{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T04:25:45Z","timestamp":1787199945746,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004410","name":"T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ft\u0131rma Kurumu","doi-asserted-by":"publisher","award":["324S720"],"award-info":[{"award-number":["324S720"]}],"id":[{"id":"10.13039\/501100004410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate whether virtual reality\u2010based vestibular rehabilitation (VR\u2010VestRehab) added to home\u2010based vestibular rehabilitation (HB\u2010VestRehab) improves postural control, symptom severity, and psychological outcomes in vestibular migraine (VM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective, single\u2010blind randomized controlled trial enrolled 40 patients (18\u201360\u2009years) with definite VM (ICHD\u20103), randomized 1:1. Both groups received 4\u2009weeks of vestibular rehabilitation; the VR\u2010VestRehab group additionally underwent 8 clinic\u2010based virtual reality sessions (30\u2009min, twice weekly) using the Virtualis MotionVR system. DHI, a registered secondary outcome, was designated as the principal outcome for this report; SOT, LOS, and fHIT were the registered primary outcomes (see Methods). Other secondary outcomes were patient\u2010reported measures (VAS, ABC, VADL, FGA, DGI, HADS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      DHI was significantly lower in VR\u2010VestRehab at post\u2010treatment (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005), with a reduction exceeding the 18\u2010point MCID; dizziness VAS was also lower (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041). LOS endpoint excursion, maximum excursion, and directional control were significantly higher in VR\u2010VestRehab (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007, 0.003, &lt;\u20090.001). In a change\u2010score sensitivity analysis, the advantage persisted for DHI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.033), dizziness VAS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012), and LOS directional control (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No between\u2010group differences were found in SOT composite score or fHIT parameters, except right lateral canal fHIT correct\u2010answer percentage (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019, exploratory). Both groups improved significantly within groups across nearly all measures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adding virtual reality\u2010based rehabilitation to home exercise provides additional benefits in symptom severity (DHI) and dynamic postural control (LOS) in vestibular migraine, while functional and psychological gains were shared by both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>2.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      identifier: NCT07493005\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70814","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T04:11:00Z","timestamp":1787199060000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Virtual Reality\u2010Based Vestibular Rehabilitation for Vestibular Migraine: A Randomized Trial"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7108-9987","authenticated-orcid":false,"given":"Gulce","family":"Kirazli","sequence":"first","affiliation":[{"name":"Department of Audiology, Faculty of Health Sciences Ege University  Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hale","family":"Uzumcugil","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine Ege University  Izmir 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