Upload
haniym-zawawi
View
221
Download
0
Embed Size (px)
Citation preview
8/13/2019 Slide Virtual Room Edited
1/18
The Feasibility of Bal Ex Virtual Room for
Balance Rehabilitation to Improve Balance: A
Case Study
Dr Zuraida Zainun
Senior Medical Lecturer
MSc (Medical Audiology), MD
School of Health Sciences, Universiti Sains Malaysia
http://bal-exercise.blogspot.com/
8/13/2019 Slide Virtual Room Edited
2/18
Study background
Objective Of The Study
Study Design/Methodology
Results & Discussions
Conclusion
Study outlines
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to
Improve Balance: A Case Study
8/13/2019 Slide Virtual Room Edited
3/18
1. Scientific Background
Balance disordered patientsmay report visual
vertigo.
With mixed results, available clinical treatments to
reduce visual vertigo include gaze stabilization,
postural control, and suppressive medications.
All are time consuming and require prolonged
treatment. The secondary actions of suppressive
medications may prohibit their use.
We propose a novel tool as a viable alternative,known as the BAL EX Virtual Room.
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation toImprove Balance: A Case Study
8/13/2019 Slide Virtual Room Edited
4/18
8/13/2019 Slide Virtual Room Edited
5/18
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
Virtual rehabilitation is a useful technique,both for motor function and body balance recovery in
individuals with neuromotor impairment, in addition to enabling
motivational aspects. Nonetheless, despite this positive effect
for motor function and body balance, the methodological
limitation of certain studies clearly shows the need foradvances in this field of research. Thus, the method must still
be used with caution and studied in groups of individuals with
other clinical conditions
(Virtual rehabilitation eff ectiveness in the body balance and motor skills of individuals
with neuromotor defi cit: a systematic review by Renato Sobral Monteiro Junior and
Elirez Bezerra da Silva)
8/13/2019 Slide Virtual Room Edited
6/18
Disco Ball Therapy
8/13/2019 Slide Virtual Room Edited
7/18
Virtual Room
8/13/2019 Slide Virtual Room Edited
8/18
2-Research Objective
To test the feasibility of the BAL EX
Virtual Room as a visual vertigo
rehabilitation programme to improvebalance.
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
8/13/2019 Slide Virtual Room Edited
9/18
3- Materials and Methods
One female subject presenting a one year
history of balance problem with a visual vertigo
diagnosis was involved in this case study.
The subject underwent two treatment sessions
within four weeks. Each session took one hour.
The duration between sessions was two weeks.
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
8/13/2019 Slide Virtual Room Edited
10/18
The BAL EX Virtual Room involved the visualsimulation of a disco ball within a darkened room.
The rotation of the disco ball with random colours
of white, yellow, red and green; was intensifiedincrementally.
The Malay version Activities-specific Balance
Confidence (ABC) Scale and Modified Malay
Vertigo Symptom Scale (MVVSS) was given to the
subject before first treatment and two weeks post
second treatment.
Conts..
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
8/13/2019 Slide Virtual Room Edited
11/18
DISCO BALL Optokinetic Stimulation
A mirrored "disco ball" toprovide optokineticstimulation
for patients with vestibular
disorders.
All of these techniques "involvesome degree of innovative
technology to assess treatment
effectiveness, measurement of
vestibular function, or revealbehavior in people with
vestibular dysfunction," Drs.
Schubert and Ryan write.
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
8/13/2019 Slide Virtual Room Edited
12/18
BAL EX VIRTUAL ROOM
BAL EX VIRTUAL ROOM
http://localhost/var/www/apps/conversion/tmp/scratch_10/Produce_1.avihttp://localhost/var/www/apps/conversion/tmp/scratch_10/Produce_1.avi8/13/2019 Slide Virtual Room Edited
13/18
Before treatment, the patients score for
Malay version ABC was 50.
After treatment, her score was 79.40; animprovement of 59%.
The MVVSS showed 35% improvement
after rehabilitation
4- Results
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
8/13/2019 Slide Virtual Room Edited
14/18
Table 1: Improvement score for MVVSS
MVVSS
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
Before
After
35 % ImprovementScore
Subject
8/13/2019 Slide Virtual Room Edited
15/18
Table 2: Improvement score for BDI
BDI
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
Before
After
% ImprovementScore
Subject
8/13/2019 Slide Virtual Room Edited
16/18
5- Discussion
The positive improvement of ABC scale and
MVVSS scores, indicate the feasibility of this
novel BAL EX Virtual Room rehabilitation program
The BAL EX Virtual Room programme, in
incremental sessions of exposure; may be
beneficial in reducing visual vertigo and lessening
the use of suppressive medications.
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
8/13/2019 Slide Virtual Room Edited
17/18
CONT
It is suggested that a wider pool of subjects with
visual vertigo are tested in order to improve its
viability as a rehabilitation programme for
balance disordered or visual vertigo patients.
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study
8/13/2019 Slide Virtual Room Edited
18/18
6- Conclusion
Future research with better
sample size will improve
the outcomes.
The Feasibility of BAL EX Virtual Room For Balance Rehabilitation to ImproveBalance: A Case Study