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Effects of Vestibular Rehabilitation with Virtual Reality in Adults with Vestibular Dysfunction: A Systematic Review
Bianca Simone Zeigelboim1, Bianca L Cavalcante-Leão1, Alice Helena de Lima Santos Cardoso2
1Postgraduate Program in Human Communication Health, Speech Therapy Program, Universidade Tuiuti do Paraná, Curitiba, PR, Brazil.
Introduction:
Virtual reality is a tool used in the rehabilitation of neurodegenerative diseases and vestibular disorders, enabling immersion in a playful and illusory world.
Objective:
To determine the effects of vestibular rehabilitation with virtual reality in adults with vestibular disorders.
Data Synthesis:
Appropriate word combinations were selected and tailored specifically to seven electronic databases. Studies that investigated vestibular rehabilitation with virtual reality in individuals > 18-years-old and diagnosed with vestibular dysfunction were included. The risk of bias and the certainty of the evidence was assessed. A random-effects meta-analysis was performed, with a total of 18 articles included. There was an improvement in the level of confidence in balance scores between baseline and postintervention of 11.22 (95% CI = 8.55-13.88; I 2 = 18%). An improvement in the disabling effects caused by dizziness was also observed, with a difference between means in relation to the two periods of -22.76 (95% CI = -28.70 to -16.82; I 2 = 88%). The certainty of evidence assessment was very low.
Conclusion:
Virtual reality therapy in vestibular disorders has shown efficient results, being a useful, low-cost, and motivating tool in the treatment of these disorders.
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