Evidence map›Paper›PMID 34810187›Full record

ArticleBMJ open2021

Feasibility and safety of an immersive virtual reality-based vestibular rehabilitation programme in people with multiple sclerosis experiencing vestibular impairment: a protocol for a pilot randomised controlled trial.

Cristina García-Muñoz, María Jesús Casuso-Holgado, Juan Carlos Hernández-Rodríguez, Elena Pinero-Pinto, Rocío Palomo-Carrión, María-Dolores Cortés-Vega

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04497025 (Feasibility and Safety of an Immersive Virtual Reality-based Vestibular Rehabilitation Program for Dizziness, Balance and Fatigue Improvement in People With Multiple Sclerosis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 43% 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.

NCT04497025 nawithdrawnnot on this mapstarted 2026, after this paper: background citation

Feasibility and Safety of an Immersive Virtual Reality-based Vestibular Rehabilitation Program for Dizziness, Balance and Fatigue Improvement in People With Multiple Sclerosis: Protocol for a Pilot Randomised Controlled Study

TypeinterventionalSponsorMaria Jesus Casuso-HolgadoRan2026 to 2029Enrolled0ConditionsMultiple Sclerosis, Vestibular Disease, Dizziness, Balance DisordersArmsImmersive Virtual-based vestibular rehabilitation, Conventional vestibular rehabilitation protocol
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 3 institutions in 2 countries.

Cristina García-MuñozDepartment of Physiotherapy, University of Seville, Seville, Spain.ORCID 0000-0003-2621-2098
María Jesús Casuso-HolgadoDepartment of Physiotherapy, University of Seville, Seville, Spain mcasuso@us.es.ORCID 0000-0002-4217-6827
Juan Carlos Hernández-RodríguezDermatology Department, Virgen del Rocío University Hospital, Seville, Spain.ORCID 0000-0003-2525-4069
Elena Pinero-PintoDepartment of Physiotherapy, University of Seville, Seville, Spain.ORCID 0000-0001-9611-3939
Rocío Palomo-CarriónDepartment of Nursery, Physiotherapy and Occupational Therapy, University of Castilla-La Mancha, Toledo, Spain.ORCID 0000-0003-4034-2585
María-Dolores Cortés-VegaDepartment of Physiotherapy, University of Seville, Seville, Spain.ORCID 0000-0002-9514-8811
Universidad de Sevilla · ESUniversity Dermatology · USUniversity of Castilla-La Mancha · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVestibular system damage in patients with multiple sclerosis (MS) may have a central and/or peripheral origin. Subsequent vestibular impairments may contribute to dizziness, balance disorders and fatigue in this population. Vestibular rehabilitation targeting vestibular impairments may improve these symptoms. Furthermore, as a successful tool in neurological rehabilitation, immersive virtual reality (VRi) could also be implemented within a vestibular rehabilitation intervention. METHODS AND ANALYSIS: This protocol describes a parallel-arm, pilot randomised controlled trial, with blinded assessments, in 30 patients with MS with vestibular impairment (Dizziness Handicap Inventory ≥16). The experimental group will receive a VRi vestibular rehabilitation intervention based on the conventional Cawthorne-Cooksey protocol; the control group will perform the conventional protocol. The duration of the intervention in both groups will be 7 weeks (20 sessions, 3 sessions/week). The primary outcomes are the feasibility and safety of the vestibular VRi intervention in patients with MS. Secondary outcome measures are dizziness symptoms, balance performance, fatigue and quality of life. Quantitative assessment will be carried out at baseline (T0), immediately after intervention (T1), and after a follow-up period of 3 and 6 months (T2 and T3). Additionally, in order to further examine the feasibility of the intervention, a qualitative assessment will be performed at T1. ETHICS AND DISSEMINATION: The study was approved by the Andalusian Review Board and Ethics Committee, Virgen Macarena-Virgen del Rocio Hospitals (ID 2148-N-19, 25 March 2020). Informed consent will be collected from participants who wish to participate in the research. The results of this research will be disseminated by publication in peer-reviewed scientific journals. TRIAL REGISTRATION NUMBER: NCT04497025.

Indexed as

Multiple SclerosisVestibular DiseasesVirtual RealityFeasibility StudiesHumansPilot ProjectsQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeVestibular Systemadult neurologymultiple sclerosisrehabilitation medicine

Identifiers

PMID34810187
PMCPMC8609940
OpenAlexW3216349847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.