Effectiveness of Vestibular Rehabilitation after Concussion

Abstract

Background: Concussion is defined as a condition that results in temporary alterations in brain function. The treatment is focused on those dysfunctions or diseases related to the vestibular system and/or the vestibular nuclei. The main objective of this study is to evaluate if vestibular rehabilitation is effective in the treatment of concussions. Methods: A systematic review of different biomedical databases was conducted, with the use of the keywords to form the final equation. According to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, the following criteria for selection were included: randomized clinical trials, written in Spanish or English, which included patients of all ages, without differing in the severity of the concussion. Finally, the PEDro scale was used to assess the methodological quality and the Oxford Centre for Evidence-Based Medicine scale (OCEBM) was used to evaluate the level of scientific evidence. Results: After applying the inclusion and exclusion criteria, five articles were finally selected for this study. According to the PEDro scale, the following values were obtained: 1 article with an excellent score and 4 articles with a good score. The OCEBM scale shows a level of evidence 1b and a grade of recommendation A. Conclusions: The studies analyzed indicate improvements, reduction in recovery time and safe intervention in favor of the vestibular group. The limited scientific literature on this topic should be noted. Funding: This research did not receive any specific grant from funding agencies in the public, commercial or non-profit sectors.