Web‐based vestibular rehabilitation in persistent postural‐perceptual dizziness

  title={Web‐based vestibular rehabilitation in persistent postural‐perceptual dizziness},
  author={Guttorm Eld{\o}en and Stine E. Kvalheim and Terje Thesen and {\AA}se Mygland and Unn Lj{\o}stad and Siri Bakke and Marit Horsgaard Holo and Ingard L{\o}ge and Egil Jonsbu},
  journal={Brain and Behavior},
The aims of the study were to investigate the feasibility and preliminary outcome of a Norwegian web‐based self‐help application for vestibular rehabilitation (VR) among patients with high symptom burden of chronic dizziness fulfilling the criteria for persistent postural‐perceptual dizziness (PPPD). 
3 Citations
Home-based Vestibular Rehabilitation: A Feasible and Effective Therapy for Persistent Postural Perceptual Dizziness (A Pilot Study).
Preliminary results show Bal Ex is as effective as hospital-based VRT and should be considered as a treatment option for PPPD.
Perception, knowledge, and attitude of medical doctors in Saudi Arabia about the role of physiotherapists in vestibular rehabilitation: a cross-sectional survey
It is reported that physiotherapy services are underutilized in vestibular rehabilitation due to limited referral from Saudi Arabian medical doctors.


Multimodal treatment of persistent postural–perceptual dizziness
Persistent postural–perceptual dizziness (PPPD) is a chronic disorder with fluctuating symptoms of dizziness, unsteadiness, or vertigo for at least three months. Its pathophysiological mechanisms
Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness: A Randomized Controlled Trial in Primary Care
Internet-based vestibular rehabilitation reduces dizziness and dizziness-related disability in older primary care patients without requiring clinical support and has potential for wide application in community settings.
The effectiveness of exercise-based vestibular rehabilitation in adult patients with chronic dizziness: A systematic review
It is suggested that exercise-based vestibular rehabilitation shows benefits for adult patients with chronic dizziness with regard to improvement in the vertigo symptom scale, fall risk, balance and emotional status.
Treatment of Persistent Postural-Perceptual Dizziness (PPPD) and Related Disorders
Vestibular rehabilitation combined with CBT, and possibly supported by medication, can help patients escape a cycle of maladaptive balance control, recalibrate vestibular systems, and regain independence in everyday life.
Chronic dizziness: a practical approach
The approach to the chronic dizzy patient is described with an emphasis on treating the patient's symptoms, with a ‘test and think later’ approach likely to lead to diagnostic confusion rather than clarity.
Treatment success of internet-based vestibular rehabilitation in general practice: development and internal validation of a prediction model
Because the decision to offer stand-alone or blended VR should for now be based on availability, cost effectiveness and patient preference, it is difficult to predict treatment success of internet-based VR and it remains unclear who should be treated withStand-alone VR or blendedVR.
Chronic dizziness
It is important to not overmedicate with vestibular suppressants, and to treat any co-existing mood or anxiety disorder, as these interfere with the adaptive plasticity that is the basis of successful rehabilitation.
Guided and unguided internet-based vestibular rehabilitation versus usual care for dizzy adults of 50 years and older: a protocol for a three-armed randomised trial
This study will compare the clinical and cost-effectiveness of stand-alone internet-based VR and internet- based VR with physiotherapeutic support (‘blended care’) with usual care during 6 months of follow-up and perform an additional analysis on the data to identify predictors of successful treatment in the same population to develop a clinical decision rule for general practitioners.
[Persistent postural-perceptual dizziness].
There was a good effect of the drug: it reduced anxiety in all patients studied and the quality of sleep was improved as well; the authors recommend anvifen as the drug of choice in patients with PPPD during vestibular rehabilitation and cognitive-behavioral therapy.
Internet-based vestibular rehabilitation for adults aged 50 years and over: a protocol for a randomised controlled trial
Whether an internet-based VR intervention is effective in reducing dizziness and a cost-effective primary care treatment option is examined, as well as the effect of the intervention on dizziness-related disability and symptoms of depression and anxiety.