Stopped: Due to COVID-19 pandemic during the 1year of grant funding (2019-2020), no new patients were implanted with the vestibular prosthetic device and enrolled in this study at the University of Geneva study site.
The goal of this study is to improve the vestibular implant's ability to reduce the vestibular-dependent perceptual, postural, and visual symptoms that affect patients with severe peripheral vestibular damage. The long-term research plan is focused on exploring the three questions which must be answered to assess the clinical utility of a vestibular implant (VI) in vestibulopathic patients - i) how can information transfer from the VI sensors to the brain be optimized; ii) how does the three-dimensional angular velocity information provided by the VI interact in the brain with other sensorimotor (vision, otolith, efferent) signals; and iii) how effectively does the VI alleviate the behavioral deficits and subjective symptoms experienced by patients with severe vestibular damage. The current study will be used to focus on two key subsets of these questions. Over one year, the investigators will study approximately 5 patients who have severe bilateral vestibular damage and functioning VI's, which will focus on aim 1: how the angular velocity information sensed by the VI can be optimally transferred to the brain; and aim 2: how effectively the VI improves the clinical status of vestibulopathic patients when they receive acute and sub-acute (3 days) motion-modulated stimulation. In sum, the investigators aim to improve the efficacy of the VI in human subjects by developing new knowledge about how the brain processes motion cues provided by the VI and correlating this information with behavioral outcomes.
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Changes in Postural Sway Thresholds
Timeframe: 3 days
Changes in Postural Sway Amplitudes
Timeframe: 3 days
Changes in Gait dynamics
Timeframe: 3 days
Changes in Vestibular Ocular Reflex (VOR) Amplitude
Timeframe: 3 days
Changes in Vestibular Ocular Reflex (VOR) Threshold
Timeframe: 3 days
Changes in motion perception in yaw
Timeframe: 3 days
Changes in motion perception orientation in roll
Timeframe: 3 days
Changes in angular error during a navigation task
Timeframe: 3 days
changes in dizziness handicap index score
Timeframe: 3 days
changes in activities-specific balance confidence score
Timeframe: 3 days
changes in oscillopsia functional impact scale score
Timeframe: 3 days
changes in reported quality of life
Timeframe: 3 days
changes in cognitive impairment - visual-spatial function
Timeframe: 3 days