Speech-Language-Hearing intervention in vestibular rehabilitation with the use of technologies: an integrative literature review

ABSTRACT Purpose: to perform an integrative literature review regarding the Speech-Language-Hearing intervention in vestibular rehabilitation with the use of technologies, presenting the most applied ones, as well as their effectiveness and possible biases. Methods: a search was performed on the PubMed/MEDLINE, LILACS, Scopus and SciELO databases, using as search strategy, the keywords: dizziness OR postural balance AND vestibular rehabilitation. Studies carried out by at least one audiologists and which addressed vestibular rehabilitation with the use of technologies as the study object, were included. The publication period set was from 2008 to 2018. During the evaluation of these articles, a quantitative analysis, a characterization of the included studies and an evaluation of their level of evidence and results were performed. Results: six articles, published between 2013 and 2018, were chosen. Most studies (n=4) applied Nintendo WiiTM versions during interventions. Among the authors, nine were audiologists. Three studies were clinical trials, two were observational studies without a control group and one was a case study. Conclusion: it was verified that the Speech-Language-Hearing Therapy has been applying technologies in vestibular rehabilitation interventions. However, publications regarding this modality of therapy are scarce in the literature and still lack robust scientific evidence.

摘要
研究目的：针对应用技术开展的前庭康复（vestibular rehabilitation）中的言语语言听力（Speech-Language-Hearing）干预开展整合性文献综述（integrative literature review），梳理当前应用最为广泛的技术类型，并阐明其有效性与潜在偏倚。
研究方法：在PubMed/MEDLINE、LILACS、Scopus及SciELO数据库中开展文献检索，检索策略采用关键词：眩晕（dizziness）或姿势平衡（postural balance）与前庭康复。纳入标准为：研究至少由1名听力学家（audiologists）开展，且以应用技术的前庭康复为研究对象，发表时间限定为2008年至2018年。在对纳入文献的评估过程中，本研究开展了定量分析、纳入研究的特征描述，并对其证据等级与研究结果进行了评价。
研究结果：最终筛选出2013年至2018年发表的6篇文献。其中多数研究（n=4）在干预过程中使用了任天堂Wii™（Nintendo WiiTM）设备。作者团队中共9名为听力学家。研究类型包括3项临床试验、2项无对照组观察性研究及1项个案研究。
研究结论：本研究证实，言语语言听力疗法已在前庭康复干预中应用各类技术。但目前该疗法相关的文献报道较为匮乏，且仍缺乏强有力的科学证据。