Many uncontrollable factors may compromise the desired outcome of [manual] vestibular rehabilitation strategies, including incorrect and inconsistent execution of exercises and the necessity of active effort, interest, and capabilities of the patient (Bergeron et al., 2015).
GyroStim overcomes these challenges and limitations through automation. Automation effectively harnesses motion, which is one of the most important, yet most difficult...
Interactive multi-sensory stimulation
Good balance requires the ability to perform motor tasks while simultaneously engaged in cognitively demanding tasks (Conradsson, et al., (2015). Vestibular rehabilitation therapy paradigms that enhance engagement with physical, cognitive, and social stimulation, and that include novel and multi-modal stimulation result in better general functional outcomes. (Lacour et al., (2015). Similarly, Wulf et al. (2001) reports improved “motor skill performance and learning when attention is directed to the effect of movement instead of the movement itself.”
GyroStim is well suited for interactive multi-sensory stimulation therapy, The rotating chair is surrounded by integrated interactive laser detecting targets that may be used for a variety of multisensory stimulation strategies, which is shown to improve balance (Lacour & Bernard-Demanze, 2014). The patient uses a handheld laser pointer to hit stationary targets while the chair is in motion, resulting in dual-tasking challenges that are performed at or near the limits of the patient’s capacity, which is critical...
Whole-body multi-axis rotation
Whole-body multi-axis rotation stimulates visual, vestibular, and somatosensory input, challenging multisensory reweighting as the patient’s environmental conditions change. (Allison et al., 2018). “Multisensory reweighting (MSR) is an adaptive process that prioritizes visual, vestibular, and somatosensory inputs to provide the most reliable information for postural stability when environmental conditions change.” (Allison et al., 2006). We “reweight” visual, vestibular, and somatosensory inputs to maintain balance as conditions around us change (Allison, 2018; Nasher et al., 1982, Black et al. 1983, Black et al. 1988).
GyroStim’s advanced technology has capabilities for executing a wide range of specific and controlled multi-dimensional motion profiles. It offers clinicians a safe and effective automated means to administer whole-body multi-axis rotational motion stimulation of the sensorimotor system for...
Data-driven treatment strategies
“The outcomes of vestibular rehabilitative therapy should be corroborated by both subjective self-evaluation by the patient and objective measurements. (Lacour et al., 2015)”
Essential to the success of most any therapy is the ability to advance the activity at an optimal pace, and the best way to accomplish that is with data.
GyroStim software collects, monitors, and displays clinically relevant quantitative data and qualitative data indicating the patient’s response to each run.
The data assists the clinician with making informed decisions (Clinical Decision Support [CDS]) throughout the treatment session, resulting in data-driven treatment...
Standards of Conformity
GyroStim conforms with regulatory and FDA consensus standards related to design, development, and manufacturing of a medical device. See table of standards
Relative Intensity Protocols
In a 2015 study, Klatt et al. propose that a structured, progressive exercise framework has the potential to maximize postural control and decrease symptoms of dizziness/vertigo in patients with balance and vestibular dysfunction. They also emphasize the importance of addressing boredom and plateaus. GyroStim provides a library of protocols of relative intensity that serves as a framework for data-driven progression of individualized treatment programs.
Relative intensity protocols provide clinicians with a means for delivering a series of strategic treatment dosages to meet individual patient needs, resulting in...