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Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial

Introduction: Mild traumatic brain injury (mTBI) affects approximately 740 cases per 100,000 people. Impairments related to mTBI include vertigo, dizziness, balance, gait disorders double or blurry vision, and others. The efficacy on acute or chronic phase and dosage of vestibular rehabilitation (VR...

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Autores principales: Galeno, Erasmo, Pullano, Edoardo, Mourad, Firas, Galeoto, Giovanni, Frontani, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819464/
https://www.ncbi.nlm.nih.gov/pubmed/36611549
http://dx.doi.org/10.3390/healthcare11010090
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author Galeno, Erasmo
Pullano, Edoardo
Mourad, Firas
Galeoto, Giovanni
Frontani, Francesco
author_facet Galeno, Erasmo
Pullano, Edoardo
Mourad, Firas
Galeoto, Giovanni
Frontani, Francesco
author_sort Galeno, Erasmo
collection PubMed
description Introduction: Mild traumatic brain injury (mTBI) affects approximately 740 cases per 100,000 people. Impairments related to mTBI include vertigo, dizziness, balance, gait disorders double or blurry vision, and others. The efficacy on acute or chronic phase and dosage of vestibular rehabilitation (VR) in reducing these symptoms is not clearly stated. To clarify these points, we performed a systematic review of randomised controlled trials (RCTs). Methods: A systematic literature search was performed from 2015 to 2022 on PubMed, CINAHL, Cochrane Trial SPORTDiscus, Web of Science, and PEDRO. Eligibility criteria were RCTs which consider VR, participants with mTBI, and no gender or age restriction. Two blinded reviewers independently selected the study, and a third author was contacted in case of disagreements. Risk of bias was independently screened by two authors and successively checked by the other two authors. Results: Thirty-three full articles were read for potential inclusion and seven records met the inclusion criteria. The authors analysed different outcomes considering DHI, a meta-analysis was carried out, statistical difference was observed (p < 0.01), and a mean difference of −6.91 (−9.11, −4.72) in favour of VR was shown. Considering quality of life, the VR group reached a higher score on QOLIBRI. Controversial results were shown about balance and subjective symptoms questionnaire. Differently considering HiMAT, the authors showed a statistically important difference in favour of VR (p = 0.002). Conclusion: VR seems useful to reduce symptoms in patients with concussion; however, a huge heterogeneity of the studies and of the outcomes used were found. Therefore, a larger sample is necessary to assess the efficacy of VR.
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spelling pubmed-98194642023-01-07 Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial Galeno, Erasmo Pullano, Edoardo Mourad, Firas Galeoto, Giovanni Frontani, Francesco Healthcare (Basel) Article Introduction: Mild traumatic brain injury (mTBI) affects approximately 740 cases per 100,000 people. Impairments related to mTBI include vertigo, dizziness, balance, gait disorders double or blurry vision, and others. The efficacy on acute or chronic phase and dosage of vestibular rehabilitation (VR) in reducing these symptoms is not clearly stated. To clarify these points, we performed a systematic review of randomised controlled trials (RCTs). Methods: A systematic literature search was performed from 2015 to 2022 on PubMed, CINAHL, Cochrane Trial SPORTDiscus, Web of Science, and PEDRO. Eligibility criteria were RCTs which consider VR, participants with mTBI, and no gender or age restriction. Two blinded reviewers independently selected the study, and a third author was contacted in case of disagreements. Risk of bias was independently screened by two authors and successively checked by the other two authors. Results: Thirty-three full articles were read for potential inclusion and seven records met the inclusion criteria. The authors analysed different outcomes considering DHI, a meta-analysis was carried out, statistical difference was observed (p < 0.01), and a mean difference of −6.91 (−9.11, −4.72) in favour of VR was shown. Considering quality of life, the VR group reached a higher score on QOLIBRI. Controversial results were shown about balance and subjective symptoms questionnaire. Differently considering HiMAT, the authors showed a statistically important difference in favour of VR (p = 0.002). Conclusion: VR seems useful to reduce symptoms in patients with concussion; however, a huge heterogeneity of the studies and of the outcomes used were found. Therefore, a larger sample is necessary to assess the efficacy of VR. MDPI 2022-12-28 /pmc/articles/PMC9819464/ /pubmed/36611549 http://dx.doi.org/10.3390/healthcare11010090 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Galeno, Erasmo
Pullano, Edoardo
Mourad, Firas
Galeoto, Giovanni
Frontani, Francesco
Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial
title Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial
title_full Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial
title_fullStr Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial
title_full_unstemmed Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial
title_short Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial
title_sort effectiveness of vestibular rehabilitation after concussion: a systematic review of randomised controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819464/
https://www.ncbi.nlm.nih.gov/pubmed/36611549
http://dx.doi.org/10.3390/healthcare11010090
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