AND OBJECTIVES: Persistent postural-perceptual dizziness (PPPD) is characterized by maladaptive central sensory processing and frequent psychiatric comorbidity. Prospective outcome data, particularly from low- and middle-income settings, remain limited....
Neurologist-led multimodal therapy shows promise for PPPD, but until full results and sample details are reviewed, audiologists should note this as supportive context for multidisciplinary referral pathways rather than a prompt to change current vestibular rehabilitation protocols.
PPPD is one of the most common chronic vestibular disorders and remains underserved by single-discipline approaches; this study reinforces the case for coordinated, multimodal care models.
- 01PPPD is characterized by chronic dizziness that persists despite normal objective vestibular test results.
- 02Subjective-objective dissociation is a defining feature and a key diagnostic challenge in PPPD.
- 03A neurologist-led multimodal therapy protocol was evaluated prospectively for outcomes in PPPD.
- 04Published in Journal of Neurology (2026), adding to the growing evidence base for PPPD management.
- 05Findings may support interdisciplinary referral between audiology, neurology, and vestibular therapy teams.
PPPD involves a dissociation between patients' subjective dizziness experience and objective vestibular test findings.
studysupportedNeurologist-led multimodal therapy produces measurable improvements in PPPD outcomes.
studypartially supported- PMID
- 42268441
- DOI
- 10.1007/s00415-026-13927-6.
- Journal
- Journal of Neurology
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Patients with persistent postural-perceptual dizziness (PPPD)
- Intervention
- Neurologist-led multimodal therapy for PPPD
Primary outcomes
Subjective dizziness severity; Objective vestibular test outcomes; Treatment response to multimodal therapy