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Статті в журналах з теми "Burden of Dizziness"
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Marrie, Ruth Ann, Gary R. Cutter, and Tuula Tyry. "Substantial burden of dizziness in multiple sclerosis." Multiple Sclerosis and Related Disorders 2, no. 1 (January 2013): 21–28. http://dx.doi.org/10.1016/j.msard.2012.08.004.
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Neuhauser, Hannelore K., Andrea Radtke, Michael von Brevern, Franziska Lezius, Maria Feldmann, and Thomas Lempert. "Burden of Dizziness and Vertigo in the Community." Archives of Internal Medicine 168, no. 19 (October 27, 2008): 2118. http://dx.doi.org/10.1001/archinte.168.19.2118.
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Prell, Tino, Sigrid Finn, Hannah M. Zipprich, and Hubertus Axer. "What Predicts Improvement of Dizziness after Multimodal and Interdisciplinary Day Care Treatment?" Journal of Clinical Medicine 11, no. 7 (April 3, 2022): 2005. http://dx.doi.org/10.3390/jcm11072005.
Повний текст джерелаАнотація:
Background: Vertigo and dizziness are common in community-dwelling people and can be treated in specialized multidisciplinary settings. To develop tailored interventions, however, we have to explore risk factors for favorable and unfavorable outcomes. Methods: We prospectively investigated patients with chronic vertigo and dizziness subjected to our 5-day multimodal and interdisciplinary day care treatment in the Center for Vertigo and Dizziness of Jena University Hospital, Germany. The Vertigo Severity Scale (VSS), the Body Sensations Questionnaire (BSQ), the Hospital Anxiety and Depression Scale (HADS), the Agoraphobic Cognitions Questionnaire (ACQ), the Mobility Inventory (MI), and the burden and intensity of dizziness (using a visual analogue scale) were assessed at baseline (n = 754) and after 6 months (n = 444). In addition, 14 Likert-scaled questions were used to quantify the change in personal attitude and behavior towards the complaints after 6 months. Results: Dizziness-related burden and intensity improved with a large effect size. The largest improvement was seen in the attitudes towards dizziness, the understanding of somatic causes, and the perceived ability to influence dizziness. However, the ability to work and to carry out professional activity was improved to a lesser extent. The overall improvement of dizziness was associated with the absence of a depressive mood, a short duration of vertigo, a lower VSS, a lower perceived intensity of vertigo, and distinct vertigo diagnoses, namely Meniere’s disease, vestibular migraine, vestibular neuritis, vestibular paroxysmia, and vestibular schwannoma. Worsening of dizziness/vertigo was associated with depressive symptoms, permanent vertigo, distinct vertigo diagnoses (central vertigo, multisensory deficit), and a higher perceived burden due to vertigo. Conclusion: The six-month outcome of patients with dizziness presented to a specialized outpatient clinic appears to be favorable. Nevertheless, people with the abovementioned risk factors at baseline have less benefit and probably need adapted and tailored vertigo interventions to improve long-term outcome.
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Smulligan, Katherine L., Corrine N. Seehusen, Mathew J. Wingerson, Julie C. Wilson, and David R. Howell. "POST-CONCUSSION DIZZINESS SEVERITY PREDICTS DAILY STEP COUNT DURING RECOVERY AMONG ADOLESCENT ATHLETES." Orthopaedic Journal of Sports Medicine 10, no. 5_suppl2 (May 1, 2022): 2325967121S0040. http://dx.doi.org/10.1177/2325967121s00405.
