The effectiveness of vestibular rehabilitation therapy vs conservative treatment on dizziness: a systematic review and meta-analysis

Luth, Carl; Bartell, Desiree; Bish, Michaela; Yudd, Andrew; Palaima, Mary; Cleland, Joshua A.

doi:10.1080/10833196.2019.1670395

Cited by 3 publications

(3 citation statements)

References 33 publications

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“…Balance was objectively assessed through the BBS using a video call, and the outcomes were significantly improved with a moderate effect size (r = 0.6) in balance scores. These improvements could be attributed to vestibulo-ocular reflex adaptation through the performance of specific vestibular exercises and could be related to the enhancement of neuroplasticity with repetitive exercises for gaze stability and balance [41][42][43].…”

Section: Discussionmentioning

confidence: 99%

The combined effect of gaze stability and balance exercises using telerehabilitation in individuals with vestibular disorders during the COVID-19 pandemic: A pilot study

Aldawsary

Almarwani

2023

PLoS ONE

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Background Vestibular rehabilitation is recognized as the most effective intervention to relieve symptoms of dizziness and imbalance related to vestibular disorders. Objective This study aimed to examine the combined effect of gaze stability and balance exercises using telerehabilitation in individuals with vestibular disorders during the COVID-19 pandemic. Methods This pilot study was a quasi-experimental, single-group design pre- to post-telerehabilitation intervention. Individuals with vestibular disorders between the ages of 25–60 participated in this study (n = 10). Participants underwent four weeks of combined gaze stability and balance exercises using telerehabilitation at their homes. The Arabic version of the Activities-Specific Balance Confidence scale (A-ABC), Berg Balance Scale (BBS), and the Arabic version of the Dizziness Handicap Inventory (A-DHI) were assessed pre- and post-vestibular telerehabilitation. Wilcoxon signed rank test was used to examine the magnitude of difference pre- and post-intervention scores of outcome measures. The effect size (r) for the Wilcoxon signed rank was calculated. Results After four weeks of vestibular telerehabilitation, there was an improvement in BBS and A-DHI outcome measures (p < .001), with moderate effect size for both scales (r = 0.6). However, A-ABC showed no significant improvement among participants. Conclusion This pilot study found that the combined effect of gaze stability and balance exercises using telerehabilitation appear to be effective in improving balance and activities of daily living in individuals with vestibular disorders.

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Section: Discussionmentioning

confidence: 99%

The combined effect of gaze stability and balance exercises using telerehabilitation in individuals with vestibular disorders during the COVID-19 pandemic: A pilot study

Aldawsary

Almarwani

2023

PLoS ONE

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“…En las investigaciones de rehabilitación vestibular publicadas, generalmente efectuaron una supervisión directa de los pacientes al aplicar cualquiera de las modalidades y se evidencia una mejora más significativa en el grupo supervisado por el fisioterapeuta (56,57), con resultados más eficaces a corto plazo, sin diferencias significativas a largo plazo (58,59).…”

Section: Aspectos éTicosunclassified

“…La rehabilitación vestibular supervisada de forma frecuente y continua por un profesional, tiene una mejora más significativa que el grupo no supervisado, con resultados más eficaces en el corto plazo (56,57) (58,59). Las personas con miedo a las caídas o que presenten alguna comorbilidad requieren mayor supervisión, para lograr que realicen de manera eficiente los ejercicios vestibulares, ya que la supervisión permite explicar al paciente sobre su padecimiento y las características del programa (17).…”

Section: Aspectos éTicosunclassified

Efectividad de los protocolos aplicados en los programas de rehabilitación vestibular en pacientes con hipofunción vestibular periférica en Instituciones de salud. Año 2021

Tapia Egoavil

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Objetivo: Determinar la efectividad de los protocolos aplicados en los programas de rehabilitación vestibular en pacientes con hipofunción vestibular periférica en instituciones de salud, año 2021. Tipo y diseño: El tipo de estudio fue documental de diseño documental bibliográfico tipo revisión sistemática exploratoria. Se identificaron 653 artículos de 5 bases de datos publicados hasta el año 2021, de los cuales se seleccionó 50 artículos relevantes para su procesamiento, interpretación y análisis. Resultados: El 80% de los artículos seleccionados fueron de la base de datos Scopus y el 62% fueron ensayos controlados aleatorios (ECA). Los protocolos de rehabilitación vestibular que se basan en ejercicios, así como los protocolos que utilizan instrumentos, fueron efectivos en la mejora de los síntomas de forma significativa, sin diferencias significativas entre cada uno de los protocolos. Por el contrario, si hubo diferencias significativas al compararlas con las atenciones médicas habituales. Conclusiones: Existen protocolos de rehabilitación vestibular que son innovados según el avance tecnológico. Todos los protocolos son efectivos; sin embargo, al combinar los ejercicios vestibulares con instrumentos como la realidad virtual tienen beneficios adicionales.

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Effects of balance training with and without gaze stabilization exercises on clinical outcomes in elderly patients with chronic dizziness: A randomized controlled trial

Fatima

Tanveer

Shoukat

et al. 2022

Journal of Bodywork and Movement Therapies

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The effectiveness of vestibular rehabilitation therapy vs conservative treatment on dizziness: a systematic review and meta-analysis

Cited by 3 publications

References 33 publications

The combined effect of gaze stability and balance exercises using telerehabilitation in individuals with vestibular disorders during the COVID-19 pandemic: A pilot study

The combined effect of gaze stability and balance exercises using telerehabilitation in individuals with vestibular disorders during the COVID-19 pandemic: A pilot study

Efectividad de los protocolos aplicados en los programas de rehabilitación vestibular en pacientes con hipofunción vestibular periférica en Instituciones de salud. Año 2021

Effects of balance training with and without gaze stabilization exercises on clinical outcomes in elderly patients with chronic dizziness: A randomized controlled trial

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