Evidence map›Paper›PMID 40407062›Full record

SynthesisJournal of the American Heart Association2025

Impact of Vestibular Rehabilitation and Dual-Task Training on Balance and Gait in Survivors of Stroke: A Systematic Review and Meta-Analysis.

Brooke Nairn, Nehzat Koohi, Diego Kaski, Doris-Eva Bamiou, Marousa Pavlou

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
–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.

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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. 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

5 authors.

Brooke NairnUCL Ear Institute University College London London UK.ORCID 0009-0002-4731-3090
Nehzat KoohiUCL Institute of Neurology University College London London UK.ORCID 0000-0003-1545-8527
Diego KaskiDepartment of Neuro-Otology University College London Hospitals London UK.ORCID 0000-0002-0591-646X
Doris-Eva BamiouUCL Ear Institute University College London London UK.ORCID 0000-0001-7486-4264
Marousa PavlouUCL Ear Institute University College London London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence supports that vestibular rehabilitation therapy (VRT) improves the static and dynamic balance of survivors of stroke, yet VRT is rarely included in stroke rehabilitation guidelines. We aim to answer the question: What are the effects of VRT or dual-task training (DTT) on balance and gait for reducing the risk of falls among survivors of late subacute and chronic stroke?

methodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Statement guidelines, electronic databases PubMed, EMBASE, MEDLINE, Web of Science, and Scopus for English were searched to identify randomized controlled trials published within the past 10 years in the English language, investigating VRT for patients with late subacute and chronic stroke.

resultsEleven studies (n=509 participants) were included in the systematic review, and 10 studies (n=413 participants) were included in a meta-analysis. The average participant age was 60.9 years, with 62.11% male. On average, 36 months had passed since stroke onset. The pooled effect standardized mean difference suggests that VRT has a significantly large effect for improving balance (standardized mean difference, 0.64 [95% CI, 0.44-0.85],

conclusionsDespite substantial heterogeneity across studies, the evidence supports that VRT, can probably improve balance, and DTT may improve gait outcomes among survivors of late subacute and chronic stroke. An optimal program for this population should focus on balance and DTT with subcomponents of gait and strength training. Further research is required to determine the optimal number of weeks, sessions/week, and duration (minutes) of VRT sessions. REGISTRATION: URL:  https://www.crd.york.ac.uk/PROSPERO/; Unique identifier: CRD42023450254.

Indexed as

Accidental FallsExercise TherapyGaitPostural BalanceStrokeStroke RehabilitationVestibular DiseasesVestibule, LabyrinthAgedFemaleHumansMaleMiddle AgedRecovery of FunctionTreatment Outcomebalancedual taskgaitrehabilitationstrokevestibular

Identifiers

PMID40407062
PMCPMC12229107

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.