Evidence map›Paper›PMID 36911951›Full record

Trial reportJournal of vestibular research : equilibrium & orientation2023

Decrease in head sway as a measure of sensory integration following vestibular rehabilitation: A randomized controlled trial.

Anat V Lubetzky, Daphna Harel, Santosh Krishnamoorthy, Gene Fu, Brittani Morris, Andrew Medlin, Zhu Wang, Ken Perlin, Agnieszka Roginska, Maura Cosetti and 1 more

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

Trial report in Journal of vestibular research : equilibrium & orientation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06500611 (Combined Effects Of Sensory Integration And Vestibular Exercises On Dizziness, Fall Risk And Quality Of Life In Post-Stroke Patients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-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.

NCT06500611 narecruitingnot on this mapstarted 2024, after this paper: background citation

Combined Effects Of Sensory Integration And Vestibular Exercises On Dizziness, Fall Risk And Quality Of Life In Post-Stroke Patients

TypeinterventionalSponsorRiphah International UniversityRan2024 to 2025Enrolled38ConditionsPost StrokeArmsSensory Integration and Vestibular Exercise with Routine Physical Therapy, Vestibular Exercise with Routine Physical Therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 16 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Anat V LubetzkyDepartment of Physical Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA.
Daphna HarelDepartment of Applied Statistics, Social Science and Humanities, Steinhardt School of Culture Education and Human Development, New York University, New York, NY, USA.
Santosh KrishnamoorthyVestibular Rehabilitation, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Gene FuVestibular Rehabilitation, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Brittani MorrisDepartment of Physical Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA.
Andrew MedlinDepartment of Physical Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA.
Zhu WangComputer Science Department, Courant Institute of Mathematical Sciences, New York University, New York, NY, USA.
Ken PerlinComputer Science Department, Courant Institute of Mathematical Sciences, New York University, New York, NY, USA.
Agnieszka RoginskaDepartment of Music and Performing Arts Professions, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA.
Maura CosettiDepartment of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jennifer KellyVestibular Rehabilitation, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
New York University · USIcahn School of Medicine at Mount Sinai · USNew York Eye and Ear Infirmary · USCourant Institute of Mathematical Sciences · US

Funding

Sensory integration of auditory and visual cues in diverse contexts given age, vestibular hypofunction and hearing lossR21DC018101 · NIDCD · NEW YORK UNIVERSITY · PI LUBETZKY, ANAT VILNAI · 2020 to 2022
$462k
NIDCD NIH HHS R21 DC018101
6 · The paper itself

Abstract

objectiveThe purpose of this study was to determine the extent to which sensory integration strategies via head sway, derived from a Head-Mounted Display (HMD), change in people with vestibular disorders following vestibular rehabilitation.

designRandomized Controlled TrialSetting:Vestibular Rehabilitation ClinicParticipants:Thirty participants with vestibular dysfunction and 21 age-matched controls.

main outcome measuresParticipants experienced two levels of visual surround (static or moving 'stars', front to back at 0.2 Hz, 32 mm) and white noise (none or rhythmic) while their head sway was recorded via the HTC Vive. We quantified head sway via Directional Path (DP) and Root Mean Square Velocity (RMSV) in 5 directions: anterior-posterior, medio-lateral, pitch, yaw, and roll and Power Spectral Density in low (PSD 1), medium (PSD 2) and high (PSD 3) frequencies in the anterior-posterior direction.

interventionsParticipants performed the assessment prior to being randomized into 8-weeks of contextual sensory integration training in virtual reality or traditional vestibular rehabilitation and once again following completion of the intervention. Controls performed the assessment once. Twelve participants dropped out, half due to covid lock-down. We applied an intention to treat analysis.

resultsWe observed significant increases in AP DP, RMSV and all PSDs with change in visual level. Both intervention groups significantly decreased medio-lateral, pitch and roll DP and RMSV and anterior-posterior PSD 2 with no group differences. Vestibular participants were significantly higher than controls on all outcomes pre rehabilitation. Post rehabilitation they were only significantly higher on PSD 2. Sound was not a significant predictor of head sway in this protocol.

conclusionsHead sway decreased following vestibular rehabilitation regardless of visual load or type of intervention applied. This change was measured via head kinematics derived from a portable HMD which can serve as a sensitive in-clinic assessment for tracking improvement over time.

Indexed as

COVID-19Vestibular DiseasesCommunicable Disease ControlHumansPostural BalanceTreatment OutcomeBalancedizzinesshead kinematicspostural controlvirtual reality

Identifiers

PMID36911951
PMCPMC10405044
OpenAlexW4323354999

What OpenQuestion holds

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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.