Evidence map›Paper›PMID 34472723›Full record

ArticleBrain and behavior2021

Web-based vestibular rehabilitation in persistent postural-perceptual dizziness.

Guttorm Eldøen, Stine E Kvalheim, Terje Thesen, Åse Mygland, Unn Ljøstad, Siri Bakke, Marit Horsgaard Holo, Ingard Løge, Egil Jonsbu

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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
    Trial
  4. Article
  5. Review
  6. Validity and reliability of the Niigata PPPD Questionnaire in a Western population.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 · 2023
    Observational
  7. Article
  8. [Research progress on the questionnaire related to persistent postural-perceptual dizziness].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2023
    Review
  9. Article
  10. Article
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

9 authors at 4 institutions in 1 country.

Guttorm EldøenDepartment of Neurology, Molde County Hospital, More and Romsdal Hospital Trust, Molde, Norway.ORCID 0000-0003-4295-7874
Stine E KvalheimDepartment of Neurology, Molde County Hospital, More and Romsdal Hospital Trust, Molde, Norway.
Terje ThesenDPS Solvang, Sørlandet Hospital, Kristiansand, Norway.
Åse MyglandDepartment of Neurology, Sørlandet Hospital, Kristiansand, Norway.
Unn LjøstadDepartment of Neurology, Sørlandet Hospital, Kristiansand, Norway.
Siri BakkeDepartment of Neurology, Molde County Hospital, More and Romsdal Hospital Trust, Molde, Norway.
Marit Horsgaard HoloDepartment of Neurology, Molde County Hospital, More and Romsdal Hospital Trust, Molde, Norway.
Ingard LøgeNorwegian Online Medical Handbook (NEL), Trondheim, Norway.
Egil JonsbuDepartment of health, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Trondheim, Norway.
Molde Hospital · NONorwegian University of Science and Technology · NOSørlandet Sykehus · NONorwegian Medical Association · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aims of the study were to investigate the feasibility and preliminary outcome of a Norwegian web-based self-help application for vestibular rehabilitation (VR) among patients with high symptom burden of chronic dizziness fulfilling the criteria for persistent postural-perceptual dizziness (PPPD). MATERIALS AND

methodsThe web application consists of six weekly online sessions, with written information and video presentations. It is self-instructive and freely available on NHI.no (https://nhi.no/for-helsepersonell/vestibular-rehabilitering/). Ten consecutive patients referred to a neurologic outpatient clinic for chronic dizziness were included. They signed informed consent forms and were examined at inclusion and after three months. State of health and symptom burden were recorded using Vertigo symptom score (VSS), Niigata symptom score (NPQ), Patient Health Questionnaire (PHQ-9) and health-related quality of life score (EQ5D-5L). Experiences with the program were measured using a semi-structured interview at the end of the study.

resultsNine out of ten patients completed the program. The findings suggest that the web application was easy to use, instructive and educatable. Challenges were the load of exercises, motivation to continue training during relapses and performing the body rolling on the floor. Participants had high symptom burden (VSS mean 32.9) and long duration of symptoms in years (mean 11.5). The participants improved on average 6.9 points on the VSS score.

conclusionsThis web application for chronic dizziness appears to be feasible and may reduce symptoms in patients who have struggled with serious and long-lasting dizziness.

Indexed as

DizzinessVestibular DiseasesHumansInternetQuality of LifeVertigodizzinessexercise therapyfeasibility studiesInternetneurologyquality of life

Identifiers

PMID34472723
PMCPMC8553303
OpenAlexW3197222600

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.