Web‐based vestibular rehabilitation in persistent postural‐perceptual dizziness

@article{Elden2021WebbasedVR,
  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},
  year={2021},
  volume={11}
}
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).
TLDR
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
TLDR
It is reported that physiotherapy services are underutilized in vestibular rehabilitation due to limited referral from Saudi Arabian medical doctors.

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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
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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.
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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.
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TLDR
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TLDR
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.
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TLDR
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TLDR
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.
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