![]() ![]() Their findings also demonstrated that using head rotation to interact with computer games, when coupled with demanding balance conditions, resulted in substantial improvements in gaze control, standing balance, and stability of the upper trunk during walking. They showed the feasibility and usability of the program. A preintervention and postintervention cases series was recently conducted by Szturm and colleagues in 9 adults diagnosed with PVD who received a home game-based vestibular exercise program. A recent case study of 3 individuals with PVD by Po-Yin Chen et al involved adapting the Wii mote game controller to track head motion, and to use quick head movements to trigger events in a custom computer game (ie, to initiate a baseball bat to swing and hit a baseball). A similar approach has been developed by Szturm and colleagues and has extended balance gaming exercises to more demanding surfaces. For example, studies have used the Nintendo WiiFit balance board to train and assess balance in elderly patients. In this regard, recent studies provide descriptions of the benefits of activities facilitated through video gaming. Improved patient compliance with rehabilitative care plans and increased access to these health services can improve health outcomes for individuals with chronic disabilities. A recent meta-analysis demonstrated a moderate to strong evidence that a task-specific approach to vestibular rehabilitation is an effective intervention for unilateral peripheral vestibular dysfunction (PVD). ![]() Following peripheral vestibular lesions, sensory deprivation studies show minimal recovery, whereas targeted activities in enriched environments demonstrate considerable recovery of function. The recovery of function that patients show following the damage due to peripheral vestibular lesion has long been recognized. Statistics from 2001 to 2004 estimated that 69 million people in the Unites States aged 40 and older report vertigo and imbalance. The economic impact of vertigo and chronic imbalance is immense. Damage to the vestibular sense organs can lead to a number of symptoms and functional difficulties, including blurred vision, dizziness, disorientation, and falls. The vestibular sense organs of the inner ear are required to stabilize gaze during head motion and provide an absolute frame of reference with respect to gravity for body orientation and balance. ![]()
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May 2023
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