Faculty Advisor(s)

Heather Fritz



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Introduction: The objective of this systematic review is to investigate the effectiveness of internet-based and blended therapy for patients with peripheral, central, or mixed vestibular dysfunction based on current research.

Methods: Medline, CINAHL Complete, PubMed, and The Cochrane Library were searched from September 2022 to January 2023 using the search terms “vestibular,” “internet,” “computer,” “management,” “online,” “self-efficacy,” “vestibular disorder,” “rehabilitation,” “treatment,” “dizziness,” and “phys* ther*.”Studies were included if they used internet-based interventions for patients with diagnosed vestibular dysfunction caused by pure vestibular pathology. Three independent reviewers performed the selection process based on title, abstract, and full-text reading. In total, 8 studies were selected, three reviewers independently extracted data related to intervention technique, duration of intervention, symptoms relief, and overall outcome. The PEDro and hierarchy of evidence scales were used to assess the methodological quality of selected articles.

Results: Of 8 articles, seven were randomized controlled trials (RCTs), and one was a qualitative design study. Hierarchy of evidence rating scores ranged from level 2 to level 3. Six of the articles had a level 2 score, and two articles had a level 3 score. PEDro scores ranged from 2/10 to 8/10, including three 8/10, two 7/10, two 2/10, and one 3/10 scores. Primary outcome measures reviewed in this study include the Vertigo Symptom Scale-Short Form and Dizziness Handicap Inventory. Secondary outcome measures include Dynamic Gait Index, Hospital Anxiety and Depression Scale, Visual Analogue Scale, quality of life measures, and subjective reports.

Discussion: Although PEDro scores ranged from poor to good, internet vestibular rehabilitation (IVR) was shown to be an effective form of improvement in reported dizziness, anxiety related to symptoms, and dynamic postural stability. IVR did not significantly improve quality of life or severity of symptoms.

Conclusion: Based on present findings, IVR can be recommended to patients as a means to reduce chronic symptoms outside of the clinic.

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Document Type



Physical Therapy


computer, telehealth, blended, physical therapy, vestibular rehabilitation


Medicine and Health Sciences | Physical Therapy

Effectiveness of Internet Based Treatment Methods for Symptom Management of Vestibular Disorders: A Systematic Review