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Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study

Persisting dizziness and balance problems after mild-to-moderate traumatic brain injury (mmTBI) may result in considerable disability. The primary aim of this study was to explore the factors associated with dizziness-related disability one year post-injury. Data from 64 participants (mean age 39.4...

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Autores principales: Kleffelgård, Ingerid, Andelic, Nada, Bruusgaard, Kari Anette, Langhammer, Birgitta, Tamber, Anne-Lise, Soberg, Helene Lundgaard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455561/
https://www.ncbi.nlm.nih.gov/pubmed/37629234
http://dx.doi.org/10.3390/jcm12165192
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author Kleffelgård, Ingerid
Andelic, Nada
Bruusgaard, Kari Anette
Langhammer, Birgitta
Tamber, Anne-Lise
Soberg, Helene Lundgaard
author_facet Kleffelgård, Ingerid
Andelic, Nada
Bruusgaard, Kari Anette
Langhammer, Birgitta
Tamber, Anne-Lise
Soberg, Helene Lundgaard
author_sort Kleffelgård, Ingerid
collection PubMed
description Persisting dizziness and balance problems after mild-to-moderate traumatic brain injury (mmTBI) may result in considerable disability. The primary aim of this study was to explore the factors associated with dizziness-related disability one year post-injury. Data from 64 participants (mean age 39.4 [SD 13.0] years; 45 [70.3%] women) with mmTBI from a previous randomised controlled trial were analysed using simple and multiple regression analyses (Clinical Trials Registry #NCT01695577). The Dizziness Handicap Inventory one year (12.1, [SD1.6] months) post-injury was the dependent variable. Demographic and injury-related variables, clinical findings, and measures of post-injury symptoms and functioning (Rivermead Post-Concussion Symptoms Questionnaire, RPQ; Vertigo Symptom Scale-short form, VSS-SF; Hospital Anxiety and Depression Scale; Balance Error Scoring System; and High-Level Mobility Assessment Tool, HiMAT) at baseline (3.5 [SD 2.1] months post-injury) were the independent variables. Dizziness-related disability at one year was associated with pre-injury comorbidity, neck pain, higher RPQ, higher VSS-SF, and lower HiMAT scores (adjusted R(2) = 0.370, F = 6.52 p < 0.001). In conclusion, the factors associated with dizziness-related disability one year post-injury, such as pre-injury comorbidity, neck pain, increased post-concussion symptom burden, increased dizziness symptom severity, and reduced balance and mobility, should be addressed early in the rehabilitation process to reduce patient burden.
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spelling pubmed-104555612023-08-26 Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study Kleffelgård, Ingerid Andelic, Nada Bruusgaard, Kari Anette Langhammer, Birgitta Tamber, Anne-Lise Soberg, Helene Lundgaard J Clin Med Article Persisting dizziness and balance problems after mild-to-moderate traumatic brain injury (mmTBI) may result in considerable disability. The primary aim of this study was to explore the factors associated with dizziness-related disability one year post-injury. Data from 64 participants (mean age 39.4 [SD 13.0] years; 45 [70.3%] women) with mmTBI from a previous randomised controlled trial were analysed using simple and multiple regression analyses (Clinical Trials Registry #NCT01695577). The Dizziness Handicap Inventory one year (12.1, [SD1.6] months) post-injury was the dependent variable. Demographic and injury-related variables, clinical findings, and measures of post-injury symptoms and functioning (Rivermead Post-Concussion Symptoms Questionnaire, RPQ; Vertigo Symptom Scale-short form, VSS-SF; Hospital Anxiety and Depression Scale; Balance Error Scoring System; and High-Level Mobility Assessment Tool, HiMAT) at baseline (3.5 [SD 2.1] months post-injury) were the independent variables. Dizziness-related disability at one year was associated with pre-injury comorbidity, neck pain, higher RPQ, higher VSS-SF, and lower HiMAT scores (adjusted R(2) = 0.370, F = 6.52 p < 0.001). In conclusion, the factors associated with dizziness-related disability one year post-injury, such as pre-injury comorbidity, neck pain, increased post-concussion symptom burden, increased dizziness symptom severity, and reduced balance and mobility, should be addressed early in the rehabilitation process to reduce patient burden. MDPI 2023-08-09 /pmc/articles/PMC10455561/ /pubmed/37629234 http://dx.doi.org/10.3390/jcm12165192 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kleffelgård, Ingerid
Andelic, Nada
Bruusgaard, Kari Anette
Langhammer, Birgitta
Tamber, Anne-Lise
Soberg, Helene Lundgaard
Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study
title Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study
title_full Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study
title_fullStr Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study
title_full_unstemmed Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study
title_short Dizziness-Related Disability One Year after a Mild-to-Moderate TBI—A Follow-Up Study
title_sort dizziness-related disability one year after a mild-to-moderate tbi—a follow-up study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455561/
https://www.ncbi.nlm.nih.gov/pubmed/37629234
http://dx.doi.org/10.3390/jcm12165192
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