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Internet-based vestibular rehabilitation versus standard care after acute onset vertigo: a study protocol for a randomized controlled trial
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Neurosciences.ORCID iD: 0000-0002-3430-3101
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics.ORCID iD: 0000-0003-1635-122x
Umeå University, Faculty of Medicine, Department of Radiation Sciences, Radiation Physics.ORCID iD: 0000-0003-3363-7414
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Neurosciences.
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2022 (English)In: Trials, E-ISSN 1745-6215, Vol. 23, no 1, article id 496Article in journal (Refereed) Published
Abstract [en]

Background: Dizziness and vertigo affect around 15% of adults annually and represent common reasons for contacting health services, accounting for around 3% of all emergency department visits worldwide. Vertigo is also associated with excessive use of diagnostic imaging and emergency care and decreased productivity, primarily because of work absenteeism. Vestibular rehabilitation is an evidence-based treatment for chronic dizziness and supervised group exercise therapy has recently been shown to be effective after vestibular neuritis, a common cause of acute onset vertigo. However, such interventions are not readily available and there is a need for more easily accessible tools. The purpose of this study is to investigate the effects on vestibular symptoms of a 6-week online vestibular rehabilitation tool after acute onset vertigo, with the aim of aiding vestibular rehabilitation by presenting a more accessible tool that can help to reduce recovery time. Methods: Three hundred twenty individuals diagnosed with acute vestibular syndrome (AVS) will be recruited from multiple hospitals in Sweden and the effects of an online vestibular rehabilitation tool, YrselTräning, on vestibular symptoms after acute onset vertigo will be compared to standard care (written instructions leaflet) in a two-armed, evaluator-blinded, multicenter randomized controlled trial. The primary outcome will be the Vertigo Symptom Scale Short Form (VSS-SF) score at 6 weeks after symptom onset. Secondary outcomes include effects of the intervention on activities of daily living, mood and anxiety, vestibular function recovery, mobility measures, health economic effects, and the reliability of the Swedish VSS-SF translation. Discussion: Participants using the online vestibular rehabilitation tool are expected to recover earlier and to a greater extent from their symptoms as compared to standard care. Since up to 50% of people with AVS without treatment develop persistent symptoms, effective treatment of AVS will likely lead to a higher quality of life and help reduce the societal costs associated with dizziness and vertigo. Trial registration: Clinicaltrials.gov NCT05056324. Registered on September 24, 2021.

Place, publisher, year, edition, pages
Springer Nature, 2022. Vol. 23, no 1, article id 496
Keywords [en]
Acute onset vertigo, AVS, Gait function, Internet-based rehabilitation, Multicenter, Online tool, Portable motion sensors, Randomized controlled trial, RCT, Vestibular rehabilitation
National Category
Otorhinolaryngology
Identifiers
URN: urn:nbn:se:umu:diva-203605DOI: 10.1186/s13063-022-06460-0ISI: 000812260200013PubMedID: 35710448Scopus ID: 2-s2.0-85132078781OAI: oai:DiVA.org:umu-203605DiVA, id: diva2:1728878
Available from: 2023-01-19 Created: 2023-01-19 Last updated: 2024-01-17Bibliographically approved

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Surano, SolmazGrip, HelenaÖhberg, FredrikKarlsson, MarcusFaergemann, ErikGranåsen, GabrielSalzer, Jonatan

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