Optokinetic Stripes Red & Black Moving in Opposite Directions

Fauquier ENT
Fauquier ENT
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Published 2024-06-28
Video showing red and black stripes moving in opposite directions and different speeds used in the treatment of Mal de Debarquement Syndrome (MdDS) or Visual Vertigo with metronome at 10 bpm.

This video is meant for those whom single color optokinetic stripes do help, but this may provide additional visual stimuli for a more intense training.

Optokinetic Training for Visual Vertigo:
   • Optokinetic Training to Treat Visuall...  

MdDs Treatment:
Known as optokinetic head roll exercises, the moving stripes are utilized to help resolve symptoms in up to 70% of patients who suffer from this condition within 5 days.

Video on How to Perform Head Roll Exercise:    • Optokinetic Head Roll Exercise to Tre...  

The video is exactly 5 minutes long which is the recommended duration to perform these exercises up to 8 times a day. Also played is a metronome at 10 bpm which is the recommended duration of one head roll cycle. Finally, do play this on as large a screen as possible and make sure the optokinetic stripes fill at least 80% of your vision!

To optimize clarity, the video was made at 4K resolution at 60fps.

Full playlist of red/black thin/thick stripes moving either right/left:
   • Optokinetic Stripes  

Head Roll Exercise
First, figure out the dominant direction of your rocking or swaying. Now this can be a little tricky because the rocking or swaying is moving back and forth… But, most people can identify a dominant side to their swaying or rocking. So even though you're going back and forth a lot of times, you'll feel more of a pull in one direction versus the other. See if you can identify what that direction is. If you can’t, you're going to just pick one side and go with that one. If after a few days, there is no improvement, then you can switch sides.

Once you have picked a side, you will set the optokinetic stimulation stripes to go in the opposite direction.

SO for example, if your sway is right side dominant, you will set the optokinetic stripes to move in the left direction.

Once you have picked a direction, hold the screen in front of the eyes such that it fills at least 80% of your visual field.

You do not want it too far from your eyes, but close enough that it really fills up most your vision.

There is a metronome audio in this video set to 10 beats per minute. Each beat is going to represent one full cycle of head movement.

Without turning the head, you will first bring one ear down towards the same side shoulder. Then move the head back to neutral position. Then move the opposite ear towards the opposite shoulder, then back to neutral position. This completes one cycle.

Try to make the head movement as one continuous smooth motion without stopping at any point.

Each session should be performed for 3-5 minutes. Make sure to observe your physical reactions to the exercise and if you start to feel really ill, then stop and take some grounding breaths and try again later.

In order to be truly helpful, this exercise needs to be performed up to 8 times a day.

If this exercise helps, you should start to feel improvement within 5 days. If you don't have an improvement in the first five days, then either this exercise will not work for you OR you picked the wrong side to begin with in which case, you would repeat this entire exercise again, but in the opposite direction.

Reference:
Readaptation of the vestibulo-ocular reflex relieves the mal de debarquement syndrome. Neurol. 2014 Jul 15:5:124. pubmed.ncbi.nlm.nih.gov/25076935/

Sham-Controlled Study of Optokinetic Stimuli as Treatment for Mal de Debarquement Syndrome. Front Neurol. 2018 Oct 25:9:887. pubmed.ncbi.nlm.nih.gov/30410464/

Optokinetic motion sickness and pseudo-Coriolis effects induced by moving visual stimuli. Acta Otolaryngol 76(5): 339-348. 1973. pubmed.ncbi.nlm.nih.gov/4543918/

Prevention of overt motion sickness by incremental exposure to otherwise highly stressful coriolis accelerations. Aerospace Medicine 40(2): 142-148. 1969. pubmed.ncbi.nlm.nih.gov/5304382/

Mal de debarquement. Arch Otolaryngol Head Neck Surg 125(6): 615-620. 1999. pubmed.ncbi.nlm.nih.gov/10367916/

Video created by Dr. Christopher Chang:
www.FauquierENT.net/

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#mdds #maldedebarquement #chronicdizziness #dizziness
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