Evidence map›Paper›PMID 15316804›Full record

Trial reportJournal of neurology2004

Simulator based rehabilitation in refractory dizziness.

Marousa Pavlou, Ari Lingeswaran, Rosalyn A Davies, Michael A Gresty, Adolfo M Bronstein

2 registry-linked trialsAbstract readClinical TrialComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of neurology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01344408 naunknown statusnot on this mapstarted 2010, after this paper: background citation

Effectiveness of Computer Assisted Training in Vestibular Rehabilitation for Older Patients With Vestibular Dysfunction

TypeinterventionalSponsorUniversity of AarhusRan2010 to 2016Enrolled63ConditionsDysfunction of Vestibular SystemArmsComputer-training
NCT04649268 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The Effect of Virtual Reality and DVD Optokinetic Stimulation Exposure on Visual Induced Dizziness Symptoms in Persons With a Vestibular Disorder

TypeinterventionalSponsorKing's College LondonRan2021 to 2022Enrolled24ConditionsPeripheral Vestibular DisorderArmsGroup B, Group A
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 197 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction.The Cochrane database of systematic reviews · 2015
    Pooled it
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  11. [Gait characteristics in patients with persistent postural-perceptual dizziness].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Article
  12. Review
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  14. The comparison between intratympanic gentamicin prehabilitation and postoperative virtual reality exposure to standard vestibular training in patients with vestibular schwannoma.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Marousa PavlouGKT School of Biomedical Sciences, King's College London Dept. of Physiotherapy, London, UK.
Ari Lingeswaran
Rosalyn A Davies
Michael A Gresty
Adolfo M Bronstein
Charing Cross Hospital · GBImperial College London · GBKing's College London · GBNational Hospital for Neurology and Neurosurgery · GB

Funding

Medical Research Council MC_U950770497
6 · The paper itself

Abstract

unlabelledPatients with chronic vestibular symptoms are common in neurological practice but the most effective treatment remains an open question. The purpose of our study was to conduct a controlled, between-group comparison of patients' responses to a customised exercise regime (Group C, for customised) versus treatment additionally incorporating simulator based desensitisation exposure (Group S, for simulator) integrating whole-body or visual environment rotators. Forty chronic peripheral vestibular patients who had previously undergone conventional vestibular rehabilitation without notable improvement were randomly assigned into Group C or S. Individuals attended therapy sessions twice weekly for eight weeks and were provided with a customised home programme. Response to treatment was assessed at four-week intervals with dynamic posturography, vestibular time constants, and questionnaires concerning symptoms, symptom-triggers and emotional status. At final assessment posturography and subjective scores had significantly improved for both groups, although Group S showed greater improvement. A statistically significant improvement for visual vertigo symptom scores was noted only for Group S (p < 0.01; total improvement 53.5 %). Anxiety and depression levels significantly decreased for both groups; improvements were significantly correlated particularly to improvements in visual vertigo (SCQ) (p < 0.01; r = 0.53 and r = 0.57, respectively). Significant differences were noted between groups (p = 0.02) for posturography scores. Vestibular time constants showed no notable change in either group.

conclusionsBoth groups improved but exposure to simulator motion gave overall better results. These effects were also observed in psychological symptoms and partly relate to simulator effects on visual vertigo symptoms. Visual motion and visuo-vestibular conflict situations should be incorporated in the rehabilitation of patients with refractory dizziness.

Indexed as

Exercise TherapyAdultAgedCase-Control StudiesDepressionDisability EvaluationDizzinessFemaleFollow-Up StudiesHumansMaleMiddle AgedPhysical Therapy ModalitiesPostural BalanceProspective StudiesRetrospective Studies

Identifiers

PMID15316804
OpenAlexW2017929353

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.