Evidence map›Paper›PMID 37568216›Full record

Trial reportJournal of neuroengineering and rehabilitation2023

Contextual sensory integration training vs. traditional vestibular rehabilitation: a pilot randomized controlled trial.

Jennifer Kelly, Daphna Harel, Santosh Krishnamoorthy, Gene Fu, Brittani Morris, Andrew Medlin, Sarah Mischinati, Zhu Wang, John Sutera, Ken Perlin and 2 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04268745 nacompletednot on this map

Vestibular Rehabilitation Utilizing Virtual Environments to Train Sensory Integration for Postural Control in a Functional Context

TypeinterventionalSponsorNew York UniversityRan2019 to 2022Enrolled30ConditionsDizziness Chronic, Vertigo, Peripheral, FallArmsBalance training, Traditional Vestibular Rehabilitation
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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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

12 authors.

Jennifer KellyVestibular Rehabilitation, New York Eye and Ear Infirmary of Mount Sinai, 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.
Sarah MischinatiDepartment of Physical Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA.
Zhu WangComputer Science Department, New York University, Courant Institute of Mathematical Sciences, New York, NY, USA.
John SuteraVestibular Rehabilitation, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.
Ken PerlinComputer Science Department, New York University, Courant Institute of Mathematical Sciences, New York, NY, USA.
Maura CosettiDepartment of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Maura.Cosetti@mountsinai.org.
Anat V LubetzkyDepartment of Physical Therapy, Steinhardt School of Culture, Education and Human Development, New York University, New York, NY, USA.

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

backgroundWe created a clinical virtual reality application for vestibular rehabilitation. Our app targets contextual sensory integration (C.S.I.) where patients are immersed in safe, increasingly challenging environments while practicing various tasks (e.g., turning, walking). The purpose of this pilot study was to establish the feasibility of a randomized controlled trial comparing C.S.I. training to traditional vestibular rehabilitation.

methodsThirty patients with vestibular dysfunction completed the Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABC), Visual Vertigo Analog Scale (VVAS), Functional Gait Assessment (FGA), Timed-Up-and-Go (TUG), and Four-Square Step Test (FSST). Following initial assessment, the patients were randomized into 8 weeks (once per week in clinic + home exercise program) of traditional vestibular rehabilitation or C.S.I. training. Six patients had to stop participation due to the covid-19 pandemic, 6 dropped out for other reasons (3 from each group). Ten patients in the traditional group and 8 in the C.S.I group completed the study. We applied an intention to treat analysis.

resultsFollowing intervention, we observed a significant main effect of time with no main effect of group or group by time interaction for the DHI (mean difference - 18.703, 95% CI [-28.235, -9.172], p = 0.0002), ABC (8.556, [0.938, 16.174], p = 0.028), VVAS, (-13.603, [-25.634, -1.573], p = 0.027) and the FGA (6.405, [4.474, 8.335], p < 0.0001). No changes were observed for TUG and FSST.

conclusionPatients' symptoms and function improved following either vestibular rehabilitation method. C.S.I training appeared comparable but not superior to traditional rehabilitation.

trial registrationThis study (NCT04268745) was registered on clincaltrials.gov and can be found at https://clinicaltrials.gov/ct2/show/NCT04268745 .

Indexed as

COVID-19Vestibular DiseasesDizzinessHumansPandemicsPilot ProjectsPostural BalanceBalanceHead mounted DisplayHTC ViveVestibular Rehabilitation

Identifiers

PMID37568216
PMCPMC10422780

What OpenQuestion holds

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LicenceCC BY
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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.