Telehealth Assessment of Diagnostic and Therapeutic Efficacy in Peripheral Vestibular Symptoms: A Systematic Review and Meta-Analysis.

Abstract

Background: Despite positive perceptions of telemedicine, there's a recognized need for stronger evidence on its safety and effectiveness. This study aims to evaluate telemedicine's current status in diagnosing and treating peripheral vestibular symptoms. Methods: Systematic searches across multiple databases assessed methodological quality using Physiotherapy Evidence Database scale and Revised Cochrane Risk of Bias tool for randomized trials 2.0. Results: Findings reveal significant improvements in vertigo-related disability with virtual vestibular rehabilitation (mean difference [MD] = -12.6; 95% confidence interval [CI] = -23.61, -1.59; p < 0.01; I² = 76%) albeit with high heterogeneity. However, pooled analysis on vertigo severity across three studies did not show a significant effect (MD = -0.41; 95% CI = -0.64, -0.17; p < 0.78; I² = 0%). Conclusions: Evidence suggests telemedicine holds promise in diagnosing and managing peripheral vestibular disorders, potentially alleviating symptoms and improving disability. Nonetheless, caution is warranted due to review limitations, emphasizing the need for further research to optimize telemedicine's benefits for patients experiencing vestibular symptoms.