Cochrane · systematic review · CD015333

Non‐pharmacological interventions for persistent postural‐perceptual dizziness (PPPD)

Webster, KE, Kamo, T, Smith, L, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

ENTAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
1
No studies
10
Included studies
NR
No studies 10 · 90.9%Ungraded 0 · 0%Very low 1 · 9.1%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Transcranial direct current stimulation compared to placebo for persistent postural‐perceptual dizziness (PPPD)

Population: adults with PPPD
3 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in vertigo at 3 to ≤ 6 months
Transcranial direct current stimulation vs placebo
no estimate extractedNRNo studies
Change in vertigo at 3 to ≤ 6 months
Transcranial direct current stimulation vs placebo
no estimate extractedNRNo studies
Serious adverse events
Transcranial direct current stimulation vs placebo
no estimate extracted1 study · 21 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Talking therapies or stress management compared to placebo or no treatment for persistent postural‐perceptual dizziness (PPPD)

Population: adults with PPPD
4 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in vertigo at 3 to ≤ 6 months
Talking therapies or stress management vs placebo or no treatment
no estimate extractedNRNo studies
Change in vertigo at 3 to ≤ 6 months
Talking therapies or stress management vs placebo or no treatment
no estimate extractedNRNo studies
Serious adverse events
Talking therapies or stress management vs placebo or no treatment
no estimate extractedNRNo studies
CI: confidence interval
Talking therapies or stress management vs placebo or no treatment
no estimate extractedNRNo studies

Vestibular rehabilitation compared to placebo or no treatment for persistent postural‐perceptual dizziness (PPPD)

Population: adults with PPPD
4 questions
OutcomeEffectEvidenceStatus / GRADE
Improvement in vertigo at 3 to ≤ 6 months
Vestibular rehabilitation vs placebo or no treatment
no estimate extractedNRNo studies
Change in vertigo at 3 to ≤ 6 months
Vestibular rehabilitation vs placebo or no treatment
no estimate extractedNRNo studies
Serious adverse events
Vestibular rehabilitation vs placebo or no treatment
no estimate extractedNRNo studies
CI: confidence interval
Vestibular rehabilitation vs placebo or no treatment
no estimate extractedNRNo studies