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@article{Geraghty:2017:10.1370/afm.2070,
author = {Geraghty, AWA and Essery, R and Kirby, S and Stuart, B and Turner, D and Little, P and Bronstein, A and Andersson, G and Carlbring, P and Yardley, L},
doi = {10.1370/afm.2070},
journal = {Annals of Family Medicine},
pages = {209--216},
title = {Internet-based Vestibular Rehabilitation for older adults with chronic dizziness: a randomized controlled trial in primary care},
url = {http://dx.doi.org/10.1370/afm.2070},
volume = {15},
year = {2017}
}

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TY  - JOUR
AB  - PURPOSE Vestibular rehabilitation is an effective intervention for dizziness due to vestibular dysfunction, but is seldom provided. We aimed to determine the effectiveness of an Internet-based vestibular rehabilitation program for older adults experiencing dizziness in primary care.METHODS We undertook a single-center, single-blind randomized controlled trial comparing an Internet-based vestibular rehabilitation intervention (Balance Retraining, freely available from https://balance.lifeguidehealth.org) with usual primary care in patients from 54 primary care practices in southern England. Patients aged 50 years and older with current dizziness exacerbated by head movements were enrolled. Those in the intervention group accessed an automated Internet-based program that taught vestibular rehabilitation exercises and suggested cognitive behavioral management strategies. Dizziness was measured by the Vertigo Symptom Scale–Short Form (VSS-SF) at baseline, 3 months, and 6 months. The primary outcome was VSS-SF score at 6 months.RESULTS A total of 296 patients were randomized in the trial; 66% were female, and the median age was 67 years. The VSS-SF was completed by 250 patients (84%) at 3 months and 230 patients (78%) at 6 months. Compared with the usual care group, the Internet-based vestibular rehabilitation group had less dizziness on the VSS-SF at 3 months (difference, 2.75 points; 95% CI, 1.39–4.12; P <.001) and at 6 months (difference, 2.26 points; 95% CI, 0.39–4.12; P = .02, respectively). Dizziness-related disability was also lower in the Internet-based vestibular rehabilitation group at 3 months (difference, 6.15 points; 95% CI, 2.81–9.49; P <.001) and 6 months (difference, 5.58 points; 95% CI, 1.19–10.0; P = .01).CONCLUSIONS Internet-based vestibular rehabilitation reduces dizziness and dizziness-related disability in older primary care patients without requiring clinical support. This intervention has potential for wide appl
AU  - Geraghty,AWA
AU  - Essery,R
AU  - Kirby,S
AU  - Stuart,B
AU  - Turner,D
AU  - Little,P
AU  - Bronstein,A
AU  - Andersson,G
AU  - Carlbring,P
AU  - Yardley,L
DO  - 10.1370/afm.2070
EP  - 216
PY  - 2017///
SN  - 1544-1709
SP  - 209
TI  - Internet-based Vestibular Rehabilitation for older adults with chronic dizziness: a randomized controlled trial in primary care
T2  - Annals of Family Medicine
UR  - http://dx.doi.org/10.1370/afm.2070
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000402477900004&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/70024
VL  - 15
ER  -

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