Prospects for the use of a vibration stimulation belt in the rehabilitation of patients with bilateral vestibulopathy syndrome

Kunelskaya N.L.; Baibakova E.V.; Rudakov S.A.; Zaoeva Z.O.; Guseva A.L.; Manaenkova E.A.; Chugunova M.A.

doi:https://doi.org/10.17116/otorino20259006129

Kunelskaya N.L.

Sverzhevky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University, Department of Otorhinolaryngology

ORCID: 0000-0002-1001-2609

Baibakova E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

SPIN RSCI: 8699-2693
Scopus AuthorID: 55806423300
ResearcherID: C-4192-2014
ORCID: 0000-0002-3430-6273

Rudakov S.A.

Neurobotics LLC

ORCID: 0009-0003-0545-2559

Zaoeva Z.O.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0002-2501-0200

Guseva A.L.

Pirogov Russian National Research Medical University, Department of Otorhinolaryngology

SPIN RSCI: 4417-2650
Scopus AuthorID: 56605413000
ORCID: 0000-0002-7988-4229

Manaenkova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0001-8023-4883

Chugunova M.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0002-4632-7901

Prospects for the use of a vibration stimulation belt in the rehabilitation of patients with bilateral vestibulopathy syndrome

Authors:

Kunelskaya N.L., Baibakova E.V., Rudakov S.A., Zaoeva Z.O., Guseva A.L., Manaenkova E.A., Chugunova M.A.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2025;90(6): 29‑33

DOI: 10.17116/otorino20259006129

Read: 375 times

Contact the author

Table of contents

To cite this article:

Kunelskaya NL, Baibakova EV, Rudakov SA, Zaoeva ZO, Guseva AL, Manaenkova EA, Chugunova MA. Prospects for the use of a vibration stimulation belt in the rehabilitation of patients with bilateral vestibulopathy syndrome. Russian Bulletin of Otorhinolaryngology. 2025;90(6):29‑33. (In Russ.)
https://doi.org/10.17116/otorino20259006129

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

Использование инфографики авторами научных работ

OBJECTIVE

To develop a vibration stimulation belt (vibration belt) for patients with bilateral vestibulopathy syndrome and evaluate its effectiveness.

MATERIAL AND METHODS

Of the 58 patients with bilateral vestibulopathy syndrome of various etiologies diagnosed according to the criteria of the Bárány Society, 19 patients (8 men, 11 women) were included in the vibration belt clinical trial. The average age was 50.47±14.86 years. To control the effectiveness of the vibration belt, a clinical sensory integration test using computer stabilometry and a ssensory analogue scale for subjective assessment of balance were used.

RESULTS

A vibration stimulation belt with vibration motors, a control unit and software designed for the rehabilitation of patients with bilateral vestibulopathy syndrome has been developed. The belt was used by 15 (79%) patients for 8.6±1.2 hours daily. There was an improvement in balance indicators when standing with eyes closed (p<0.05). A subjective assessment on the sensory analogue scale in points showed an increase in balance by 1.44 times.

CONCLUSION

The potential of a vibration belt as an effective auxiliary device for maintaining balance in patients with bilateral vestibulopathy syndrome, especially in conditions of limited lighting, has been demonstrated.

Keywords:

bilateral vestibulopathy

vibration stimulation

balance

rehabilitation

Authors:

Kunelskaya N.L.

Sverzhevky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University, Department of Otorhinolaryngology

ORCID: 0000-0002-1001-2609

Baibakova E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

SPIN RSCI: 8699-2693
Scopus AuthorID: 55806423300
ResearcherID: C-4192-2014
ORCID: 0000-0002-3430-6273

Rudakov S.A.

Neurobotics LLC

ORCID: 0009-0003-0545-2559

Zaoeva Z.O.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0002-2501-0200

Guseva A.L.

