Effectiveness of Virtual Reality-Based Programs As Vestibular Rehabilitative Therapy in Peripheral Vestibular Dysfunction: A Meta-Analysis

European Archives of Oto-Rhino-Laryngology

Hazzaa, N. M., Manzour, A. F., et al. (2023).

European Archives of Oto-Rhino-Laryngology, 280(7), 3075-3086.

This systematic review and meta-analysis investigates the effects of virtual reality on outcomes for individuals with vestibular dysfunction.

No funding received



From database inception to July 2021

Randomized and non-randomized controlled trials

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Meta-analysis of three studies reporting on posturography showed the overall effect of virtual reality was highly significant (MD = -3.05, 95% CI = [-4.27, -1.84]). Meta-analyses of subjective outcomes showed that virtual reality was significantly superior to traditional vestibular rehabilitation. Mean Difference for the Vertigo Symptom Scale was -3.81 (95% CI = [-5.31, -2.32]), for the Visual Analog Scale - SAT score was 25.13 (95% CI = [12.96, 37.29]), and for the Dizziness Handicap Inventory was -12.93 (95% CI = [-24.18, -1.69]). No significant differences were found between groups on the Activities-specific Balance Confidence scale or the Dizziness Analogue Scale.