{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T00:33:37Z","timestamp":1791506017772,"version":"4.3.4"},"reference-count":70,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,6,3]]},"abstract":"<jats:sec id=\"jah310976-sec-0001\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Evidence supports that vestibular rehabilitation therapy (VRT) improves the static and dynamic balance of survivors of stroke, yet VRT is rarely included in stroke rehabilitation guidelines. We aim to answer the question: What are the effects of VRT or dual\u2010task training (DTT) on balance and gait for reducing the risk of falls among survivors of late subacute and chronic stroke?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"jah310976-sec-0002\" xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">Following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analysis Statement guidelines, electronic databases PubMed, EMBASE, MEDLINE, Web of Science, and Scopus for English were searched to identify randomized controlled trials published within the past 10\u2009years in the English language, investigating VRT for patients with late subacute and chronic stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"jah310976-sec-0003\" xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      Eleven studies (n=509 participants) were included in the systematic review, and 10 studies (n=413 participants) were included in a meta\u2010analysis. The average participant age was 60.9 years, with 62.11% male. On average, 36 months had passed since stroke onset. The pooled effect standardized mean difference suggests that VRT has a significantly large effect for improving balance (standardized mean difference, 0.64 [95% CI, 0.44\u20130.85],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.00001), particularly from balance\u2010specific training (standardized mean difference, 1.07 [95% CI, 0.70\u20131.45],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.002). Dual\u2010task training (DTT) moderately improved gait (standardized mean difference, 0.46 [95% CI, 0.18\u20130.74],\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.001), with greater benefits from DTT compared with single\u2010task training.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"jah310976-sec-0004\" xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Despite substantial heterogeneity across studies, the evidence supports that VRT, can probably improve balance, and DTT may improve gait outcomes among survivors of late subacute and chronic stroke. An optimal program for this population should focus on balance and DTT with subcomponents of gait and strength training. Further research is required to determine the optimal number of weeks, sessions\/week, and duration (minutes) of VRT sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"jah310976-sec-0005\" xml:lang=\"en\">\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      URL: \u00a0\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.crd.york.ac.uk\/PROSPERO\/\">https:\/\/www.crd.york.ac.uk\/PROSPERO\/<\/jats:ext-link>\n                      ; Unique identifier: CRD42023450254.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.124.040663","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T06:50:21Z","timestamp":1747983021000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Impact of Vestibular Rehabilitation and Dual\u2010Task Training on Balance and Gait in Survivors of Stroke: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4731-3090","authenticated-orcid":false,"given":"Brooke","family":"Nairn","sequence":"first","affiliation":[{"name":"University College London","place":["London, UK"]},{"name":"University College London Hospitals","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1545-8527","authenticated-orcid":false,"given":"Nehzat","family":"Koohi","sequence":"additional","affiliation":[{"name":"University College London","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0591-646X","authenticated-orcid":false,"given":"Diego","family":"Kaski","sequence":"additional","affiliation":[{"name":"University College London Hospitals","place":["London, UK"]},{"name":"University College London","place":["London, UK"]},{"name":"University College London Hospitals","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7486-4264","authenticated-orcid":false,"given":"Doris\u2010Eva","family":"Bamiou","sequence":"additional","affiliation":[{"name":"University College London","place":["London, UK"]},{"name":"University College London Hospitals","place":["London, UK"]},{"name":"University College London","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marousa","family":"Pavlou","sequence":"additional","affiliation":[{"name":"University College London","place":["London, UK"]},{"name":"University College London Hospitals","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","unstructured":"POLICY BRIEFING 20: Falls among older adults in the EU\u201028. 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