Dizziness and instability in gaze and posture are common symptoms in people with multiple sclerosis (PwMS). The vestibular ocular reflex (VOR) is one of the main functions of the vestibular system that may lead to gaze and postural instability if impaired. Therefore, it is important to understand if gaze stabilization is impaired in PwMS and recommend the appropriate management plan....
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Discussion
Signed responses from readers of the wire.
Vestibular rehabilitation specialists working with MS patients may find objective support for gaze stabilization exercises targeting VOR and postural stability, but the study's design and size should be evaluated before changing protocol — await full publication details.
Multiple sclerosis frequently causes vestibular dysfunction, yet evidence-based vestibular rehabilitation protocols specific to MS are limited, making objective outcome data in this population clinically valuable.
- 01Study objectively measured the effect of gaze stabilization exercises in people with MS.
- 02Outcomes included dizziness, postural instability, and the vestibulo-ocular reflex (VOR) — the eye reflex that keeps vision clear during head movement.
- 03MS can disrupt central vestibular pathways, making standard rehab protocols less predictable.
- 04Objective assessment methods strengthen the evidence compared to self-report alone.
- 05Published in Multiple Sclerosis and Related Disorders, a peer-reviewed journal.
Gaze stabilization exercises produce objectively measurable changes in vestibulo-ocular reflex, dizziness, and postural stability in people with multiple sclerosis.
studyunclear- PMID
- 42994311
- DOI
- 10.1016/j.msard.2026.108036.
- Journal
- Multiple Sclerosis and Related Disorders
- Publication type
- research_article
- Evidence level
- 4
- Population
- People with multiple sclerosis experiencing dizziness or postural instability
- Intervention
- Gaze stabilization exercises
Primary outcomes
Dizziness severity; Postural instability; Vestibulo-ocular reflex (VOR) function