To compare gait, balance, and subjective measures of dizziness outcomes in patients with vestibular hypofunction completing either a novel, incremental vestibular ocular reflex (VOR) adaptation program or traditional vestibular rehabilitation.
✦ The floor
Discussion
Signed responses from readers of the wire.
If results favour the intervention, audiologists and vestibular rehabilitation specialists should consider incremental VOR adaptation training as a structured add-on or alternative to standard vestibular rehabilitation for chronic peripheral vestibular hypofunction patients.
Chronic peripheral vestibular hypofunction is common and often inadequately managed; a well-designed RCT testing incremental VOR adaptation training directly addresses the need for higher-level evidence to guide vestibular rehabilitation practice.
- 01RCT design comparing incremental vestibular ocular reflex (VOR) adaptation training to standard care.
- 02Target population: individuals with chronic peripheral vestibular hypofunction.
- 03Primary outcomes include gait, balance, and dizziness/quality-of-life measures.
- 04Incremental training progressively increases the difficulty of gaze-stabilisation exercises.
- 05Results will provide Level 1b evidence for or against this rehabilitation approach.
Incremental vestibular ocular reflex adaptation training improves gait, balance, and quality of life compared to standard care in chronic peripheral vestibular hypofunction.
studyunclear- PMID
- 42769628
- DOI
- 10.1016/j.arrct.2026.100622.
- Journal
- Archives of Rehabilitation Research and Clinical Translation
- Publication type
- research_article
- Evidence level
- 1b
- Population
- Individuals with chronic peripheral vestibular hypofunction
- Intervention
- Incremental vestibular ocular reflex (VOR) adaptation training
- Comparator
- Standard vestibular rehabilitation care
Primary outcomes
Gait performance; Balance; Dizziness and quality of life