<p>The purpose of this study is to provide a comprehensive summary of exercises/strategies, their frequency and duration in vestibular rehabilitation programs aimed at managing dizziness and imbalance in peripheral vestibular disorders, to analyze the effects of Vestibular Rehabilitation Therapy (VRT) across various peripheral vestibular disorders, and to investigate potential synergies between VRT and pharmacotherapy or surgical interventions. An extensive search of literature was carried out in four major electronic databases such as PubMed/Medline, Web of Science, Embase, and PROQUEST using appropriate search strings. Screening of titles and abstracts as well as removal of duplicates and selection of studies for review. A total of 45 articles were selected after removing duplicates and excluding inappropriate studies. Among them, fifteen studies focused on BPPV, nine on bilateral vestibulopathy, six each on vestibular schwannoma and vestibular neuritis, two on SCDS, and one on vestibular paroxysmia. The number of VRT sessions varies across peripheral disorders, ranging from one to two for BPPV and extending from 3 to 12&#xa0;months for other conditions, typically administered three times daily. VRT proves as an effective treatment option in different peripheral vestibular disorders and offers lasting improvements despite a slower onset. Most commonly employed techniques are habituation, substitution, and adaptation. Integrating virtual reality in VRT is relatively a recent advancement and found effective.</p>

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Vestibular Rehabilitation Therapy in Peripheral Vestibular Disorders: A Scoping Review

  • M. Ramiz Malik,
  • Kaushlendra Kumar,
  • Merin Mathews

摘要

The purpose of this study is to provide a comprehensive summary of exercises/strategies, their frequency and duration in vestibular rehabilitation programs aimed at managing dizziness and imbalance in peripheral vestibular disorders, to analyze the effects of Vestibular Rehabilitation Therapy (VRT) across various peripheral vestibular disorders, and to investigate potential synergies between VRT and pharmacotherapy or surgical interventions. An extensive search of literature was carried out in four major electronic databases such as PubMed/Medline, Web of Science, Embase, and PROQUEST using appropriate search strings. Screening of titles and abstracts as well as removal of duplicates and selection of studies for review. A total of 45 articles were selected after removing duplicates and excluding inappropriate studies. Among them, fifteen studies focused on BPPV, nine on bilateral vestibulopathy, six each on vestibular schwannoma and vestibular neuritis, two on SCDS, and one on vestibular paroxysmia. The number of VRT sessions varies across peripheral disorders, ranging from one to two for BPPV and extending from 3 to 12 months for other conditions, typically administered three times daily. VRT proves as an effective treatment option in different peripheral vestibular disorders and offers lasting improvements despite a slower onset. Most commonly employed techniques are habituation, substitution, and adaptation. Integrating virtual reality in VRT is relatively a recent advancement and found effective.