Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis

Overview

Journal J Clin Med

Specialty General Medicine

Date 2020 Feb 27

PMID 32098162

Citations 13

Authors

Cristina Garcia-Munoz

Maria-Dolores Cortes-Vega

Alberto Marcos Heredia-Rizo

Rocio Martin-Valero

Maria-Isabel Garcia-Bernal

Maria Jesus Casuso-Holgado

Affiliations

Soon will be listed here.

Abstract

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; = 0.01; I = 89%) and dizziness symptoms improvement (SMD = -17.43; 95% CI = -29.99, -4.87; = 0.007; I= 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.

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