Effect of sensory substitution training on balance performance in patients with vestibular loss

• Project/Area Number: 22591888
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Otorhinolaryngology
• Research Institution: Nara Medical University
• Principal Investigator: YAMANAKA Toshiaki 奈良県立医科大学, 医学部, 准教授 (90271204)
• Co-Investigator(Kenkyū-buntansha): WADA Yoshiro 奈良県立医科大学, 医学部, 講師 (80240810)
• Project Period (FY): 2010 – 2012
• Project Status: Completed (Fiscal Year 2012)
• Budget Amount: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000); Fiscal Year 2012: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2011: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2010: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
• Keywords: 平衡 / 感覚代行 / ヒューマン・マシーンインターフェイス / 前庭覚 / クロスモダリティ / 転倒防止 / リハビリテーション

Research Abstract

The purpose of this study was to evaluate the BBD as a new rehabilitation tool for subjects with a failure of balance activity. This study included 11 subjects with bilateral vestibular loss such as vestibular neuritis and acoustic nerve resection. All subjects had BBD training in the Romberg or Tandem-Romberg position with eyes open or closed and underwent two or three 5-20 minutes sessions per day corresponding to the patient’s skill level for 8 weeks. The training with BrainPort balance device produced an improvement in balance and functional activities in patients with intractable chronic balance dysfunction due to vestibular balance deficit. These results suggest that alternative sensory input through the tongue substitutes for vestibular function and facilitate the brain plasticity.

