TY - JOUR
T1 - Stable eyes - A portable vestibular rehabilitation device
AU - Todd, Christopher J.
AU - Hübner, Patrick P.
AU - Hübner, Philipp
AU - Schubert, Michael C.
AU - Migliaccio, Americo A.
N1 - Funding Information:
Manuscript received January 25, 2018; revised April 20, 2018; accepted May 4, 2018. Date of publication May 10, 2018; date of current version June 6, 2018. This work was supported in part by The Garnett Passe and Rodney Williams Memorial Foundation Senior/Principal Research Fellowship in Otorhinolaryngology and Project Grant (2013–2015), and in part by the NHMRC Development Grant under Grant APP105550. (Corresponding author: Americo A. Migliaccio.) C. J. Todd and A. A. Migliaccio are with the Balance and Vision Laboratory, Neuroscience Research Australia, Randwick, NSW 2031, Australia (e-mail: c.todd@neura.edu.au; a.migliaccio@neura.edu.au).
Publisher Copyright:
© 2001-2011 IEEE.
PY - 2018/6
Y1 - 2018/6
N2 - The vestibulo-ocular reflex (VOR) is the primary mechanism for stabilizing vision during rapid head movements. We have developed a training technique that typically increases the VOR response a minimum of 15% after 15 mins of training. This technique relies on subjects tracking a visual target that moves as a function of head motion, but at a different speed, so that the VOR is challenged to increase in order to stabilize the retinal image of the target. We have developed a portable device, StableEyes, which implements this technique so that unassisted training can be performed at home by patients with VOR hypofunction. The device consists of a head unit and base unit. The head unit contains inertial sensors to measure the instantaneous 3-D orientation of the head in space at 250 Hz, and an integrated circuit mirror to dynamically control the position of a laser target in space. The base unit consists of a touch screen interface that allows users to calibrate and set the device, in addition to recording compliance. The laser target range is ±12.5°. The device latency is 6 ms with a frequency response stable up to 6 Hz for velocities >80°/s, i.e., head velocities, where the VOR contributes most to visual stability. StableEyes was used to increase the VOR response in 10 normal subjects. In these, the VOR towards the adapting side increased by 11%, which is comparable to our laboratory findings. The adoption of StableEyes could improve the efficacy of vestibular rehabilitation and its outcomes.
AB - The vestibulo-ocular reflex (VOR) is the primary mechanism for stabilizing vision during rapid head movements. We have developed a training technique that typically increases the VOR response a minimum of 15% after 15 mins of training. This technique relies on subjects tracking a visual target that moves as a function of head motion, but at a different speed, so that the VOR is challenged to increase in order to stabilize the retinal image of the target. We have developed a portable device, StableEyes, which implements this technique so that unassisted training can be performed at home by patients with VOR hypofunction. The device consists of a head unit and base unit. The head unit contains inertial sensors to measure the instantaneous 3-D orientation of the head in space at 250 Hz, and an integrated circuit mirror to dynamically control the position of a laser target in space. The base unit consists of a touch screen interface that allows users to calibrate and set the device, in addition to recording compliance. The laser target range is ±12.5°. The device latency is 6 ms with a frequency response stable up to 6 Hz for velocities >80°/s, i.e., head velocities, where the VOR contributes most to visual stability. StableEyes was used to increase the VOR response in 10 normal subjects. In these, the VOR towards the adapting side increased by 11%, which is comparable to our laboratory findings. The adoption of StableEyes could improve the efficacy of vestibular rehabilitation and its outcomes.
KW - AVOR
KW - Adaptation
KW - Rehabilitation
KW - StableEyes
KW - Vestibular
KW - Vestibulo-ocular reflex
UR - http://www.scopus.com/inward/record.url?scp=85046794796&partnerID=8YFLogxK
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U2 - 10.1109/TNSRE.2018.2834964
DO - 10.1109/TNSRE.2018.2834964
M3 - Article
C2 - 29877847
AN - SCOPUS:85046794796
SN - 1534-4320
VL - 26
SP - 1223
EP - 1232
JO - IEEE Transactions on Neural Systems and Rehabilitation Engineering
JF - IEEE Transactions on Neural Systems and Rehabilitation Engineering
IS - 6
ER -