Aging Clinical and Experimental Research

, Volume 28, Issue 4, pp 599–606 | Cite as

Effects of vestibular rehabilitation in the elderly: a systematic review

  • Diandra Caroline Martins e Silva
  • Victor Hugo Bastos
  • Mariana de Oliveira Sanchez
  • Monara Kedma Gomes Nunes
  • Marco Orsini
  • Pedro Ribeiro
  • Bruna Velasques
  • Silmar Silva Teixeira



Aging is characterized by gradual physiological changes in body systems. Changes in the vestibular system can occur and cause dizziness, vertigo and imbalance, symptoms that are common in the elderly. Vestibular rehabilitation is a therapeutic resource that has been widely used to improve this condition.


To complete a systematic review of the effects of vestibular rehabilitation on the elderly.


A search for relevant publications was conducted in SCIELO, PUBMED, MEDLINE, COCHRANE and LILACS databases. Clinical trials and cohort studies that were written in the English language and published over the course of the last 10 years were selected. The methodological quality of the studies was assessed using the PEDro scale. A critical analysis of the studies was composed.


Eight studies that involved subjects who were over the age of 60 were selected for inclusion in the systematic review. The most common vestibular dysfunction identified was complaints about dizziness and imbalance. The Dizziness Handicap Inventory was the most frequently used assessment instrument, and the treatment protocol that prevailed was that suggested by Cawthorne and Cooksey.


The PEDro scale showed that only one article was of an acceptable methodological quality and presented satisfactory outcome measures. This was due, in part, to a lack of a hidden randomization, masking of the subject, evaluators and therapists, and lack of outcome measures, which can reduce the quality of the evidence presented in this study.


Clinical trials indicate that vestibular rehabilitation represents an effective means of treating elderly patients with vestibular disorders; however, evidence of its effectiveness remains lacking.


The vestibular system Rehabilitation Elderly Dizziness 


Compliance with ethical standards

Conflict of interest

The authors report no conflict of interest. The authors are solely responsible for the content and writing of the article.

Statement of human and animal rights

Our study is a review and does not a experimental study with human or animals. However, the studies reported involved human participants. The articles, which us using for this review were approved by the appropriate institutional and/or national research ethics committee and performed in accordance with the ethical standards as, laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

We observed the informed consent statement on studies related.


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Diandra Caroline Martins e Silva
    • 1
    • 2
  • Victor Hugo Bastos
    • 1
    • 2
    • 3
  • Mariana de Oliveira Sanchez
    • 4
  • Monara Kedma Gomes Nunes
    • 1
    • 2
  • Marco Orsini
    • 5
  • Pedro Ribeiro
    • 3
    • 6
  • Bruna Velasques
    • 3
    • 7
  • Silmar Silva Teixeira
    • 2
    • 8
    • 9
  1. 1.Brain Mapping and Functionality Laboratory (LAMCEF/UFPI)Federal University of PiauíTeresinaBrazil
  2. 2.Masters Program in Biomedical Science at Federal University of Piaui/PiTeresinaBrazil
  3. 3.Brain Mapping and Sensory Motor IntegrationInstitute of Psychiatry of Federal University of Rio de Janeiro (IPUB/UFRJ)Rio de JaneiroBrazil
  4. 4.School of Science and Technology of MaranhãoMaranhãoBrazil
  5. 5.Masters Program in Science Rehabilitation, UNISUAMRio de JaneiroBrazil
  6. 6.School of Physical Education, Bioscience Department (EEFD/UFRJ)Rio de JaneiroBrazil
  7. 7.Institute of Applied Neuroscience (INA)Rio de JaneiroBrazil
  8. 8.Brain Mapping and Plasticity Laboratory (LAMPLACE/UFPI)Federal University of PiauíParnaíbaBrazil
  9. 9.Masters Program in Biotechnology at Federal University of PiauíTeresinaBrazil

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