Повний текст джерелаАнотація:
Background: Physical activity after concussion is an important aspect of appropriate management and may help to improve recovery time. However, symptom burden or functional deficits may be self-limiting and reduce activity level in the first weeks following a concussion. Purpose/Hypothesis: To examine dizziness and postural stability as potential predictors of physical activity level after concussion. We hypothesized that increased dizziness severity and more postural instability would predict lower step count acutely post-concussion. Methods: We initially evaluated athletes ages 12-18 years within 14 days of concussion using questionnaires and clinical tests to assess overall symptom burden, dizziness, and postural stability. Athletes were provided with an activity monitor that tracked daily step count for the subsequent two weeks after their initial care visit. Our primary outcome variable was daily step count (mean steps/day) during this two-week period. Potential predictor variables included participant characteristics (sex, age, time since injury, and history of: concussion, musculoskeletal injury, migraine, ADD, anxiety, depression), Post-Concussion Symptom Inventory (PCSI) total symptom burden, specific PCSI ratings of dizziness and balance impairment, and postural stability assessments [single and dual-task tandem gait (TG) and modified balance error scoring system (mBESS)]. To examine clinical predictors of activity we calculated Pearson correlation coefficients between mean steps/day and each potential predictor, and then included significantly correlated variables in a multiple linear regression model. Results: Athletes who participated in the study (n=35, mean 15.2±1.7 years of age, 49% female, mean steps/day=9195±3779) were initially evaluated a mean of 7.3±3.0 days post-concussion. PCSI dizziness rating (Pearson R=-0.49, p=0.003; Figure 1) and sex (mean difference=2449 steps/day, p=0.05) were associated with daily step count upon univariable evaluation and included in the multiple linear regression model. No other participant characteristics, symptom ratings, or objective balance or postural stability measures were significantly associated with steps/day (Table 1). In the multivariable model, PCSI dizziness rating (β=-1035; 95% CI: -191, -1880; p=0.018), but not sex, predicted average steps/day in the two weeks after initial clinical care visits. Conclusion: Self-reported dizziness severity assessed within 14 days of concussion predicted daily step count in the subsequent two weeks, while other measures of overall symptom severity and postural stability did not. Given the importance of physical activity for concussion recovery, identifying individuals with acute post-concussion dizziness may facilitate timely treatment of dizziness, potentially reducing a barrier to physical activity to improve recovery trajectories. [Figure: see text][Table: see text]
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Bisdorff, Alexandre, Colette Andrée, Michel Vaillant, and Peter S. Sándor. "Headache-associated dizziness in a headache population: Prevalence and impact." Cephalalgia 30, no. 7 (March 12, 2010): 815–20. http://dx.doi.org/10.1177/0333102409353617.
Повний текст джерелаАнотація:
Headache is an underestimated burden on general health and social functioning. Accompanying symptoms of headache episodes might influence this impact. In a survey in a headache population in Luxembourg on the social and emotional impact of headaches, accompanying symptoms of headache episodes were evaluated. In 1909 participants with episodic (<15 days per month) headaches (77.1% women), visual symptoms (52.4%) and dizziness (51.1%) were frequent accompanying symptoms of headache episodes. Visual symptoms and dizziness were each independently associated with migraine in both genders and independently associated with greater headache-related disability (scored on the Migraine Disability Scale [MIDAS]), more severe depression, and higher disability as measured by the disease-independent World Health Organization Disability Assessment Schedule (WHODAS). We found that dizziness is a frequent accompanying symptom of headache, particularly in migraine. The presence of dizziness was found to have an exacerbating impact on disability and depression associated with headaches. The effect of dizziness was comparable in magnitude and independent from the presence of visual symptoms.
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Smulligan, Katherine, Mathew Wingerson, Corrine Seehusen, Julie Wilson, and David R. Howell. "Examining Initial Post-Concussion Dizziness and Postural Stability as Potential Recovery Predictors." Neurology 98, no. 1 Supplement 1 (December 27, 2021): S17.1—S17. http://dx.doi.org/10.1212/01.wnl.0000801892.78481.b1.
