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Balance-Land: a gamified rehabilitation program for people with Persistent Perceptual Postural Dizziness (PPPD) and visual vertigo

Goodwin, Nathan, Sumner, Petroc ORCID: https://orcid.org/0000-0002-0536-0510, Loizides, Fernando ORCID: https://orcid.org/0000-0003-0531-6760, Derry-Sumner, Hannah, Rajenderkumar, Deepak and Powell, Georgina ORCID: https://orcid.org/0000-0001-6793-0446 2023. Balance-Land: a gamified rehabilitation program for people with Persistent Perceptual Postural Dizziness (PPPD) and visual vertigo. [Online]. PsyArXiv: Center for Open Science. Available at: https://doi.org/10.31234/osf.io/9gb73

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Abstract

BACKGROUND: Persistent Perceptual Postural Dizziness (PPPD) is typically treated through vestibular rehabilitation, which can be unpleasant and not well adhered to. Gamification has helped rehabilitation adherence in other domains.OBJECTIVE: To create a virtual rehabilitation tool with patients and clinicians that is: accessible to novice game users; engaging to increase treatment adherence; flexible over pace and visual complexity.METHODS: We developed Balance-Land over three phrases of feedback and improvement. In Phases 1 and 2, people with PPPD and visual vertigo symptoms (N =21) provided feedback via questionnaires and interviews, and 6 clinicians provided feedback in Phase 3. RESULTS: By phase 2, accessibility and usability was rated 79 on the System Usability Scale, placing it well within the range of commercial games. Enjoyment was rated moderately low (3.4/10 土2.0), partly due to symptom provocation, but participants said it was more enjoyable than standard rehabilitation. Participants confirmed that the virtual worlds and adaptable speed control provided flexibility over symptom stimulation. All participants said they would play the game if shown to improve symptoms. CONCLUSIONS: Balance-Land is potentially a useful rehabilitation tool for PPPD, but rehabilitation efficacy is yet to be tested.

Item Type: Website Content
Date Type: Published Online
Status: Submitted
Schools: Computer Science & Informatics
Psychology
Publisher: Center for Open Science
Last Modified: 14 Feb 2024 11:00
URI: https://orca.cardiff.ac.uk/id/eprint/165762

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