The effects of online movement therapy on physical activity and sleep in persistent postural-perceptual dizziness.

Lucia Joffily, Lara Carvalho, Uroosa Mayet, Marco Antônio Dantas de Lima, Diego Kaski

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Article in Journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Lucia JoffilySENSE Research Unit, Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, UK. luciajoffily@gmail.com.ORCID http://orcid.org/0000-0002-8446-7083

Lara CarvalhoSENSE Research Unit, Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, UK.

Uroosa MayetSENSE Research Unit, Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, UK.

Marco Antônio Dantas de LimaDepartment of Neurology, Universidade Federal Do Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil.

Diego KaskiSENSE Research Unit, Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePatients with persistent postural-perceptual dizziness (PPPD) have comorbid low activity levels and the highest prevalence of poor sleep quality and insomnia across dizziness syndromes. Vestibular rehabilitation encourages physical activity and improves sleep in dizzy patients, so we sought to evaluate the effects of an online movement therapy course on physical activity and sleep in patients with PPPD. This study aims to compare sleep and physical activity in PPPD patients before and after online movement physiotherapy (OMP) sessions and investigate the correlation between sleep variables, using subjective scores and objective actimeter wristwatch measures.

methodsThe study included 19 adult patients with PPPD, recruited between February 2024 and January 2025. Participants answered validated self-assessment questionnaires (IPAQ, DIH, PSQI and HADS) and used an actimeter 24 h a day, for 2 weeks before OMP treatment and 2 weeks after.

resultsStatistically significant differences and effect sizes were seen only for the DHI, with a 9-point decrease in mean DHI post-OMP. OMP sessions did not significantly improve other activity or sleep parameters (either objectively or subjectively) after 1 month of treatment. A positive correlation (although not statistically significant) was observed between increased physical activity and improved sleep. HADS did not show significant differences pre- and post-OMP. DISCUSSION AND

conclusionsThis study shows that a short course of online physiotherapy can reduce patient subjective dizziness perception but does not significantly improve sleep quality or physical activity levels.

Indexed as

ExerciseOutcome Assessment, Health CarePersistent Postural-Perceptual DizzinessSleepAdultAgedFemaleHumansMaleMiddle AgedPhysical activityPPPD (persistent postural perceptual dizziness)Sleep

Identifiers

PMID41963668

DOI10.1007/s00415-026-13811-3

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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.