{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T14:37:47Z","timestamp":1771943867107,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T00:00:00Z","timestamp":1720224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Balance deficits are common and debilitating. Standard treatments have limitations in addressing symptoms and restoring dynamic balance function. This study compares a rehabilitative computerized dynamic posturography (CDP) protocol, computerized vestibular retraining therapy (CVRT), with a home exercise program (HEP) for patients with objectively confirmed unilateral vestibular deficits (UVDs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Single\u2010center, randomized, interventional trial, with 1\u2010sided crossover.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A tertiary neurotology clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with UVDs and Dizziness Handicap Inventory (DHI) score &gt;30 were randomized to receive either CVRT or HEP. After completion of treatment, the HEP group was crossed over to CVRT. Outcome measures were the sensory organization test (SOT) and 3 participants reported dizziness disability measures: the DHI, Activity\u2010Specific Balance Confidence Scale (ABC) scale, and Falls Efficacy Score\u2014International (FES\u2010I).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We enrolled 37 patients: 18 participants completed CVRT and 12 completed HEP, 11 of whom completed the crossover. Seven participants withdrew. The CVRT group demonstrated a greater improvement in SOT composite score than the HEP group (<jats:italic>P<\/jats:italic>\u2009=\u2009.04). Both groups demonstrated improvement in participant\u2010reported measures but there were no differences between groups (DHI: <jats:italic>P<\/jats:italic>\u2009=\u2009.2604; ABC: <jats:italic>P<\/jats:italic>\u2009=\u2009.3627; FES\u2010I: <jats:italic>P<\/jats:italic>\u2009=\u2009.96). Following crossover to CVRT after HEP, SOT composite (<jats:italic>P<\/jats:italic>\u2009=\u2009.002), DHI (<jats:italic>P<\/jats:italic>\u2009=\u2009.03), and ABC (<jats:italic>P<\/jats:italic>\u2009=\u2009.006) improved compared to HEP alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>CVRT and HEP were both associated with improved participant\u2010reported disability outcomes. CVRT was associated with greater improvement in objective balance than HEP. Adding CVRT after HEP was superior to HEP alone. Multimodal CDP\u2010based interventions, such as CVRT, should be considered as an adjunct to vestibular physiotherapy for patients with UVD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.893","type":"journal-article","created":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T02:18:52Z","timestamp":1720318732000},"page":"1816-1824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Vestibular Rehabilitation Using Dynamic Posturography: Objective and Patient\u2010Reported Outcomes from a Randomized Trial"],"prefix":"10.1002","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5669-1961","authenticated-orcid":false,"given":"Eytan A.","family":"David","sequence":"first","affiliation":[{"name":"Department of Surgery University of British Columbia Vancouver Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navid","family":"Shahnaz","sequence":"additional","affiliation":[{"name":"School of Audiology and Speech Sciences University of British Columbia Vancouver Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/oto2.58"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1177314"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-42598-w"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2023.4554"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4065\/83.7.765"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac205"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2006.01091.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/NPT.0000000000000382"},{"issue":"1","key":"e_1_2_11_10_1","article-title":"Vestibular rehabilitation for unilateral peripheral vestibular dysfunction","volume":"1","author":"McDonnell MN","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000000370"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-8-200410190-00007"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70374-2"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3233\/VES-170628"},{"issue":"429","key":"e_1_2_11_15_1","first-page":"1136","article-title":"A randomized controlled trial of exercise therapy for dizziness and vertigo in primary care","volume":"48","author":"Yardley L","year":"1998","journal-title":"Br J Gen Pract"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.333"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-220241"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2023.2208615"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2022.1953"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2022.0167"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000232269.17906.92"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.3233\/VES-2009-0343"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2021.1887517"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3233\/VES-150549"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8619(18)30359-1"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870040046011"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/50A.1.M28"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi196"},{"key":"e_1_2_11_29_1","volume-title":"Bertec Balance Advantage: Dynamic System User Manual","author":"BERTEC","year":"2014"},{"key":"e_1_2_11_30_1","unstructured":"YardleyL. 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