The Effectiveness of Vestibular Rehabilitation in Vestibular Migraine: A Systematic Review
Abstract
This systematic review evaluates the effectiveness of vestibular rehabilitation (VR) in managing vestibular migraine (VM) symptoms in adults. A systematic search of PubMed, Web of Science, Scopus, ProQuest, ScienceDirect, and CENTRAL was conducted from inception to September 30, 2024. Additional searches included the NIH Clinical Trials Register and WHO ICTRP. Key search terms included: ("Vestibular migraine" OR "migraine-associated vertigo" OR "migrainous vertigo" OR "migraine-associated dizziness") AND ("Vestibular rehabilitation" OR "Vestibular exercis*" OR "balance rehabilitation" OR "balance physiotherapy" OR "exercis*"). Studies were excluded if they were non-English studies, irrelevant topics or unacceptable study types. Eligible studies included adults over 18 years diagnosed with VM based on Barany or Neuhauser criteria, excluding those with severe comorbidities or other causes of vertigo. Comparisons involved VR versus alternative treatments or controls, using outcome measures such as subjective scales (DHI, DGI, HADS) and performance tests. Data on design, sample size, age, sex, interventions, comparators, outcomes, results, and follow-up were extracted. Eleven studies (six prospective, three retrospective, two RCTs) with 977 participants (mean age 48.46) were analyzed. VR interventions included adaptation, substitution, habituation, balance, and gait exercises, delivered home-based, therapist-supervised, or combined. Significant improvements in vertigo,…
How strong is the evidence?
Evidence Hub reads this as a systematic review, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 977 participants or records.
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