Pavlou 2012.
Methods | Design: randomised controlled trial | |
Participants |
Number: 16 Age: intervention group: mean age 42.0, range 25 to 51, comparator group: mean age 42.1, range 28 to 54 Gender: intervention group: 2 males, comparator group: 7 males Setting: university Eligibility criteria: participants with a history of acute onset of vertigo and with a confirmed peripheral vestibular deficit on the basis of the caloric tests and/or rotational tests on ENG Exclusion criteria: those with migrainous vertigo, Ménière's disease, BPPV, central vestibular disorders, other neurological disorders, significant systemic illness or psychiatric disorders Baseline characteristics: symptom duration was significantly longer in the intervention group |
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Interventions |
Intervention group: dynamic virtual reality, performed for 45 minutes twice weekly for 4 weeks plus home exercises and general conditioning programme (walking) (n = 5) Comparator group 1: static virtual reality image rehabilitation, performed for 45 minutes twice weekly for 4 weeks plus home exercises and general conditioning programme (walking) (n = 11) Comparator group 2: cross‐over of 5 group 1 participants who then received dynamic virtual reality (not included in our analysis) (n = 5) VR versus VR versus VR |
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Outcomes |
Primary outcome: Dynamic Gait Index Secondary outcomes: Beck Depression Inventory, Beck Anxiety Inventory, Fear Questionnaire, Situational Vertigo Questionnaire, virtual reality exercise symptom scores |
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Notes | No participants were lost to follow‐up | |
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 | Low risk | It is not clear whether participants were blinded to the purpose of the experiment or whether they were aware that there were 2 types of virtual reality training groups. An independent observer was used to collect the Dynamic Gait Index outcome data |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Only 1 participant did not complete the study in the static virtual reality group and their data were not included in the analysis |
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 |