To investigate the effect of repetitive transcranial magnetic stimulation (rTMS) on dizziness, balance, and postural stability in adult patients with chronic vestibular dizziness.
✦ The floor
Discussion
Signed responses from readers of the wire.
Results are too preliminary to recommend rTMS as a routine clinical intervention for chronic peripheral vestibular dizziness; await replication in larger controlled trials before changing practice.
Chronic vestibular dizziness is difficult to treat, and any brain-based intervention that could supplement vestibular rehabilitation would represent a meaningful advance for audiologists and balance specialists.
- 01rTMS was investigated as a non-drug treatment for chronic peripheral vestibular dizziness in adults.
- 02Outcomes measured included self-reported dizziness, balance performance, and postural stability.
- 03The study is published in Archives of Physical Medicine and Rehabilitation (doi: 10.1016/j.apmr.2026.02.005).
- 04Findings add to emerging interest in neuromodulation as an adjunct to vestibular rehabilitation.
- 05Evidence base for rTMS in vestibular disorders remains limited and requires larger trials.
rTMS has an effect on dizziness, balance, and postural stability in adults with chronic peripheral vestibular dizziness.
studyunclear- PMID
- 42559786
- DOI
- 10.1016/j.apmr.2026.02.005.
- Journal
- Archives of Physical Medicine and Rehabilitation
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Adults with chronic peripheral vestibular dizziness
- Intervention
- Repetitive transcranial magnetic stimulation (rTMS)
Primary outcomes
Dizziness severity; Balance performance; Postural stability