What does this research mean for the field?

Both traditional and virtual reality-based vestibular rehabilitation significantly improve balance, visual-motor integration, and academic performance in children with specific learning disorders, with VR-based methods providing greater benefits in specific vestibular and oculomotor measures. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To determine whether children with specific learning disorders show balance and vestibular deficits compared to controls and to evaluate the effectiveness of traditional versus virtual reality–based vestibular rehabilitation.

September 15, 2026American Journal of Audiology

Effects of Traditional and Virtual Reality–Based Vestibular Rehabilitation on Balance and Visual–Motor Skills in Children With Specific Learning Disorders: A Randomized Controlled Trial

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Authors

MAMelda AcarIstanbul University-Cerrahpaşa EKEyyüp KaraIstanbul University-Cerrahpaşa MYMeryem Seçen YazıcıState Hospital

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Implication

Randomized trial demonstrates that vestibular rehabilitation improves balance and visual–motor skills in children with learning disorders, highlighting virtual reality's added therapeutic benefits.

Key Points

To determine whether children with specific learning disorders show balance and vestibular deficits compared to controls and to evaluate the effectiveness of traditional versus virtual reality–based vestibular rehabilitation.
Randomized controlled trial of 63 children aged 7–12 years, comprising 42 children with specific learning disorders and 21 typically developing controls.
Children with learning disorders were randomly assigned to an 8-week program (twice weekly) of either traditional or virtual reality–based vestibular rehabilitation.
Outcomes were assessed via computerized dynamic posturography, videonystagmography, the Bender–Gestalt Visual Motor Perception Test, and the Mathematics, Reading, and Writing Assessment Scale.
Children with learning disorders had significantly poorer baseline balance across the Sensory Organization Test, Adaptation Test, and Limits of Stability compared to controls (p < .05), with no baseline difference on videonystagmography (p > .05).
Both rehabilitation groups achieved significant improvements in dynamic balance parameters (p < .05) and visual-motor and academic performance scores (p < .001).
Virtual reality–based rehabilitation yielded significantly greater gains in vestibular-related balance scores and leftward saccadic velocity compared to traditional rehabilitation (p < .05).

Cite This Study

Acar et al. (2026) studied this question.

synapsesocial.com/papers/6aa913909013453be30a199f https://doi.org/10.1044/2026_aja-26-00030

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Implication

Randomized trial demonstrates that vestibular rehabilitation improves balance and visual–motor skills in children with learning disorders, highlighting virtual reality's added therapeutic benefits.

Effects of Traditional and Virtual Reality–Based Vestibular Rehabilitation on Balance and Visual–Motor Skills in Children With Specific Learning Disorders: A Randomized Controlled Trial

Discussion

Member takes

Implication

Key Points

Cite This Study

Effects of Traditional and Virtual Reality–Based Vestibular Rehabilitation on Balance and Visual–Motor Skills in Children With Specific Learning Disorders: A Randomized Controlled Trial

Discussion

Member takes

Implication

Key Points

Cite This Study

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