Evidence map›Paper›PMID 40746644›Full record

SynthesisFrontiers in neurology2025

Comparison of the effectiveness of immersive and non-immersive virtual reality in the treatment of vertigo in patients with peripheral vestibular dysfunction: a systematic review and meta-analysis.

Xiaoyi Liu, Sha Yang, Yiru Wang, Ziwei Tong, Xiao An, Xiaoqing Ren, Xu Sun, Zhicong Zhou, Hong Wang, Xiaoying Liu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Virtual Reality Technology in Otolaryngology Patient Care Management: A Narrative Review of Current Evidence and Future Prospects.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  3. Article
  4. 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

10 authors.

Xiaoyi Liu *School of Nursing, Shandong Second Medical University, Weifang, China.
Sha Yang *The First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Yiru WangThe First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Ziwei TongThe First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Xiao AnThe First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Xiaoqing RenThe First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Xu SunThe First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Zhicong ZhouThe First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Hong WangThe First Affiliated Hospital of Shandong First Medical University, Jinan, China.
Xiaoying LiuSchool of Nursing, Shandong Second Medical University, Weifang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vertigo is the most common clinical manifestation in patients with peripheral vestibular dysfunction (PVD), and severe episodes may be accompanied by nystagmus, tinnitus, and hearing loss, which can seriously affect quality of life. Virtual reality (VR) technologies (immersive or non-immersive) play an important role in improving vertigo in patients with PVD, but the comparative effectiveness of VR technologies with different levels of immersion is unknown. Objective: To investigate the effectiveness of VR technology at different immersion levels in reducing vertigo symptoms in patients with PVD. Method: PubMed, MEDLINE, Embase, Cochrane Library, Web of Science, CINAHL and 4 Chinese databases were systematically searched. Standardized mean difference (SMD) was calculated using RevMan 5.4 software, and risk of bias was assessed using the Cochrane Collaboration tool and Stata software. The review process was reported according to PRISMA. Results: Twelve studies involving 600 participants met the inclusion criteria. The results indicated that both non-immersive and immersive VR significantly improved vertigo symptoms in patients with PVD; however, the immersive VR intervention demonstrated greater effectiveness (SMD = -2.08, 95% CI = -3.13 to -1.04, Conclusion: Immersive VR has been shown to be more effective in alleviating vertigo symptoms in patients with PVD. Specifically, an immersive VR program that includes an intervention period of ≤7 weeks, a single intervention duration of <30 min, and an intervention frequency of ≥5 times/week is recommended for optimal improvement of vertigo symptoms. Further high-quality, multicenter randomized controlled trials are recommended to confirm the findings of this study. Healthcare professionals should focus on the individual differences of elderly patients with PVD and provide personalized VR vestibular rehabilitation programs for optimal rehabilitation outcomes. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42025638469.

Indexed as

meta-analysisperipheral vestibular dysfunctionsystematic reviewvertigovirtual reality

Identifiers

PMID40746644
PMCPMC12312637

What OpenQuestion holds

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Registered trials

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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.