From the Research
Mal de Debarquement Syndrome (MdDS) is a neurological disorder characterized by a persistent sensation of rocking, swaying, or bobbing, typically occurring after exposure to passive motion, with symptoms lasting for months or even years and significantly impacting quality of life. The condition is often triggered by events such as sea, air, or road travel, and its symptoms can be alleviated by continuous motion like driving or walking, but worsen when the person is stationary 1. Common symptoms of MdDS include:
- Balance problems
- Fatigue
- Difficulty concentrating
- Headaches Treatment options for MdDS may include vestibular rehabilitation therapy, certain medications like benzodiazepines or selective serotonin reuptake inhibitors, and in some cases, repetitive transcranial magnetic stimulation, with benzodiazepines and antidepressants reported to be most beneficial in reducing symptoms 2. However, the effectiveness of vestibular rehabilitation in treating MdDS has been questioned, with some studies suggesting that it may not be an efficient treatment option for this condition 3. The exact cause of MdDS remains unclear, but it is believed to involve maladaptation of the brain's spatial orientation systems, and proper diagnosis is crucial as it is often misdiagnosed as anxiety, vertigo, or other balance disorders 4. Recent studies have explored the use of intermittent theta burst stimulation and the vestibular ocular reflex rehabilitation protocol in the treatment of MdDS, with significant improvements in subjective and objective outcomes reported, but further research is needed to fully understand the effectiveness of these treatments 5. If experiencing symptoms of MdDS, it is essential to consult a neurologist or specialist in vestibular disorders for proper diagnosis and treatment.