Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (5): 78-81.doi: 10.6040/j.issn.1673-3770.1.2020.076

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Development and application of a vestibular rehabilitation training guidance platform

  

  • Received:2020-08-04 Published:2020-11-17

Abstract: Vestibular rehabilitation training is important for treating vestibular diseases and improving vertigo symptoms. However, the large number of patients, the lack of venues and rehabilitation specialists, and medical expenses have limited its application at all levels in hospitals. With the development of smartphones and the mobile internet, home-based rehabilitation and remote guidance have become possible. Therefore, we developed a remote vestibular rehabilitation training guidance platform to be accessed with smartphones and the mobile internet. The platform design is based on the Browser/Server mode structure; it has IOS and Android versions and supports wireless access smartphone terminals. The platform facilitates a more convenient, smooth, and effective remote guidance for vestibular rehabilitation function exercises, curative effect evaluations, and follow-up; this improves efficiency and compliance as well as reduces the technical barriers, site restrictions, and labor costs of vestibular rehabilitation. This paper introduces the functional design, related technology realization, and the operational effect of the platform.

Key words: Mobile Internet, Vestibular rehabilitation, Vertigo, Remote guidance, Platform construction

CLC Number: 

  • R764
[1] Pereira CMM, Pinheiro do Vale JS, de Oliveira WP, et al. Aquatic physiotherapy: a vestibular rehabilitation [J]. Braz J Otorhinolaryngol, 2020, S1808-8694. doi: 10.1016/j.bjorl.2019.12.003.
[2] Bush ML, Dougherty W. Assessment of vestibular rehabilitation therapy training and practice patterns[J]. J Community Health, 2015, 40(4): 802-807. doi:10.1007/s10900-015-0003-7.
[3] Nelson MD, Akin FW, Riska KM, et al. Vestibular assessment and rehabilitation: ten-year survey trends of audiologists' opinions and practice[J]. J Am Acad Audiol, 2016, 27(2): 126-140. doi:10.3766/jaaa.15035.
[4] Dunlap PM, Holmberg JM, Whitney SL. Vestibular rehabilitation: advances in peripheral and central vestibular disorders[J]. Curr Opin Neurol, 2019, 32(1): 137-144. doi:10.1097/WCO.0000000000000632.
[5] Jahn K, Lopez C, Zwergal A, et al. Vestibular rehabilitation therapy in Europe: chances and challenges[J]. J Neurol, 2019, 266(Suppl 1): 9-10. doi:10.1007/s00415-019-09368-z.
[6] 刘博, 刘波. 从最新前庭康复指南视角看临床实践的发展[J]. 中国耳鼻咽喉头颈外科, 2019, 26(6):287-289. doi:10.16066/j.1672-7002.2019.06.001
[7] Hall CD, Herdman SJ, Whitney SL, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: an evidence-based clinical practice guideline: FROM THE AMERICAN PHYSICAL THERAPY ASSOCIATION NEUROLOGY SECTION[J]. J Neurol Phys Ther, 2016, 40(2): 124-155. doi:10.1097/NPT.0000000000000120.
[8] Herdman SJ. Vestibular rehabilitation[J]. Curr Opin Neurol, 2013, 26(1): 96-101. doi:10.1097/WCO.0b013e32835c5ec4.
[9] Whitney SL, Alghwiri AA, Alghadir A. An overview of vestibular rehabilitation[J]. Handb Clin Neurol, 2016, 137: 187-205. doi:10.1016/B978-0-444-63437-5.00013-3.
[10] Han BI, Song HS, Kim JS. Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises[J]. J Clin Neurol, 2011, 7(4): 184-196. doi:10.3988/jcn.2011.7.4.184.
[11] Chen PY, Hsieh WL, Wei SH, et al. Interactive wiimote gaze stabilization exercise training system for patients with vestibular hypofunction[J]. J Neuroeng Rehabil, 2012, 9: 77. doi:10.1186/1743-0003-9-77.
[12] 丁剑, 刘艺鸣. 前庭康复对老年良性阵发性位置性眩晕患者后遗头晕的疗效[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 64-68. doi:10.6040/j.issn.1673-3770.0.2018.290. DING Jian, LIU Yiming. Effect of vestibular rehabilitation on residual dizziness in elderly patients with benign paroxysmal positional vertigo[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 64-68. doi:10.6040/j.issn.1673-3770.0.2018.290.
[13] Meldrum D, Herdman S, Vance R, et al. Effectiveness of conventional versus virtual reality-based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial[J]. Arch Phys Med Rehabil, 2015, 96(7): 1319-1328.e1. doi:10.1016/j.apmr.2015.02.032.
[14] Pavlou M. The use of optokinetic stimulation in vestibular rehabilitation[J]. J Neurol Phys Ther, 2010, 34(2): 105-110. doi:10.1097/NPT.0b013e3181dde6bf.
[15] Nehrujee A, Vasanthan L, Lepcha A, et al. A Smartphone-based gaming system for vestibular rehabilitation: a usability study[J]. J Vestib Res, 2019, 29(2/3): 147-160. doi:10.3233/VES-190660.
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