Sažetak sa skupa
Virtual reality in diagnostics and rehabilitation of otolithic senses
Tihana Mendeš
; KBC Osijek, J. Huttlera 4, 31000 Osijek, Hrvatska; Medicinski fakultet Osijek, J.Huttlera 4, 31000 Osijek
Andrijana Včeva
; KBC Osijek, J. Huttlera 4, 31000 Osijek; Medicinski fakultet Osijek, J.Huttlera 4, 31000 Osijek
Sažetak
For years, we have used the term “vestibular function testing” with the implication that we are testing
the entire vestibular system. In fact, most of our tests, such as the caloric test, the vHIT, the rotary
chair test, and even the Dix-Hallpike test, are tests of semicircular canal function and do not test the
otoliths. In the 1990s, with the introduction of vestibular evoked myogenic potentials (VEMP), we
finally got a test that can assess the otolithic function. The otolithic organs transmit linear
acceleration, including gravity, relative to the head. It is of crucial importance that the information
from the otolith facilitates the correct perception of the orientation of the head in relation to gravity.
Any dysfunction of the otolith organs is usually accompanied by irregular spatial orientation and
postural instability. A subjective visual vertical test is considered as a new assessment approach that
can be easily included in the clinical battery of tests. It is recommended for acute vertigo, brainstem
infarctions and oculomotor disorders. The test can also be used to monitor recovery/compensation of
acute lesions. Rehabilitation strategies have been successfully applied over the past few decades to
initiate central compensation and facilitate substitution in various types of peripheral vestibular
dysfunction. However, these vestibular rehabilitation strategies are often unsuccessful in patients with
isolated otolith disorders. Recently, virtual reality systems have been integrated with vestibular
rehabilitation exercises. Compared to traditional vestibular rehabilitation methods, virtual reality
vestibular rehabilitation allows for a wide range of stimuli with greater specificity and offers the
patient sensory inputs of varying levels of difficulty in a safe, comfortable, and standardized
environment.
Ključne riječi
virtual reality; otolithic senses; vestibular rehabilitation
Hrčak ID:
336381
URI
Datum izdavanja:
10.11.2025.
Posjeta: 118 *