Leveraging Technology for Vestibular Assessment and Rehabilitation in the Operational Environment: A Scoping Review

Area of Science:

• Neuroscience
• Rehabilitation Technology
• Military Medicine

Background:

• The vestibular system is crucial for stability and can be impaired by battlefield injuries.
• Existing technologies for vestibular assessment and rehabilitation may not be suitable for austere operational environments.
• There is a need to identify technologies applicable in military settings for vestibular care.

Purpose of the Study:

• To conduct a scoping review of technologies for vestibular assessment and rehabilitation in operational environments.
• To identify technologies feasible for use in austere settings for managing vestibular disorders.

Main Methods:

• A comprehensive literature search was performed using PubMed.
• Inclusion criteria focused on central/peripheral vestibular disorders, technology-based assessment/rehabilitation, and English language.
• Exclusion criteria targeted non-vestibular conditions, non-austere technologies, and non-English articles.

Main Results:

• The search yielded 32 articles, with 8 meeting the inclusion and exclusion criteria.
• A limited number of studies were found in peer-reviewed literature.
• The review identified technologies applicable to vestibular assessment and rehabilitation in operational contexts.

Conclusions:

• Untapped potential exists for leveraging technology in operational vestibular assessment and rehabilitation.
• Feasible technologies can aid in injury identification, triage, diagnosis, rehabilitation monitoring, and return-to-duty decisions.
• Future advancements may involve 3D printing, AI, and advanced therapies for vestibular care in austere settings.