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Cited by 227Vestibular and auditory disordersBalance, Gait, and Falls PreventionCardiovascular Syncope and Autonomic Disorders

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

Effectiveness of Primary Care–Based Vestibular Rehabilitation for Chronic Dizziness

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Yardley, Lucy, Donovan-Hall, Margaret, Smith, Helen E., Walsh, Bronagh M., Mullee, Mark, Bronstein, Adolfo M.·2004·Annals of Internal Medicine
DOI 10.7326/0003-4819-141-8-200410190-00007
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Abstract

BACKGROUND: Dizziness is a very common symptom and is usually managed in primary care. Vestibular rehabilitation for dizziness is a simple treatment that may be suitable for primary care delivery, but its effectiveness has not yet been determined. OBJECTIVE: To evaluate the effectiveness of nurse-delivered vestibular rehabilitation in primary care for patients with chronic dizziness. DESIGN: Single-blind randomized, controlled trial. SETTING: 20 general practices in southern England. PATIENTS: 170 adult patients with chronic dizziness who were randomly assigned to vestibular rehabilitation (n = 83) or usual medical care (n = 87). INTERVENTION: Each patient received one 30- to 40-minute appointment with a primary care nurse. The nurse taught the patient exercises to be carried out daily at home, with the support of a treatment booklet. MEASUREMENTS: Primary outcome measures were baseline, 3-month, and 6-month assessment of self-reported spontaneous and provoked symptoms of dizziness, dizziness-related quality of life, and objective measurement of postural stability with eyes open and eyes closed. RESULTS: At 3 months, improvement on all primary outcome measures in the vestibular rehabilitation group was significantly greater than in the usual medical care group; this improvement was maintained at 6 months. Of 83 treated patients, 56 (67%) reported clinically significant improvement compared with 33 of 87 (38%) usual care patients (relative risk, 1.78 [95% CI, 1.31 to 2.42]). LIMITATIONS: Psychological elements of the therapy may have contributed to outcomes, and the treatment may be effective only for well-motivated patients. CONCLUSIONS: Vestibular rehabilitation delivered by nurses in general practice improves symptoms, postural stability, and dizziness-related handicap in patients with chronic dizziness.

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Crossref · 10.7326/0003-4819-141-8-200410190-00007

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Research works printed but not linked: 7

  1. Kroenke K, 2000, South Med J, 93, 160
  2. Yardley L, 1998, Br J Gen Pract, 48, 1131
  3. Bird JC, 1998, Br J Gen Pract, 48, 1828
  4. Hanley K, 2002, Br J Gen Pract, 52, 809
  5. Hanley K, 2001, Br J Gen Pract, 51, 666
  6. Cooksey FS, 1945, Proc R Soc Med, 39, 273
  7. Yardley L, 1998, Br J Gen Pract, 48, 1136

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Metadata

Authors
Yardley, L., Donovan-Hall, M., Smith, H. E., Walsh, B. M., Mullee, M., & Bronstein, A. M.
Affiliations
  • Brighton and Sussex Medical School (GB)
  • From University of Southampton, Southampton; Brighton and Sussex Medical School, Brighton; and Imperial College London, London, United Kingdom.
ORCID
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
2004-10-19
Volume
141
Issue
8
Pages
598-605
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-141-8-200410190-00007
OpenAlex
W2058661822
Cited by
227
References
35
Citations by year
2026: 9 · 2025: 14 · 2024: 10 · 2023: 14 · 2022: 16 · 2021: 9 · 2020: 5 · 2019: 10 · 2018: 13 · 2017: 11 · 2016: 15 · 2015: 7 · 2014: 12 · 2013: 10 · 2012: 7
FWCI
6.35
Type
journal article
Language
en
Open access
Licence
Locations
  • Annals of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (acceptedVersion)
  • Sussex Research Online (University of Sussex) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
Keywords
vestibular rehabilitation, chronic dizziness, primary care, home-based exercise, postural stability, general practice
MeSH terms
Chronic Disease, Dizziness, Exercise Therapy, Follow-Up Studies, Humans, Middle Aged, Posture, Primary Health Care, Vestibule, Labyrinth, Single-Blind Method, Treatment Outcome

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