Visual information potentiates incremental VOR adaptation.

The study tested 18 healthy adults, not patients with vestibular hypofunction, so it does not show what happens in people with dizziness or oscillopsia. The outcome was VOR gain measured in darkness, a laboratory eye-movement ratio, not patient-reported symptoms, dynamic visual acuity, balance, or functional recovery. The sample was small and young (mean age 27.4 years), so older adults or patients with comorbidities may respond differently. No blinding or sham visual condition was reported, and VR novelty or motivation could have contributed to the larger Enriched effect. No long-term retention was measured; gains were recorded immediately after adaptation. The Uniform condition was a VR grey void, not the original dark laser IVE, so differences from prior protocols may not be due only to visual enrichment.

Do not conclude that VR vestibular training helps patients with vestibular hypofunction. This study measured only eye reflex gain in 18 healthy adults and did not test patient symptoms, dynamic visual acuity, or long-term retention.