Pirogov Russian National Research Medical University, Department of Otorhinolaryngology

SPIN RSCI: 4417-2650
Scopus AuthorID: 56605413000
ORCID: 0000-0002-7988-4229

Manaenkova E.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0001-8023-4883

Chugunova M.A.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

ORCID: 0000-0002-4632-7901

Received:

11.05.2025

Accepted:

14.06.2025

Close metadata

References:

Neuhauser HK. The epidemiology of dizziness and vertigo. Handbook of Clinical Neurology. 2016;137:67-82. https://doi.org/10.1016/B978-0-444-63437-5.00005-4
Kunelskaya NL, Baybakova EV, Guseva AL, Chugunova MA, Kulakova EA. Etiology and clinical symptoms of bilateral vestibulopathy. Russian Bulletin of Otorhinolaryngology. 2020;85(3):32-35. (In Russ.). https://doi.org/10.17116/otorino20208503132
van Stiphout L, Szmulewicz DJ, Guinand N, Fornos AP, Van Rompaey V, van de Berg R. Bilateral vestibulopathy: a clinical update and proposed diagnostic algorithm. Frontiers in Neurology. 2023;14: 1308485. https://doi.org/10.3389/fneur.2023.1308485
Hall CD, Herdman SJ, Whitney SL, Anson ER, Carender WJ, Hoppes CW, Cass SP, Christy JB, Cohen HS, Fife TD, Furman JM, Shepard NT, Clendaniel RA, Dishman JD, Goebel JA, Meldrum D, Ryan C, Wallace RL, Woodward NJ. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline from the Academy of Neurologic Physical Therapy of the American Physical Therapy Association. Journal of Neurologic Physical Therapy. 2022;46(2):118-177. https://doi.org/10.1097/NPT.0000000000000382
Basta D, Rossi-Izquierdo M, Wonneberger K, Brugnera C, Bittar RSM, Greters ME, Ernst A, Soto-Varela A. Individualized Vibrotactile Neurofeedback Training in Patients with Chronic Bilateral Vestibulopathy. Brain Science. 2023;13:1219. https://doi.org/10.3390/brainsci13081219
Wuehr M, Eder J, Keywan A, Jahn K. Noisy galvanic vestibular stimulation improves vestibular perception in bilateral vestibulopathy. Journal of Neurology. 2023;270(2):938-943. Epub 2022 Nov 02. PMID: 36324034; PMCID: PMC9886588. https://doi.org/10.1007/s00415-022-11438-8
Sluydts M, Curthoys I, Vanspauwen R, Papsin BC, Cushing SL, Ramos A, Ramos de Miguel A, Borkoski Barreiro S, Barbara M, Manrique M, Zarowski A. Electrical Vestibular Stimulation in Humans: A Narrative Review. Audiology and Neuro-Otology. 2020; 25(1-2):6-24. https://doi.org/10.1159/000502407
Candreia C, Rust HM, Honegger F, Allum JHJ. The Effects of Vibro-Tactile Biofeedback Balance Training on Balance Control and Dizziness in Patients with Persistent Postural-Perceptual Dizziness (PPPD). Brain Science. 2023;13(5):782. https://doi.org/10.3390/brainsci13050782
Kunelskaya NL, Baibakova EV, Zaoeva ZO, Guseva AL, Chugunova MA, Manaenkova EA, Vinogradova MV. Rehabilitation in bilateral vestibulopathy: trends and perspectives. Russian Bulletin of Otorhinolaryngology. 2024;89(2):59-65. (In Russ.). https://doi.org/10.17116/otorino20248902159
Strupp M, Kim JS, Murofushi T, Straumann D, Jen JC, Rosengren SM, Della Santina CC, Kingma H. Bilateral vestibulopathy: Diagnostic criteria Consensus document of the Classification Committee of the Bárány Society. Journal of Vestibular Research: Equilibrium and Orientation. 2017;27(4):177-189. PMID: 29081426; PMCID: PMC9249284. https://doi.org/10.3233/VES-170619
Cohen H, Blatchly CA, Gombash LL. A study of the clinical test of sensory interaction and balance. Physical Therapy. 1993;73(6): 346-351; discussion 351-354. PMID: 8497509. https://doi.org/10.1093/ptj/73.6.346
Mezenchuk AI, Kubryak OV. The Romberg’s sign: from walking in the dark to tests on the force plate. Al’manakh klinicheskoj meditsiny. 2022;50(5):335-347. (In Russ.). https://doi.org/10.18786/2072-0505-2022-50-040.