Effects of vestibular rehabilitation program on balance, dizziness severity, sleep quality and quality of life in patients with vestibular migraine
Abstract
BACKGROUND: Despite growing evidence on the effectiveness of vestibular rehabilitation (VR) in several vestibular pathologies, data on its impact in patients with vestibular migraine (VM) remain relatively limited.
AIMS: The aim of this study was to evaluate the effects of VR on balance, dizziness severity, sleep quality and quality of life in patients diagnosed with VM.
METHODS: Forty eight patients diagnosed with VM were randomized into two groups: a control group receiving routine medical treatment and an intervention group receiving medical treatment plus an eight-week structured VR program. Participants were assessed for dizziness severity using a Visual Analog Scale (VAS), for balance using balance tests, for sleep quality using the Pittsburgh Sleep Quality Index (PSQI), and for handicap-related quality of life using the Dizziness Handicap Inventory (DHI), at baseline and at the end of the 8-week treatment.
RESULTS: A total of 40 VM patients completed the study. The majority of the participants were female (85%). The intervention group showed significant improvements in static and dynamic balance tests, PSQI, dizziness-related DHI, and dizziness severity (VAS) from baseline to post-intervention (p < 0.05), whereas the control group showed no meaningful changes. Repeated measures ANOVA revealed significant group × time interactions across balance, functional mobility (TUG), sleep quality, and dizziness outcomes (p < 0.05), indicating greater improvements in the…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 40 participants or records.
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