Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis

Postural instability and dizziness are commonly observed in people with multiple sclerosis (PwMS). The aim of this systematic review was to evaluate the evidence for the use of vestibular rehabilitation, in comparison with other exercise interventions or no intervention, to treat balance impairments...

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Autores: García-Muñoz, Cristina, Cortés Vega, María Dolores, Heredia Rizo, Alberto Marcos, Martín Valero, Rocío, García-Bernal, María-Isabel, Casuso-Holgado, María Jesús
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/100364
Acceso en línea:https://hdl.handle.net/11441/100364
Access Level:acceso abierto
Palabra clave:Multiple sclerosis
Vestibular diseases
Postural balance
Dizziness
Fatigue
Physical therapy modalities
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spelling Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-AnalysisGarcía-Muñoz, CristinaCortés Vega, María DoloresHeredia Rizo, Alberto MarcosMartín Valero, RocíoGarcía-Bernal, María-IsabelCasuso-Holgado, María JesúsMultiple sclerosisVestibular diseasesPostural balanceDizzinessFatiguePhysical therapy modalitiesPostural instability and dizziness are commonly observed in people with multiple sclerosis (PwMS). The aim of this systematic review was to evaluate the evidence for the use of vestibular rehabilitation, in comparison with other exercise interventions or no intervention, to treat balance impairments and dizziness in PwMS. An electronic search was conducted by two independent reviewers in the following databases: MEDLINE (Pubmed), Scopus, the Physiotherapy Evidence Database (PEDro), Web of Science (WOS), Lilacs, CINHAL and the Cochrane Database of Systematic Reviews (CDSR). A quality assessment was performed using the PEDro scale and the Cochrane Risk of Bias Tool. When possible, the data were pooled in a meta-analysis (95%CI). This systematic review followed the PRISMA guideline statement and was registered in the PROSPERO database (CRD42019134230). Seven studies were included, with a total of 321 participants analysed. Compared with no intervention, vestibular rehabilitation was more effective for balance development (SMD = 2.12; 95% CI = 0.49, 3.75; p = 0.01; I2 = 89%) and dizziness symptoms improvement (SMD = −17.43; 95% CI = −29.99, −4.87; p= 0.007; I2= 66%). Compared with other exercise interventions, improvements in favour of the experimental group were observed, but statistical significance for the differences between groups was not reached.Premio Anual Publicación Científica Destacada de la US. Facultad de Enfermería, Fisioterapia y PodologíaPremio Mensual Publicación Científica Destacada de la US. Facultad de Enfermería, Fisioterapia y PodologíaFisioterapia2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/100364reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of Clinical Medicine, 9 (590), 1-16.doi:10.3390/jcm9020590info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1003642026-06-17T12:51:07Z
dc.title.none.fl_str_mv Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
title Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
spellingShingle Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
García-Muñoz, Cristina
Multiple sclerosis
Vestibular diseases
Postural balance
Dizziness
Fatigue
Physical therapy modalities
title_short Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
title_full Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
title_fullStr Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
title_full_unstemmed Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
title_sort Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: A Systematic Review and Meta-Analysis
dc.creator.none.fl_str_mv García-Muñoz, Cristina
Cortés Vega, María Dolores
Heredia Rizo, Alberto Marcos
Martín Valero, Rocío
García-Bernal, María-Isabel
Casuso-Holgado, María Jesús
author García-Muñoz, Cristina
author_facet García-Muñoz, Cristina
Cortés Vega, María Dolores
Heredia Rizo, Alberto Marcos
Martín Valero, Rocío
García-Bernal, María-Isabel
Casuso-Holgado, María Jesús
author_role author
author2 Cortés Vega, María Dolores
Heredia Rizo, Alberto Marcos
Martín Valero, Rocío
García-Bernal, María-Isabel
Casuso-Holgado, María Jesús
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Fisioterapia
dc.subject.none.fl_str_mv Multiple sclerosis
Vestibular diseases
Postural balance
Dizziness
Fatigue
Physical therapy modalities
topic Multiple sclerosis
Vestibular diseases
Postural balance
Dizziness
Fatigue
Physical therapy modalities
description Postural instability and dizziness are commonly observed in people with multiple sclerosis (PwMS). The aim of this systematic review was to evaluate the evidence for the use of vestibular rehabilitation, in comparison with other exercise interventions or no intervention, to treat balance impairments and dizziness in PwMS. An electronic search was conducted by two independent reviewers in the following databases: MEDLINE (Pubmed), Scopus, the Physiotherapy Evidence Database (PEDro), Web of Science (WOS), Lilacs, CINHAL and the Cochrane Database of Systematic Reviews (CDSR). A quality assessment was performed using the PEDro scale and the Cochrane Risk of Bias Tool. When possible, the data were pooled in a meta-analysis (95%CI). This systematic review followed the PRISMA guideline statement and was registered in the PROSPERO database (CRD42019134230). Seven studies were included, with a total of 321 participants analysed. Compared with no intervention, vestibular rehabilitation was more effective for balance development (SMD = 2.12; 95% CI = 0.49, 3.75; p = 0.01; I2 = 89%) and dizziness symptoms improvement (SMD = −17.43; 95% CI = −29.99, −4.87; p= 0.007; I2= 66%). Compared with other exercise interventions, improvements in favour of the experimental group were observed, but statistical significance for the differences between groups was not reached.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/100364
url https://hdl.handle.net/11441/100364
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Clinical Medicine, 9 (590), 1-16.
doi:10.3390/jcm9020590
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
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