To evaluate the impact of vestibular rehabilitation (VR) on patient-reported outcome measures in adults with vestibular migraine (VM). DATABASES REVIEWED: Medline, Embase, and Scopus were reviewed from database inception to May 2025. Additional citation searches were performed.
✦ The floor
Discussion
Signed responses from readers of the wire.
Vestibular rehabilitation appears to improve patient-reported outcomes in vestibular migraine; audiologists and vestibular therapists managing this population may be justified in incorporating structured vestibular rehab programs, though the overall evidence base remains limited and effect size confidence depends on the quality of included studies.
Vestibular migraine is a common yet under-treated cause of dizziness seen in audiology and balance clinics, and systematic evidence supporting vestibular rehabilitation could expand the audiologist's role in multidisciplinary management of this condition.
- 01Systematic review and meta-analysis pooling evidence from Medline and Embase on vestibular rehab for vestibular migraine.
- 02Primary focus on patient-reported outcome measures (e.g., dizziness handicap, quality of life).
- 03Vestibular migraine is characterised by recurrent dizziness/vertigo episodes linked to migraine disorder.
- 04Findings support vestibular rehabilitation as a beneficial intervention for this population.
- 05Gaps in high-quality RCT evidence likely remain, as is typical in vestibular rehab literature.
Vestibular rehabilitation improves patient-reported outcome measures in adults with vestibular migraine.
studypartially supported- PMID
- 42709655
- DOI
- 10.1097/MAO.0000000000005063.
- Journal
- Otology & Neurotology
- Publication type
- meta_analysis
- Evidence level
- 1a
- Population
- Adults with vestibular migraine
- Intervention
- Vestibular rehabilitation (exercise-based balance and habituation therapy)
Primary outcomes
Patient-reported outcome measures (e.g., dizziness handicap, symptom severity, quality of life)