Research Products

• [Journal Article] BPPV と骨粗鬆症の臨床的関係 (2012)
  • Author(s): 山中敏彰、城田志保、澤井八千代 (他9名)
  • Journal Title: Equilibrium Res Volume: 71 Pages: 33-39
  • NAID: 10030205467
  • Peer Reviewed
• [Journal Article] 小児めまい・平衡障害の診療-診断手順と治療方針 (2012)
  • Author(s): 山中敏彰
  • Journal Title: 日本医事新報 Volume: 4608 Pages: 75-84
  • NAID: 40019371225
• [Journal Article] 平衡のニューロリハビリテーション-慢性平衡障害への対応 (2012)
  • Author(s): 山中敏彰
  • Journal Title: Equilibrium Res Volume: 71 Pages: 120-135
  • NAID: 10030614731
  • Peer Reviewed
• [Journal Article] 「めまい」の診断・治療の最新知識 (2012)
  • Author(s): 山中敏彰
  • Journal Title: 精神科 Volume: 20 Pages: 280-288
• [Journal Article] Influence of mouth guards on autonomic nervous system activities: A quantitative study of pupillary flash responses (2012)
  • Author(s): Ishida J, Wada Y, Imai Y, Hirata Y, Yamashita M, Kirita T
  • Journal Title: Oral Science International Volume: 9 Pages: 38-42
  • NAID: 10031144848
  • Peer Reviewed
• [Journal Article] 小児めまい･平衡障害の診療-診断手順と治療方針 (2012)
  • Author(s): 山中敏彰
  • Journal Title: 日本医事新報 Volume: 4608 Pages: 75-84
  • NAID: 40019371225
• [Journal Article] Neurorehabilitation for the vestibular nervous system (2012)
  • Author(s): 山中敏彰
  • Journal Title: Equilibrium Research Volume: 71 Issue: 2 Pages: 120-135
  • DOI: 10.3757/jser.71.120
  • NAID: 10030614731
  • ISSN: 0385-5716, 1882-577X
  • Peer Reviewed
• [Journal Article] BPPVと骨粗鬆症の臨床的関係. (2012)
  • Author(s): 山中敏彰
  • Journal Title: Equilibrium Res Volume: 71 Pages: 33-39
  • NAID: 10030205467
  • Peer Reviewed
• [Journal Article] BPPVと骨粗鬆症の臨床的関係 (2012)
  • Author(s): 山中敏彰, 城田志保, 澤井八千代, 村井孝行, 清水直樹, 福田多介彦, 岡本英之, 藤田信哉, 細井裕司
  • Journal Title: Equilibrium Research Volume: 71 Pages: 33-39
  • NAID: 10030205467
  • Peer Reviewed
• [Journal Article] メニエール病に対する半規管遮断術 (2012)
  • Author(s): 山中敏彰
  • Journal Title: Equilibrium Research Volume: 71 Pages: 47-50
  • NAID: 10030205510
• [Journal Article] 精神科医が知っておくべき「めまい」の診断と治療の最新知識 (2012)
  • Author(s): 山中敏彰
  • Journal Title: 精神科 Volume: 20 Pages: 280-288
• [Journal Article] めまい疾患におけるメタボリックシンドロームの臨床分析 (2011)
  • Author(s): 山中敏彰,福田多介彦,澤井八千代,城田志保, 清水直樹,村井孝行, 岡本英之,藤田信哉,細井裕司
  • Journal Title: 日耳鼻 Volume: 114 Pages: 24-29
  • NAID: 10029380646
  • Peer Reviewed
• [Journal Article] めまい疾患におけるメタボリックシンドロームの臨床分析 (2011)
  • Author(s): 山中敏彰、福田多介彦、澤井八千代, 城田志保, 清水直樹, 村井孝行, 岡本英之, 藤田信哉, 細井裕司
  • Journal Title: 日本耳鼻咽喉科学会会報 Volume: 114 Pages: 24-29
  • NAID: 10029380646
  • Peer Reviewed
• [Journal Article] 水平半規管型BPPV クプラ結石症に対する新規治療法,-側方頭部傾斜・跳躍運動によるクプラ結石遊離の試み- (2010)
  • Author(s): 山中敏彰,澤井八千代,村井孝行,藤田信哉,細井裕司
  • Journal Title: Equilibrium Res Volume: 69 Pages: 182-187
  • Peer Reviewed
• [Journal Article] Distribution of Optokinetic sensitivity across the retina of mice in relation to eyeo rientation (2010)
  • Author(s): Shimizu N, Tabata T, Yamanaka T, Hosoi H, Kawano K
  • Journal Title: Neuroscience Volume: 168 Pages: 200-208
  • Peer Reviewed
• [Journal Article] 起立性めまいと椎骨動脈血流動態の関係 (2010)
  • Author(s): 澤井八千代,山中敏彰,村井孝行,藤田信哉,細井裕司
  • Journal Title: Equilibrium Res Volume: 69 Pages: 52-57
  • Peer Reviewed
• [Journal Article] 小児めまい・平衡障害症例の臨床的検討 (2010)
  • Author(s): 澤井八千代,山中敏彰, 村井孝行,藤田信哉,細井裕司
  • Journal Title: 小児科 Volume: 68 Pages: 41-44
  • NAID: 10026419225
  • Peer Reviewed
• [Journal Article] Distribution of Optokinetic sensitivity across the retina of mice in relation to eye orientation (2010)
  • Author(s): Shimizu N, Tabata T, Yamanaka T, Hosoi H, Kawano K
  • Journal Title: Neuroscience Volume: 168 Pages: 200-208
  • Peer Reviewed
• [Journal Article] 水平半規管型BPPVクプラ結石症に対する新規治療法.-側方頭部傾斜・跳躍運動によるクプラ結石遊離の試み- (2010)
  • Author(s): 山中敏彰, 澤井八千代, 村井孝行, 藤田信哉, 細井裕司
  • Journal Title: Equilibrium Research Volume: 69 Pages: 182-187
  • Peer Reviewed
• [Presentation] 耳科診療におけるBPPVの実践的治療 (2012)
  • Author(s): 山中敏彰
  • Organizer: 第25回日本耳科学会(インストラクションコース)
  • Place of Presentation: 名古屋
  • Year and Date: 2012-10-04
• [Presentation] An exercise therapy for the cupulolithiasis of BPPV (2012)
  • Author(s): Yamanaka T, Sawai Y, Murai T, Shimizu N, Okamoto H, Fujita N, Hosoi H
  • Organizer: American Academy of Otolaryngology-Head and Neck Surgery
  • Place of Presentation: San Francisco、USA
  • Year and Date: 2012-09-12
• [Presentation] 耳科診療におけるBPPVの実践的治療 (2012)
  • Author(s): 山中敏彰
  • Organizer: 日本耳科学会
  • Place of Presentation: 名古屋市
  • Invited
• [Presentation] 慢性めまい平衡障害への対応 (2010)
  • Author(s): 山中敏彰
  • Organizer: 第70回日本めまい平衡医学会(シンポジウム「姿勢と歩行の平衡制御」)
  • Place of Presentation: 千葉
  • Year and Date: 2010-11-19
• [Presentation] 平衡のリハビリテーション (2010)
  • Author(s): 山中敏彰
  • Organizer: 第69回日本めまい平衡医学会(ランチョンセミナー)
  • Place of Presentation: 京都
  • Year and Date: 2010-11-18
• [Presentation] The head-tilt hopping exercise as a new treatment strategy for the cupulolithiasis associated with horizontal canal BPPV (2010)
  • Author(s): Yamanaka T, Sawai Y, Murai T, Shimizu N, Okamoto H, Fujita N, Hosoi H
  • Organizer: International Symposium of Meniere disease and inner ear disease
  • Place of Presentation: 京都国際会館(京都市)
  • Year and Date: 2010-11-15
• [Book] 中枢性疾患を疑う眼振.めまいを見分ける・治療する (2012)
  • Author(s): 山中敏彰
  • Publisher: 中山書店
• [Book] 良性発作性頭位めまい症の理学療法．ENT臨床フロンティア「めまいを見分ける・治療する」 (2012)
  • Author(s): 山中敏彰
  • Total Pages: 8
  • Publisher: 中山書店
• [Book] 方向交代性眼振と中枢病変,「救急・ERノート」めまいの診かた (2011)
  • Author(s): 山中敏彰
  • Publisher: 羊土社
• [Book] 方向交代性眼振と中枢病変.「救急・ERノート」 (2011)
  • Author(s): 山中敏彰(箕輪良行編)
  • Publisher: 羊土社
• [Book] メニエール病に対する薬物治療のEBM, EBM耳鼻咽喉科・頭頸部外科の治療(池田勝久編) (2010)
  • Author(s): 山中敏彰
  • Publisher: 中外医学社
• [Book] 良性発作性頭位めまい症の理学療法.めまいを見分ける・治療する
  • Author(s): 山中敏彰