Повний текст джерелаАнотація:
ObjectiveTo examine the association between acute post-concussion dizziness, initial symptom severity, and postural stability with time to symptom resolution among adolescents.BackgroundIdentifying early post-concussion symptoms and functional deficits that predict symptom resolution can guide treatment strategies. Dizziness is among the most common concussion symptoms, and existing literature investigating the association between dizziness and recovery time is mixed.Design/MethodsParticipants underwent initial evaluation = 14 days post-concussion, and self-reported symptom severity using the Post-Concussion Symptom Inventory (PCSI). We used PSCI dizziness ratings to group participants: a difference between current and pre-injury dizziness ≥3 = dizzy; difference <3 = not dizzy. We evaluated postural stability using modified Balance Error Scoring System (mBESS) and tandem gait (TG). Patients were followed until symptom resolution, and our primary outcome of interest was time from concussion to symptom resolution. Using a univariable Cox proportional hazard model, we examined the association of dizziness and symptom resolution time. We then used a multivariable Cox proportional hazard model to adjust for variables that differed between groups.ResultsWe examined 89 participants, grouped as dizzy (n = 34; age = 14.7 ± 2.7 years; 7.1 ± 3.4 days post-injury; symptom resolution time = 40.8 ± 5.7 days) or not dizzy (n = 55; age = 14.4 ± 2.3 years; 7.2 ± 3.1 days post-injury; symptom resolution time = 23.3 ± 3.2 days). Upon univariable examination, dizziness was independently associated with symptom resolution time (HR = 0.49; 95% CI: 0.28, 0.83; p = 0.009). After adjusting for potential confounding variables (initial symptom severity, mBESS tandem stance errors, TG time, and loss of consciousness) multivariable model results indicated initial symptom severity was the only variable associated with symptom resolution time (HR = 0.98; 95% CI: 0.96, 0.997; p = 0.025).ConclusionsTotal symptom severity, but not dizziness or postural stability, was significantly associated with symptom resolution time among adolescents following concussion. Individuals with moderate to severe post-concussion dizziness had higher average symptom scores indicating self-reported dizziness should be interpreted in the context of total concussion symptom burden.
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Kordafshari, Gholamreza, Mohammad Reza Shams Ardakani, Mansoor Keshavarz, Mohammad Mehdi Esfahani, Esmaeil Nazem, Maryam Moghimi, Arman Zargaran, and Hoorieh Mohammadi Kenari. "The Role of Phlebotomy (Fasd) and Wet Cupping (Hijamat) to Manage Dizziness and Vertigo From the Viewpoint of Persian Medicine." Journal of Evidence-Based Complementary & Alternative Medicine 22, no. 3 (October 20, 2016): 369–73. http://dx.doi.org/10.1177/2156587216672757.
Повний текст джерелаАнотація:
Dizziness and vertigo are the most common complaints of patients that has a high economic burden on the health system. In modern medicine, treatment for dizziness and vertigo consists of chemical pharmacological therapy. Although these drugs are useful in controlling the disease, their side effects and inefficiency in full control of the disease require the use of complementary medicine in this field. Persian medicine consists of valuable experiences of Persian medicine scholars based on the theory of humors and temperaments. In Persian medicine, 2 types of disease are presented: dizziness ( sadar) and vertigo ( dovar). Persian medicine physicians expressed a different mechanism of action than modern medicine for these diseases. They believed that accumulation of abnormal humors, reeh (normal bloating) or causative pathologic substances, is the basic cause of sadar and dovar and that the most important treatment is cleansing the body, particularly the head from accumulated substances by bloodletting methods.
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Hunt, *Danielle L., Jessie Oldham, Stacey E. Aaron, Can Ozan Tan, William P. Meehan, and David R. Howell. "DIZZINESS, PSYCHOSOCIAL FUNCTION, AND GAIT ASSESSMENT FOLLOWING SPORT-RELATED CONCUSSION." Orthopaedic Journal of Sports Medicine 9, no. 7_suppl3 (July 1, 2021): 2325967121S0005. http://dx.doi.org/10.1177/2325967121s00059.
