Ibrahem-Altwijri A. , Albiol-Pérez S. , Cortés-Vega M.-D. , GARCÍA MUÑOZ, CRISTINA, de Arellano R.S.R. , Gil-Gómez J.-A. , Lozano-Quilis J.-A. , Casuso-Holgado M.J.
No
PLoS One
Article
Científica
2
1
01/01/2026
001837365900005
2-s2.0-105046497666
BACKGROUND: Vestibular rehabilitation is an essential part of managing balance disorders, but traditional exercises can often be repetitive and demotivating for patients. This can reduce adherence and limit treatment outcomes. OBJECTIVE: This study aimed to assess the feasibility, usability, patient satisfaction, and safety of DizzyVR, an immersive virtual reality system designed to support vestibular rehabilitation. Preliminary data on its potential effects on clinical outcomes were also collected. METHODS: A prospective, single-arm feasibility study was conducted with ten participants diagnosed with various vestibular disorders. Each participant completed eight weekly sessions using DizzyVR. Feasibility was assessed through session attendance and completion rates. Usability, satisfaction, and safety were measured using the System Usability Scale, the User Satisfaction Evaluation Questionnaire, and the Simulator Sickness Questionnaire. Clinical measures included the Dizziness Handicap Inventory (DHI), Timed Up and Go (TUG) test, Activities-specific Balance Confidence (ABC) scale, and Functional Gait Assessment (FGA). RESULTS: Ten participants completed the training, with a high adherence rate (91.25%). Usability scores indicated good ease of use, and satisfaction scores were high. Mild adverse events such as nausea or disorientation were reported by three participants, but improved over time. Exploratory pre-post changes were observed in gait speed (TUG: p = 0.002), balance confidence (ABC: p = 0.007), and gait stability (FGA: p = 0.012). While DHI scores demonstrated a trend toward improvement, the change did not reach statistical significance (p = 0.081). Overall, participants reported feeling safe and expressed willingness to recommend and reuse the system. CONCLUSIONS: The findings suggest that DizzyVR is a feasible, usable, and well-accepted tool that may complement conventional vestibular rehabilitation. The system appears to support patient motivation and safe participation while showing promising exploratory changes in balance and gait. Further studies with larger samples, control groups, and longer follow-up are recommended to confirm and expand on these promising preliminary results. Copyright: © 2026 Ibrahem-Altwijri et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Adult; Aged; Dizziness; Exercise Therapy; Feasibility Studies; Female; Gait; Humans; Male; Middle Aged; Patient Satisfaction; Postural Balance; Prospective Studies; Surveys and Questionnaires; Treatment Outcome; User-Computer Interface; Vestibular Diseases; Virtual Reality; adult; aged; body equilibrium; computer interface; dizziness; feasibility study; female; gait; human; kinesiotherapy; male; middle aged; pathophysiology; patient satisfaction; procedures; prospective study; questionnaire; rehabilitation; treatment outcome; validation study; vestibular disorder; virtual reality