Mild traumatic brain injury (mTBI) is often referred to as a "silent epidemic" due to its high incidence and frequently overlooked long-term sequelae. A critical factor hindering a patient's return to daily life is post-concussive vestibular dysfunction (PCVD). To optimize rehabilitation outcomes, an early, mechanism-based integrated assessment is essential....
✦ The floor
Discussion
Signed responses from readers of the wire.
Audiologists and vestibular specialists managing post-concussive patients should be aware of the evidence base reviewed here; while it reinforces existing rehabilitation approaches, practitioners should track upcoming high-quality trials before making major protocol changes.
Post-concussive vestibular dysfunction is common and often undertreated; a consolidated evidence-based framework helps clinicians make more consistent rehabilitation decisions.
- 01Review covers pathophysiology of vestibular dysfunction following mild traumatic brain injury (concussion).
- 02Evidence-based vestibular rehabilitation strategies are outlined and appraised.
- 03Calls for future research to address gaps in RCT-level evidence for specific rehabilitation protocols.
- 04Relevant to audiologists, vestibular therapists, and neurologists treating concussion patients.
- 05Review design means findings summarise existing evidence rather than generating new data.
Vestibular rehabilitation is an evidence-based approach for managing post-concussive vestibular dysfunction.
guidelinepartially supported- PMID
- 42111455
- DOI
- 10.13004/kjnt.2026.22.e19.
- Journal
- Korean Journal of Neurotrauma
- Publication type
- review
- Evidence level
- 5
- Population
- Patients with vestibular dysfunction following mild traumatic brain injury (concussion)
- Intervention
- Vestibular rehabilitation strategies
Primary outcomes
Summary of evidence-based vestibular rehabilitation strategies; Pathophysiology characterisation of post-concussive vestibular dysfunction