# Effects of Task-Oriented Circuit Training on Dizziness, Vertigo Balance, Gait, and Quality of Life in Patients with Peripheral Vestibular Hypofunction: A Single-Blind, Randomized Controlled Trial

## TL;DR

Task-oriented circuit training improves dizziness, balance, gait, and quality of life in patients with peripheral vestibular issues more than traditional exercises.

## Contribution

TOCT is shown to be more effective than conventional home-based exercises for PVH rehabilitation.

## Key findings

- TOCT significantly improved dizziness and vertigo severity compared to control.
- Balance and gait parameters improved more in the TOCT group.
- Quality of life and disability scores improved notably with TOCT.

## Abstract

Background/Objectives: Peripheral vestibular hypofunction (PVH) commonly causes dizziness, imbalance, gait disturbances, and reduced quality of life. Task-oriented circuit training (TOCT) is a rehabilitation approach in which patients perform structured, task-specific functional movements repetitively to improve real-life motor performance. TOCT integrates functional, multisensory, and repetitive exercises based on motor learning and neuroplasticity principles, potentially enhancing rehabilitation outcomes. This study aimed to investigate the effects of TOCT on dizziness, vertigo, balance, gait, disability, and quality of life in patients with PVH. Methods: In this single-blind, randomized controlled trial, 28 patients with PVH were randomly allocated to either a task-oriented circuit training (TOCT) group (n = 16) or a control group (n = 12). The control group performed a conventional home-based vestibular exercise program consisting of gaze stabilization and walking exercises. The TOCT group completed 25 task-specific stations, targeting gaze stabilization, balance, and gait, three times per week for four weeks. Outcomes were assessed at baseline and post-intervention using the Visual Analog Scale for dizziness and vertigo, the Sensory Organization Test for balance, spatiotemporal gait analysis, and the Dizziness Handicap Inventory (DHI) for disability and quality of life. Data were analyzed using two-way repeated-measures ANOVA, with the group × time interaction used to determine whether changes over time differed between the TOCT and control groups. Results: Significant time × group interactions favored TOCT for dizziness severity, vertigo severity, vestibular-related balance parameters, cadence during eyes-closed walking, and DHI total scores (p < 0.05). Within-group analyses demonstrated moderate-to-large improvements in all measured outcomes for the TOCT group, whereas the control group showed limited improvements in dizziness measures and minimal changes in balance, gait, and DHI scores. Conclusions: Task-oriented circuit training significantly improves dizziness, vertigo, balance, gait, disability, and overall quality of life in patients with PVH compared with conventional home-based vestibular exercises. Incorporating functional, multisensory, and task-specific activities within structured circuits may optimize vestibular rehabilitation outcomes.