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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Bibliographic Details
Published in:Journal of clinical medicine 2020-02, Vol.9 (2), p.590
Main Authors: García-Muñoz, Cristina, Cortés-Vega, María-Dolores, Heredia-Rizo, Alberto Marcos, Martín-Valero, Rocío, García-Bernal, María-Isabel, Casuso-Holgado, María Jesús
Format: Article
Language:English
Subjects:
Balance
Bias
Clinical medicine
Clinical trials
Gait
Intervention
Meta-analysis
Multiple sclerosis
Physical therapy
Posture
Rehabilitation
Review
Systematic review
Vertigo
Walking
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Summary: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.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm9020590