural Balance Brain Concussion Retrospective Studies Vestibular system Vestibular rehabilitation business.industry medicine.disease eye diseases Visual motion Exercise Therapy Desensitization (psychology) Home exercise program Vertigo business |
| Zdroj: | Physiotherapy Theory and Practice. 38:985-994 |
| ISSN: | 1532-5040 0959-3985 |
| DOI: | 10.1080/09593985.2020.1815259 |
| Popis: | Post-concussive visually induced dizziness (VID), in which symptoms are provoked by exposure to complex visual motion, is associated with protracted recovery. Although vestibular rehabilitation therapy (VRT) is recommended to treat post-concussive dizziness, there is sparse literature reporting on specific VRT interventions treating VID.A consecutive series of 26 individuals referred for VRT post-concussion were retrospectively assessed for inclusion in this case series. Each participant underwent a combination of conventional VRT and a technology-enhanced visual desensitization home exercise program (HEP). Self-report and objective measures were recorded from initial and discharge therapy evaluations. Twenty-three individuals (mean age 23.1 ± 12.4) with post-concussive dizziness (mean 109 ± 56 days post-injury) and no evidence for peripheral vestibular dysfunction were included. Treatment duration averaged 6.9 ± 2.5 weeks.There were significant improvements in post-intervention on subjective and objective measures of dizziness and gait (The combination therapy intervention improved outcome measures consistent with VRT treatment outcomes in both concussion and non-traumatic vestibular conditions. Individuals referred for VRT post-concussion warrant assessment for VID and may benefit from the addition of technology-enhanced visual desensitization. |
| Databáze: | OpenAIRE |
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