Improving Balance in TBI Using a Low-Cost Customized Virtual Reality Rehabilitation Tool
Technical Report,30 Sep 2015,29 Sep 2016
Kessler Foundation Inc East Hanover United States
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The proposed study will implement and evaluate a novel, low-cost, Virtual Reality VR rehabilitation tool Island Quest IQ targeting somatosensory, vestibular, and vision systems through a double-blind RCT. Given the importance of dual-task skills for real-world functioning, we will also evaluate the relative effectiveness of dual task balance and cognitive VR training to improve balance. A total of 180 participants Service Members, Veterans, civilians with mild to severe TBI and documented balance impairments will be randomly assigned into one of three balance treatment groups 1 Standard of care control condition 2 IQ 3 IQ dual task balance plus cognitive. All groups will undergo 2 treatment sessionsweek x 6 weeks. Following completion of the treatment protocol, participants in the IQ training group will be randomly assigned to a maintenance training group 2 sessionsmonth x 4 months or a non-maintenance group. All participants will undergo baseline, immediate 6 weeks, and long-term 4 months follow-up assessments of 1 static and dynamic balance and 2 community integration, self-efficacy, quality of life, and cognitive function. This design will allow us to assess the efficacy of IQ as a customizable balance treatment in TBI, and to evaluate the impact of this remediation program on overall functioning.
- Medicine and Medical Research