Vestibular Rehabilitation for Vestibular Migraine: A Systematic Review and Meta-Analysis.

Vestibular migraine (VM) can cause dizziness and balance problems. This research looked at how vestibular rehabilitation (VR) helps adults with VM. Researchers reviewed studies published until May 2025. They followed strict guidelines to ensure accurate results. Seven studies with 272 participants were included in the analysis. The main focus was on two measures: the Dizziness Handicap Inventory (DHI) and the Activity-Specific Balance Confidence Scale (ABC). Results showed that VR significantly improved DHI scores. Participants reported better balance and reduced dizziness after VR. The average improvement in DHI was -23.97 points, which is clinically meaningful. This suggests that VR can be an effective treatment for patients suffering from VM. Overall, the findings support the use of VR to enhance the quality of life for those affected by vestibular migraines. Clinical relevance: This research shows that vestibular rehabilitation can effectively reduce dizziness and improve balance in patients with vestibular migraine, offering a promising treatment option.