Evidence map›Paper›PMID 40624853›Full record

Trial reportOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2025

Vestibular Rehabilitation Using Dynamic Posturography: Functional Stability and Fall Risk Outcomes From a Randomized Trial.

Eytan A David, Navid Shahnaz, Isabel Wiseman, Yael David, Chris L Cochrane

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05115032 (Randomized Controlled Trial of Computerized Dynamic Posturography-assisted Vestibular Retraining Compared With At-home Vestibular Rehabilitation Exercises for Stable Unilateral Vestibular Deficit), 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
–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.

NCT05115032 nacompletednot on this map

Randomized Controlled Trial of Computerized Dynamic Posturography-assisted Vestibular Retraining Compared With At-home Vestibular Rehabilitation Exercises for Stable Unilateral Vestibular Deficit

TypeinterventionalSponsorEytan A. DavidRan2022 to 2023Enrolled37ConditionsDizziness, Equilibrium, Disorder, Labyrinth, Inner Ear InjuryArmsVestibular retraining with dynamic posturography, At-home rehabilitation exercises
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. [Study on normal reference values for dynamic balance parameters in healthy adults aged 20-69 years].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    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.

Eytan A DavidDepartment of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0001-5669-1961
Navid ShahnazAudiology and Speech Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Isabel WisemanDepartment of Health Sciences, Laurier University, Waterloo, Ontario, Canada.
Yael DavidDepartment of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Chris L CochraneNorth Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare computerized vestibular retraining therapy (CVRT) to a home exercise program (HEP) for the treatment of unilateral vestibular deficits. STUDY

designRandomized, unblinded, interventional study with single crossover.

settingThis study was performed in a tertiary neurotology clinic.

methodsIndividuals with a stable unilateral vestibular deficit present for greater than 6 months, confirmed with videonystagmography and vestibular evoked myogenic potential testing and scoring >30 on the dizziness handicap inventory, received either 12 twice-weekly sessions of CVRT or 6 weeks of HEP. Outcome measures were the limits of stability test with submeasures: reaction time; directional control; movement velocity; endpoint and maximum excursion; endpoint and maximum functional stability region.

resultsCVRT (n = 18), but not HEP (n = 12), was associated with improvement in all measures and with fewer instances of loss of balance during testing. CVRT was superior to HEP for directional control (24.0; 95% CI 4.4-43.6; P = .01), movement velocity (1.5; 95% CI 0.6-2.3; P < .001), and endpoint excursion (21.1; 95% CI 4.8-37.4; P < .01). Improvements in directional control (23.0; 95% CI 1.1-45.0; P = .046) and movement velocity (1.3; 95% CI 0.4-2.2; P = .04) were greater for HEP/CVRT crossover than for HEP alone. There were no adverse effects of either treatment.

conclusionCVRT improved postural stability in the limits of stability test. CVRT was associated with greater improvement than HEP in lean angle, accuracy, and speed of volitional leaning.

trial registrationClinicaltrials.gov NCT05115032 (https://clinicaltrials.gov/study/NCT05115032).

Indexed as

Accidental FallsExercise TherapyPostural BalanceVestibular DiseasesAdultAgedCross-Over StudiesFemaleHumansMaleMiddle AgedTreatment OutcomeVestibular Evoked Myogenic PotentialsVestibular Function Testsdizzinesspostural balancerehabilitationvestibular system

Identifiers

PMID40624853
PMCPMC12379862

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.