{"title":"Outcome measures used in studies of vestibular rehabilitation after stroke: a scoping review.","authors":"Shota Hayashi, Tomohiko Kamo, Hirofumi Ogihara, Kazusa Saisu, Shinichiro Oka, Ryosuke Naito, Tsubasa Mitsutake","doi":"10.1080/10749357.2026.2723411","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>We aimed to identify and map outcome measures used in studies evaluating the effects of vestibular rehabilitation in adults with stroke.</p><p><strong>Methods: </strong>MEDLINE, Embase, and the Physiotherapy Evidence Database were searched on 10 June 2026, with no publication year restrictions. Using a population-concept-context framework, we included English-language randomized and non-randomized studies of adults (≥20 years) with stroke who received vestibular rehabilitation. Two reviewers independently screened records, extracted data using a standardized form, and grouped outcomes by primary construct. The frequency of use of each outcome measure was calculated, and the most frequently used measures, including those tied at the fifth rank, were identified. This scoping review was reported in accordance with the Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines.</p><p><strong>Results: </strong>Eighteen studies (601 participants) were included. We identified 82 distinct outcome measures spanning balance scales, stabilometry, gait, visuospatial neglect, muscle strength, acceleration index, falls, activities of daily living, vestibular function, health-related quality of life, self-efficacy, and other outcomes. The most commonly used measures were the Berg Balance Scale, Timed Up and Go test, gait speed, cadence, stride length, and Dynamic Gait Index. Vestibular-related outcomes were rarely reported: Subjective Visual Vertical and gaze-stabilization testing were each used in one study.</p><p><strong>Conclusion: </strong>Evidence on post-stroke vestibular rehabilitation relies mainly on balance and gait outcomes, with limited use of vestibular-specific tests and dizziness-related patient-reported measures. Standardized outcome sets integrating functional, vestibular-specific, and patient-reported measures, alongside robust trials, are needed to strengthen the evidence base.</p><p><strong>Osf registration number: </strong>10.17605/OSF.IO/CNURX.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-14"},"PeriodicalIF":2.3000,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Topics in Stroke Rehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/10749357.2026.2723411","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: We aimed to identify and map outcome measures used in studies evaluating the effects of vestibular rehabilitation in adults with stroke.
Methods: MEDLINE, Embase, and the Physiotherapy Evidence Database were searched on 10 June 2026, with no publication year restrictions. Using a population-concept-context framework, we included English-language randomized and non-randomized studies of adults (≥20 years) with stroke who received vestibular rehabilitation. Two reviewers independently screened records, extracted data using a standardized form, and grouped outcomes by primary construct. The frequency of use of each outcome measure was calculated, and the most frequently used measures, including those tied at the fifth rank, were identified. This scoping review was reported in accordance with the Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines.
Results: Eighteen studies (601 participants) were included. We identified 82 distinct outcome measures spanning balance scales, stabilometry, gait, visuospatial neglect, muscle strength, acceleration index, falls, activities of daily living, vestibular function, health-related quality of life, self-efficacy, and other outcomes. The most commonly used measures were the Berg Balance Scale, Timed Up and Go test, gait speed, cadence, stride length, and Dynamic Gait Index. Vestibular-related outcomes were rarely reported: Subjective Visual Vertical and gaze-stabilization testing were each used in one study.
Conclusion: Evidence on post-stroke vestibular rehabilitation relies mainly on balance and gait outcomes, with limited use of vestibular-specific tests and dizziness-related patient-reported measures. Standardized outcome sets integrating functional, vestibular-specific, and patient-reported measures, alongside robust trials, are needed to strengthen the evidence base.
期刊介绍：
Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues.
The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.
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