Evidence map›Paper›PMID 28483885›Full record

Trial reportAnnals of family medicine2017

Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness: A Randomized Controlled Trial in Primary Care.

Adam W A Geraghty, Rosie Essery, Sarah Kirby, Beth Stuart, David Turner, Paul Little, Adolfo Bronstein, Gerhard Andersson, Per Carlbring, Lucy Yardley

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of family medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04751006 (Effects of Balance Exercise With or Without Gaze Stabilization Exercises on Clinical Outcomes in Elderly Patients With Chronic Dizziness), which is not on this map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 pooled it
5.0field-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.

NCT04751006 nacompletednot on this mapstarted 2020, after this paper: background citation

Effects of Balance Exercise With or Without Gaze Stabilization Exercises on Clinical Outcomes in Elderly Patients With Chronic Dizziness:A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of LahoreRan2020 to 2020Enrolled64ConditionsChronic DizzinessArmsGaze Stabilization Exercises, Balance Training
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 5 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  10. Online vestibular rehabilitation for chronic vestibular syndrome: 36-month follow-up of a randomised controlled trial in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
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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

10 authors at 6 institutions in 2 countries.

Adam W A GeraghtyPrimary Care and Population Sciences, University of Southampton, Southampton, United Kingdom A.W.Geraghty@soton.ac.uk.
Rosie EsseryAcademic Unit of Psychology, University of Southampton, Southampton, United Kingdom.
Sarah KirbyAcademic Unit of Psychology, University of Southampton, Southampton, United Kingdom.
Beth StuartPrimary Care and Population Sciences, University of Southampton, Southampton, United Kingdom.
David TurnerNorwich Medical School, University of East Anglia, Norwich, United Kingdom.
Paul LittlePrimary Care and Population Sciences, University of Southampton, Southampton, United Kingdom.
Adolfo BronsteinNeuro-otology Unit, Imperial College London, London, United Kingdom.
Gerhard AnderssonDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Per CarlbringDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Lucy YardleyAcademic Unit of Psychology, University of Southampton, Southampton, United Kingdom.
University of Southampton · GBImperial College London · GBLinköping University · SEStockholm University · SEUniversity of East Anglia · GBUniversity of Oxford · GB

Funding

Department of Health RP-PG-1211-20001The Dunhill Medical Trust R222/1111
6 · The paper itself

Abstract

purposeVestibular rehabilitation is an effective intervention for dizziness due to vestibular dysfunction, but is seldom provided. We aimed to determine the effectiveness of an Internet-based vestibular rehabilitation program for older adults experiencing dizziness in primary care.

methodsWe undertook a single-center, single-blind randomized controlled trial comparing an Internet-based vestibular rehabilitation intervention (Balance Retraining, freely available from https://balance.lifeguidehealth.org) with usual primary care in patients from 54 primary care practices in southern England. Patients aged 50 years and older with current dizziness exacerbated by head movements were enrolled. Those in the intervention group accessed an automated Internet-based program that taught vestibular rehabilitation exercises and suggested cognitive behavioral management strategies. Dizziness was measured by the Vertigo Symptom Scale-Short Form (VSS-SF) at baseline, 3 months, and 6 months. The primary outcome was VSS-SF score at 6 months.

resultsA total of 296 patients were randomized in the trial; 66% were female, and the median age was 67 years. The VSS-SF was completed by 250 patients (84%) at 3 months and 230 patients (78%) at 6 months. Compared with the usual care group, the Internet-based vestibular rehabilitation group had less dizziness on the VSS-SF at 3 months (difference, 2.75 points; 95% CI, 1.39-4.12;

conclusionsInternet-based vestibular rehabilitation reduces dizziness and dizziness-related disability in older primary care patients without requiring clinical support. This intervention has potential for wide application in community settings.

Indexed as

AgedDizzinessFemaleHumansInternetMaleMiddle AgedPrimary Health CareSingle-Blind MethodTreatment OutcomeVestibular Diseasesbehavioral medicinechronic careear, nose, and throat (ENT)Meniere diseasepractice-based researchprimary carevertigo

Identifiers

PMID28483885
PMCPMC5422081
OpenAlexW2607062162

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.