{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T09:48:49Z","timestamp":1792316929240,"version":"4.4.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vestibular Research"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess whether preoperative vestibular rehabilitation and\/or intratympanic gentamicin (ITG) improve vestibular compensation and postoperative functional outcomes in patients undergoing vestibular schwannoma surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic review conducted in accordance with the PRISMA 2020 statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study sample<\/jats:title>\n                    <jats:p>Twelve original studies were identified through PubMed, Web of Science, and Google Scholar. Eligible designs included clinical trials, cohort, case\u2013control, and case-series studies evaluating preoperative vestibular rehabilitation and\/or ITG before surgery. Methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklists and the RoB 2 tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three studies implemented ITG alone, whereas nine integrated ITG and\/or structured vestibular rehabilitation within multimodal prehabilitation protocols. Rehabilitation components ranged from supervised physiotherapy to home-based or hybrid programs. A Bayesian random-effects meta-analysis of three studies evaluating hospital length of stay (LOS) yielded a small-to-moderate pooled effect favouring prehabilitation (\u03bc = 0.28; 95% CrI \u22120.37 to 1.00), with moderate heterogeneity and wide uncertainty. Other outcomes such as posturography and dizziness handicap could not be meta-analysed due to methodological heterogeneity. Overall risk of bias was moderate-to-high.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative prehabilitation may support postoperative recovery, particularly when tailored to residual vestibular function and delivered through supervised or hybrid formats. Larger, high-quality randomized trials using standardized outcomes are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09574271261420125","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:52:07Z","timestamp":1770115927000},"page":"365-377","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative interventions to improve clinical results in patients with vestibular schwannoma: A systematic review"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4976-6192","authenticated-orcid":false,"given":"Albert","family":"Torrents Torrero","sequence":"first","affiliation":[{"name":"Universitat Aut\u00f2noma de Barcelona (UAB)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c0ngela","family":"Callejo Castillo","sequence":"additional","affiliation":[{"name":"Universitat Aut\u00f2noma de Barcelona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Par\u00e9s Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Universitat Aut\u00f2noma de Barcelona, Institut de Recerca Germans Trias i Pujol \u2013 IGTP"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Jos\u00e9","family":"Dur\u00e0 Mata","sequence":"additional","affiliation":[{"name":"Universitat Aut\u00f2noma de Barcelona"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/neuonc\/noz153"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12105-020-01155-x"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2023.10.005"},{"key":"e_1_3_5_5_2","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et al. 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