Identifier: TFG:10129
Authors: Bekkar, Rim
Abstract:
Introduction: Chronic vertigo of peripheral vestibular origin is a common and disabling condition affecting multiple dimensions of a patient's life, including functional capacity, sleep, and mental health. Virtual reality (VR) has emerged as a complementary intervention of growing interest in vestibular rehabilitation, although evidence regarding its specific efficacy remains limited. Objectives: To compare the efficacy of conventional treatment for chronic vertigo combined with virtual reality versus conventional treatment alone in adult patients with vestibular disorders, while also evaluating effects on mental health, the durability of improvements, and fall risk in older adults. Methodology: A systematic review following PRISMA 2020 guidelines, with searches conducted in PubMed, PEDro, and the Cochrane Library (2015–2026). Randomized and non-randomized clinical trials evaluating VR-based interventions in adults with vestibular disorders were included, utilizing scales such as the DHI, DGI, ABC, HADS, and SOT. Results: Out of 217 identified articles, 10 studies with a total sample of 519 participants were selected. All studies (100%) showed clinical improvement following the intervention, although only 50% demonstrated the superiority of VR over conventional treatment. The most consistent improvements were observed in DHI scores, postural stability, and vestibulo-ocular reflex gain. Effects on mental health were promising but heterogeneous. Conclusions: VR represents a promising therapeutic adjunct, associated with higher treatment adherence and benefits regarding postural stability and mental health. However, the heterogeneity among studies prevents the establishment of an optimal protocol. Trials with greater methodological rigor and long-term follow-up are required
Repositori URV