Evidence map›Paper›PMID 9667087›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners1998

A randomized controlled trial of exercise therapy for dizziness and vertigo in primary care.

L Yardley, S Beech, L Zander, T Evans, J Weinman

Registry-linked trialOpen access · greenAbstract readClinical TrialRandomized Controlled Trial
PubMed Full text at PMC
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03412708 (The Effects of Vestibular Rehabilitation Therapy Supported With Virtual Reality on Dizziness and Balance in the Elderly Patients With Dizziness), which is not on this map. Cited by 55 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 11 pooled it
7.8field-weighted citation impact, top 3% of its field
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.

NCT03412708 naunknown statusnot on this mapstarted 2017, after this paper: background citation

The Effects of Vestibular Rehabilitation Therapy Supported With Virtual Reality on Dizziness and Balance in the Elderly Patients With Dizziness

TypeinterventionalSponsorPamukkale UniversityRan2017 to 2018Enrolled32ConditionsDizziness, Vestibular Rehabilitation, Virtual RealityArmsVestibular Rehabilitation supported with Virtual Reality
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 11 syntheses or guidelines pooled it, 213 citations in OpenAlex.

  1. Pooled it
  2. Pharmacological interventions for prophylaxis of vestibular migraine.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. Intratympanic gentamicin for Ménière's disease.The Cochrane database of systematic reviews · 2023
    Pooled it
  4. Intratympanic corticosteroids for Ménière's disease.The Cochrane database of systematic reviews · 2023
    Pooled it
  5. Surgical interventions for Ménière's disease.The Cochrane database of systematic reviews · 2023
    Pooled it
  6. Systemic pharmacological interventions for Ménière's disease.The Cochrane database of systematic reviews · 2023
    Pooled it
  7. Pooled it
  8. Guideline
  9. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction.The Cochrane database of systematic reviews · 2015
    Pooled it
  10. A systematic review of vertigo in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

L YardleyDepartment of Psychology, University College London. l.yardley@ucl.ac.uk
S Beech
L Zander
T Evans
J Weinman
University College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background'Vestibular rehabilitation' (VR) is an increasingly popular treatment option for patients with persistent dizziness. Previous clinical trials have only evaluated the effects of specialist therapy programmes in small, selective, or uncontrolled patient samples.

aimTo determine the benefits of VR compared with standard medical care, using a brief intervention for dizzy patients in primary care.

methodAdults consulting their general practitioner (GP) with dizziness or vertigo were randomly assigned to treatment or control groups. Patients in both groups received the same evaluation at baseline, six-week follow-up, and six-month follow-up, comprising examination of nystagmus, postural control, and movement-provoked dizziness, and a questionnaire assessment of subjective status, symptoms, handicap, anxiety, and depression. At baseline and six weeks later, the treatment group also received an individualized 30-minute therapy session, in which they were taught head, eye, and body exercises designed to promote vestibular compensation and enhance skill and confidence in balance.

resultsThe treatment group (n = 67) improved on all measures, whereas the control group (n = 76) showed no improvement, resulting in a significant difference between the two groups on physical indices of balance and subjective indices of symptoms and distress. Odds ratios for improvement in treated patients relative to untreated patients were 3.1:1 at six weeks (95% CI = 1.4-6.8) and 3.8:1 at six months (95% CI = 1.6-8.7).

conclusionVR is a simple, inexpensive, and beneficial treatment, and may be an appropriate first stage of management for many dizzy patients in primary care.

Indexed as

Exercise TherapyAdultDizzinessFemaleHumansMaleProspective StudiesTreatment OutcomeVertigo

Identifiers

PMID9667087
PMCPMC1410046
OpenAlexW1941508457

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.