Evidence map›Paper›PMID 32617000›Full record

Trial reportClinical interventions in aging2020

Vestibular Rehabilitation Using Posturographic System in Elderly Patients with Postural Instability: Can the Number of Sessions Be Reduced?

Andrés Soto-Varela, Marcos Rossi-Izquierdo, María Del-Río-Valeiras, Isabel Vaamonde-Sánchez-Andrade, Ana Faraldo-García, Antonio Lirola-Delgado, Sofía Santos-Pérez

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03034655 (Reducing Rate of Falls in Older People With the Improvement of Balance by Means of Vestibular Rehabilitation), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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.

NCT03034655 naunknown statusnot on this map

Reducing Rate of Falls in Older People With the Improvement of Balance by Means of Vestibular Rehabilitation (ReFOVeRe Study): Optimizing Costs

TypeinterventionalSponsorHospital Clinico Universitario de SantiagoRan2016 to 2018Enrolled220ConditionsDizziness Chronic, FallArmsCDP, Mobile posturography, 10 sessions, 5 sessions
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Optokinetic stimulation for the treatment of vestibular and balance disorders: a systematic review with meta-analysis.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 · 2024
    Pooled it
  2. Vestibular Rehabilitation Using Dynamic Posturography: Functional Stability and Fall Risk Outcomes From a Randomized Trial.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Trial
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  4. Review
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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

7 authors at 3 institutions in 1 country.

Andrés Soto-VarelaDivision of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.ORCID 0000-0001-6763-329X
Marcos Rossi-IzquierdoDepartment of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain.ORCID 0000-0003-4526-5814
María Del-Río-ValeirasDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.ORCID 0000-0003-0877-5233
Isabel Vaamonde-Sánchez-AndradeDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.ORCID 0000-0002-5933-1571
Ana Faraldo-GarcíaDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.ORCID 0000-0001-6741-5188
Antonio Lirola-DelgadoDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.ORCID 0000-0002-0719-7868
Sofía Santos-PérezDivision of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.ORCID 0000-0001-9940-5478
Complejo Hospitalario Universitario de Santiago · ESUniversidade de Santiago de Compostela · ESHospital Universitario Lucus Augusti · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVestibular rehabilitation (VR) using posturography systems has proved useful in improving balance among elderly patients with postural instability. However, its high cost hinders its use. The objective of this study is to assess whether two different protocols of VR with posturography, one of them longer (ten sessions) and the other shorter (five sessions), show significant differences in the improvement of balance among old patients with instability. PATIENTS AND

methodsThis is a prospective, experimental, single-center (Department of Otorhinolaryngology of a tertiary referral hospital), randomized (into balanced patient blocks) study with two parallel arms, in 40 people over 65 years of age, with instability and at a high risk of falling. The percentage of the average balance (composite) in the sensory organization test (SOT) of the CDP (main outcome measure), other CDP scores, time and steps in the "timed up and go" test, scores of Dizziness Handicap Inventory (DHI), short Falls Efficacy Scale - International (short FES-I), and Vertiguard were compared before and 3 weeks after VR between both intervention groups.

resultsThe two treatment groups (20 patients per group) were comparable in age, sex, and pre-VR balance evaluation. In both groups, we observed a significant improvement in global balance (composite) after VR (49±11.34 vs 57±13.48, p=0.007, in the group undergoing 10 sessions; 51±12.55 vs 60±12.99, p=0.002, 5 sessions). In both groups, we also observed improvements in other posturographic parameters (in the SOT and limits of stability) but not in the timed up and go scores or in the questionnaires. Comparison of the improvement level achieved in both groups revealed no significant differences between them.

conclusionThe protocols of vestibular rehabilitation by posturography of 5 sessions in elderly patients with postural instability are as effective as those of 10 sessions for improving balance among elderly patients with postural instability.

trial registrationClinicalTrials.gov identifier: NCT03034655. Registered on 25 January 2017.

Indexed as

Postural BalanceAccidental FallsAgedDizzinessFemaleGeriatric AssessmentHumansMaleOutcome Assessment, Health CarePhysical Therapy ModalitiesProspective StudiesSurveys and QuestionnairesTreatment OutcomeVestibular Diseasesbalancecomputerized dynamic posturographyinstabilitymobile posturographyold peoplevertiguard

Identifiers

PMID32617000
PMCPMC7326163
OpenAlexW3037802213

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.