Korean J Otorhinolaryngol-Head Neck Surg.
2018 Jul;61(7):325-332. 10.3342/kjorl-hns.2018.00108.
A Systematic Literature Review for Evaluating the Clinical Usefulness of the Customized Vestibular Exercise
- Affiliations
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- 1Division for New Health Technology Assessment, National Evidence-Based Healthcare Collaborating Agency, Seou, Korea.
- 2Deparment of Neurology, Eulji University College of Medicine, Seoul, Korea.
- 3Department of Otorhinolaryngology-Head and Neck Surgery, Gachon University of Medicine and Science, Graduate School of Medicine, Seongnam, Korea.
- 4Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea.
- 5Department of Neurology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
- 6Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
- 7Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Seoul, Korea. bdlee12@schmc.ac.kr
- KMID: 2436505
- DOI: http://doi.org/10.3342/kjorl-hns.2018.00108
Abstract
- BACKGROUND AND OBJECTIVES
This study aims to evaluate the usefulness of customized vestibular exercise through literature review. MATERIALS AND METHOD: We searched several literature database such as Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library etc., with the following inclusion criteria: 1) studies of patients with dizziness and balance disorders, 2) studies in which a customized vestibular exercise was performed, and 3) studies in which one or more of the appropriate medical outcomes have been reported. At the same time, we excluded the following: 1) non-human studies and pre-clinical studies, 2) non-original articles, for example, non-systematic reviews, editorial, letter and opinion pieces, 3) research not published in Korean and English, 4) grey literature (thesis, congress or conference materials, abstract etc.), and 5) case studies. Finally, 10 studies were selected and analyzed.
RESULTS
The safety of customized vestibular exercise was reported in three documents which reported no side effects related to the procedure. The effectiveness of customized vestibular exercise was proven by the assessment of symptom change, functional change, and other physiological measures based on a total of 10 randomized clinical trial studies.
CONCLUSION
For patients with vestibular dysfunction, a customized vestibular exercise can be a safe and effective technique for improving dizziness and balance function.
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