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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

[email protected]

http://bal-exercise.blogspot.com/


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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


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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


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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)


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Disco Ball Therapy


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Virtual Room


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2-Research Objective

To test the feasibility of the BAL EX

Virtual Room as a visual vertigo

rehabilitation programme to improvebalance.



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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.



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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..



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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.



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BAL EX VIRTUAL ROOM

BAL EX VIRTUAL ROOM
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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



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Table 1: Improvement score for MVVSS

MVVSS


Before

After

35 % ImprovementScore

Subject


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Table 2: Improvement score for BDI

BDI


Before

After

% ImprovementScore

Subject


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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.



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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.



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6- Conclusion

Future research with better

sample size will improve

the outcomes.


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