Objective

The aim of this systematic review is to critically assess the effectiveness of vestibular rehabilitation (VR) administered either alone or in combination with other neurorehabilitation strategies in patients with neurologic disorders.

Data Sources

An electronic search was conducted by 2 independent reviewers in the following databases: MEDLINE (PubMed), the Physiotherapy Evidence Database, and the Cochrane Database of Systematic Reviews.

Study Selection

All clinical studies carried out on adult patients with a diagnosis of neurologic disorders who performed VR provided alone or in combination with other therapies were included.

Data Extraction

Screening of titles, abstracts, and full texts and data extraction were undertaken independently by pairs of reviewers. Included studies were quality appraised using a modified version of the Newcastle-Ottawa Scale.

Data Synthesis

The summary of results was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Twelve studies were included in the review. All the included studies, with 1 exception, report that improvements provided by customized VR in subject affected by a central nervous system diseases are greater than traditional rehabilitation programs alone.

Conclusions

Because of the lack of high-quality studies and heterogeneity of treatments protocols, clinical practice recommendations on the efficacy of VR cannot be made. Results show that VR programs are safe and could easily be implemented with standard neurorehabilitation protocols in patients affected by neurologic disorders. Hence, more high-quality randomized controlled trials of VR in patients with neurologic disorders are needed.

中文翻译：

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神经系统疾病患者前庭康复的疗效：系统评价

客观的

本系统评价的目的是严格评估前庭康复 (VR) 单独或联合其他神经康复策略对神经系统疾病患者的有效性。

数据源

由 2 位独立评价员在以下数据库中进行了电子搜索：MEDLINE (PubMed)、物理治疗证据数据库和 Cochrane 系统评价数据库。

研究选择

包括对诊断为神经系统疾病的成人患者进行的所有临床研究，这些患者单独或与其他疗法联合进行 VR。

数据提取

标题、摘要和全文的筛选和数据提取由成对的审稿人独立进行。纳入的研究使用纽卡斯尔-渥太华量表的修改版进行质量评估。

数据综合

根据系统评价和元分析的首选报告项目报告结果摘要。该评价纳入了 12 项研究。所有纳入的研究（有 1 项例外）都报告说，定制 VR 在受中枢神经系统疾病影响的受试者中提供的改善比单独的传统康复计划更大。

结论

由于缺乏高质量的研究和治疗方案的异质性，无法对 VR 的疗效提出临床实践建议。结果表明，VR 程序是安全的，并且可以很容易地在受神经系统疾病影响的患者中通过标准的神经康复方案实施。因此，需要在神经系统疾病患者中进行更多高质量的 VR 随机对照试验。