Virtual reality for optimizing rehabilitation for older people with multisensory dizziness - a pilot and feasibility RCT.
Multisensory dizziness
People with multisensory dizziness have not responded satisfactorily to treatment with vestibular rehabilitation (TAU). Virtual Reality might offer possibilities to challenge the balance system and initiate a reweighting from vision to other sensory systems. This study assesses Virtual Reality added to vestibular rehabilitation compared to vestibular rehabilitation alone. The Virtual Reality interventions include watching a Virtual Reality movie for balance challenging tasks, twice a week for 9 weeks and performing vestibular rehabilitation exercises daily at home for 9 weeks. The control intervention includes vestibular rehabilitation exercises daily at home for 9 weeks only. A physiotherapist will assess all patients, individualize the home exercises and assist during Virtual Reality sessions. Vestibular rehabilitation is performed by means of home exercises, through a written program with text and figures. Virtual Reality sessions are performed face-to-face. Assessments and Virtual Reality sessions take place at the balance laboratory at the ENT department at Skåne University Hospital in Lund. Both groups do home exercises for about 15 minutes every day. The Virtual Reality group watches a Virtual Reality movie twice a week, every session taking about 10-15 minutes. Both interventions are performed for 9 weeks.
The diagnosis of multisensory dizziness
Not meeting the ket inclusion criteria