Evidence map›Paper›PMID 27083885›Full record

ReviewJournal of neurology2016

Vestibular compensation: the neuro-otologist's best friend.

Michel Lacour, Christoph Helmchen, Pierre-Paul Vidal

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07606196 (The Effect and Rehabilitation of Otolith Dysfunction in Vestibular Diseases), which is not on this map. Cited by 135 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 2 pooled it
9.1field-weighted citation impact, top 2% 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.

NCT07606196 nacompletednot on this mapstarted 2025, after this paper: background citation

The Effect and Rehabilitation of Otolith Dysfunction in Vestibular Diseases: A Randomized Comparison of Cawthorne-Cooksey Exercises, 2D Visual Habituation, and 3D/Virtual Reality Visual Habituation

TypeinterventionalSponsorMedipol UniversityRan2025 to 2026Enrolled45ConditionsVestibular Hypofunction, Vestibular Assessment, Vestibular Exercises, VestibulopathyArmsCawthorne-Cooksey Exercises, 2D Visual Habituation, 3D/Virtual Reality Visual Habituation
3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 2 syntheses or guidelines pooled it, 298 citations in OpenAlex.

  1. Pooled it
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  11. Review
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  14. Physical Activity and Fear Avoidance Over Time in Patients With Acute/Subacute Versus Chronic Unilateral Vestibulopathy: A Prospective Study.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2026
    Article
  15. Article
  16. Chronic dizziness: neuro-sensitization and psycho-sensitization.Frontiers in integrative neuroscience · 2026
    Review
  17. Article
  18. Walking balance recovery in people with unilateral vestibular hypofunction.Journal of vestibular research : equilibrium & orientation · 2025
    Article
  19. Abnormal neural circuits and altered brain network topological properties in patients with chronic unilateral vestibulopathy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  20. Article

75 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 2 countries.

Michel LacourUniversité Aix-Marseille/CNRS, UMR 7260, Fédération de Recherche 3C, Centre de St Charles, 3 Place Victor Hugo, 13331, Marseille Cedex 03, France. michel.lacour@univ-amu.fr.
Christoph HelmchenDepartment of Neurology, University Hospitals Schleswig-Holstein, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Pierre-Paul VidalUniversité Paris Descartes/CNRS, UMR-MD-SSA, COGNAC-G (COGNition and Action Group), 45 Rue des Saints Pères, 75270, Paris Cedex 06, France.
Centre National de la Recherche Scientifique · FRUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Why vestibular compensation (VC) after an acute unilateral vestibular loss is the neuro-otologist's best friend is the question at the heart of this paper. The different plasticity mechanisms underlying VC are first reviewed, and the authors present thereafter the dual concept of vestibulo-centric versus distributed learning processes to explain the compensation of deficits resulting from the static versus dynamic vestibular imbalance. The main challenges for the plastic events occurring in the vestibular nuclei (VN) during a post-lesion critical period are neural protection, structural reorganization and rebalance of VN activity on both sides. Data from animal models show that modulation of the ipsilesional VN activity by the contralateral drive substitutes for the normal push-pull mechanism. On the other hand, sensory and behavioural substitutions are the main mechanisms implicated in the recovery of the dynamic functions. These newly elaborated sensorimotor reorganizations are vicarious idiosyncratic strategies implicating the VN and multisensory brain regions. Imaging studies in unilateral vestibular loss patients show the implication of a large neuronal network (VN, commissural pathways, vestibulo-cerebellum, thalamus, temporoparietal cortex, hippocampus, somatosensory and visual cortical areas). Changes in gray matter volume in these multisensory brain regions are structural changes supporting the sensory substitution mechanisms of VC. Finally, the authors summarize the two ways to improve VC in humans (neuropharmacology and vestibular rehabilitation therapy), and they conclude that VC would follow a "top-down" strategy in patients with acute vestibular lesions. Future challenges to understand VC are proposed.

Indexed as

AnimalsDisease Models, AnimalHumansNeurologyOtolaryngologistsSensory Receptor CellsVestibular DiseasesVestibule, LabyrinthAnimal modelsDynamic deficits recoveryHuman brain imagingStatic deficits recoveryUnilateral vestibular lossVestibular compensation

Identifiers

PMID27083885
PMCPMC4833803
OpenAlexW2336545413

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.