Skip to main content
. 2015 Jan 13;2015(1):CD005397. doi: 10.1002/14651858.CD005397.pub4

Cohen 2003.

Methods Design: randomised controlled trial
Participants Number: 53
Age: mean 51.1 years (range 25 to 84)
Gender: 15 men
Setting: tertiary care centre
Eligibility criteria: chronic vestibulopathy (labyrinthitis or neuronitis of more than 2 months) diagnosed by physician using posturography, calorics and oculomotor test battery
Exclusion criteria: Ménière's disease, BPPV, acute vestibular neuronitis or labyrinthitis, significant orthopaedic limitations, a history of head trauma or neurologic disease, prior otologic disease or taking vestibular suppressants
Baseline characteristics: no differences reported
Interventions Intervention group: VR (slow head exercises ‐ habituation) (n = 13)
Comparator group 1: VR (rapid head exercises) (n = 22)
Comparator group 2: VR (rapid plus attention) (n = 18)
VR versus VR versus VR
Outcomes Primary outcome: VSS
 Secondary outcomes: VD‐ADL, VHQ, DHI, VI, VF
Notes 71 participants were recruited originally but this analysis only included those who completed all sessions and follow‐up assessments
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information about the sequence generation process
Allocation concealment (selection bias) Unclear risk Insufficient information about the method of allocation
Blinding (performance bias and detection bias) 
 All outcomes Unclear risk Outcomes were questionnaires and not likely to be affected by bias
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Reasons for drop‐outs following initial assessment were reported although final numbers in each group were not
Selective reporting (reporting bias) Low risk Study protocol not available but all data appear to be reported
Other bias Low risk The study appears to be free of other sources of bias