https://ogma.newcastle.edu.au/vital/access/ /manager/Index en-au 5 Once-daily incremental vestibular-ocular reflex adaptation training in patients with chronic peripheral vestibular hypofunction: A 1-week randomized controlled study https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43877 Tue 04 Oct 2022 12:35:25 AEDT ]]> Comparison of incremental vestibulo-ocular reflex adaptation training versus x1 training in patients with chronic peripheral vestibular hypofunction: a two-year randomized controlled trial https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:43227 Primary outcome: vestibulo-ocular reflex gain. Secondary outcomes: compensatory saccades, dynamic visual acuity, static balance, gait, and subjective symptoms. Multiple imputation was used for missing data. Between-group differences were analyzed using a linear mixed model with repeated measures. Results: On average patients trained once daily 4 days per week. IVA training resulted in significantly larger VOR gain increase (active: 20.6% ± 12.08%, P = 0.006; passive: 30.6% ± 25.45%, P = 0.016) compared with x1 training (active: −2.4% ± 12.88%, P = 0.99; passive: −0.6% ± 15.31%, P = 0.68) (P < 0.001). The increased IVA gain did not significantly reduce with approximately 27% persisting over the washout period. x1 training resulted in greater reduction of compensatory saccade latency (P = 0.04) and increase in amplitude (P = 0.02) compared with IVA training. There was no difference between groups in gait and balance measures; however, only the IVA group had improved total Dizziness Handicap Inventory (P = 0.006). Discussion and Conclusions: Our results suggest IVA improves VOR gain and reduces perception of disability more than conventional x1 training. We suggest at least 4 weeks of once-daily 4 days-per-week IVA training should be part of a comprehensive vestibular rehabilitation program. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww. com/JNPT/A356).]]> Thu 15 Sep 2022 09:14:25 AEST ]]> Human vestibulo-ocular reflex adaptation is frequency selective https://ogma.newcastle.edu.au/vital/access/ /manager/Repository/uon:45859 Thu 08 Dec 2022 10:04:37 AEDT ]]>