VOR adaptation training and retention in a patient with profound bilateral vestibular hypofunction.

Gimmon, Yoav; Migliaccio, Americo A; Kim, Kyoung Jae; Schubert, Michael C · Laryngoscope · 2019

case_report · Level V

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Abstract

A novel training method known as incremental VOR adaptation (IVA) can improve the vestibulo-ocular reflex (VOR) gain for both active and passive head rotation by coupling active head rotations with a laser-projected target that moves in the opposite direction of the head at a fraction of the head velocity. A 51-year-old male with bilateral vestibular hypofunction participated in a research protocol using a portable IVA device for 645 days. Passive VOR gains improved 179% to 600%; standing posture and gait also improved. Motor learning within the vestibular system using the IVA method is possible after severe vestibular pathology. Laryngoscope, 129:2568-2573, 2019.

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