Повний текст джерелаАнотація:
Background: Dizziness after concussion can be detrimental to both the physical and psychosocial wellbeing of patients. Vestibular symptoms, in particular, can amplify postural instability, which may create a greater sense of mental and physical abnormality post-concussion. Purpose: To examine the three-way association between self-reported dizziness with concussion symptoms, depression and anxiety severity, and gait deficits within two weeks post-concussion. We hypothesized that participants who endorsed a moderate/severe level of dizziness would report a more severe concussion symptom burden, more severe depression and anxiety, and worse postural stability. Methods: For this cross-sectional study, participants ages 14-21, were recruited from either a regional sports concussion clinic or emergency department, and tested within 14 days of a diagnosed concussion. Participants completed the Dizziness Handicap Inventory (DHI), Post-Concussion Symptom Inventory (PSCI), and Hospital Anxiety and Depression Scale (HADS).They also completed an instrumented single/dual-task gait assessment (three trials per condition). The gait assessment included walking at a self-selected pace towards a target 8m ahead, then returning to the start line. Dual task trials included a cognitive task (months in reverse order, serial 7’s, and spelling a 5-letter word backwards) while walking. Descriptive statistics, independent t-tests, and Mann Whitney U tests were used to compare between those with moderate/severe dizziness (DHI score ≥36) and those with mild/no dizziness (DHI score <36), p<0.05. Results: 40 participants completed the study. 19 self-reported moderate/severe dizziness (63% female, 17.1±2.4 years of age, average DHI score 48.4±12.6) and 21 mild/no dizziness (38% females, 16.5±1.9 years of age, average DHI score 18.7±9.3). Those with moderate/severe dizziness reported significantly more severe symptoms (PSCI: 43.0±20.6 vs. 22.8±15.7, p=0.001), and had higher median HADS anxiety (6 vs. 2, p<0.001) and depression (6 vs. 1, p=0.001) scores than those with no/minimal dizziness. During steady-state gait, the moderate/severe dizziness group walked with significantly lower single-task cadence (Figure 1B) and dual-task cadence (Figure 1E) than the no/mild dizziness group. Conclusion: Participants who self-reported a moderate to severe level of dizziness within 14 days of a concussion reported worse symptom severity, anxiety, and depression than those with no/mild dizziness. Further, cadence during gait is negatively affected by the level of dizziness reported. Clinicians should be aware of the psychosocial and physical effects dizziness symptoms may play in a patient’s recovery. Gait deficits in the moderate/severe dizziness group further indicate the importance of evaluating how the feeling of postural instability affects gait following concussion. Word Count: 389/400 [Figure: see text]
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Andresen, Nicholas S., Tiffany McIntyre, Bryan K. Ward, Melanie Dawn Nelson, Amir Kheradmand, Lydia H. Pecker, Sophie M. Lanzkron, and Eboni I. Lance. "Sickle Cell Disease and Vestibular Dysfunction." Blood 138, Supplement 1 (November 5, 2021): 4183. http://dx.doi.org/10.1182/blood-2021-153514.
Повний текст джерелаАнотація:
Abstract Introduction: Sickle cell disease (SCD), a common genetic disease involving red blood cell structure and function, is associated with cerebral vasculopathy and increased risk of ischemic events that may also affect the inner ear. Individuals with SCD are at increased risk for hearing loss; however, little is known regarding the effects of SCD on the vestibular system or the relationship between hearing loss and vestibular symptoms in these patients. Vestibular dysfunction affects 15-20% of the general population can lead to significant morbidity through falls, fall-related injuries, missed work, and overall reduction in quality of life. Methods: To assess the burden of vestibular dysfunction amongst individuals with SCD, we surveyed individuals with SCD who answered questions about symptoms of dizziness, imbalance, and hearing loss. The survey also captured demographic information, current symptoms of dizziness/imbalance, symptoms of hearing loss, and history of falls. Fisher's exact test was performed to test for associations between clinical characteristics including SCD genotype, hearing loss, dizziness or imbalance, and headache history. Results: Twenty-six participants, ages 20 to 73 years (median 37.5 years) completed the survey. All participants were Black or African-American. Five participants (19.2%) were male, 15 (58%) had hemoglobin SS, 8 (32%) hemoglobin SC, and 3 (12%) S-β + thalassemia. Three (11.5%) participants reported hearing loss. Twelve (46.2%) participants reported dizziness or imbalance, of which 8 (66%) reported recent falls. Of the 12 participants experiencing dizziness, 9 (75%) reported having dizziness for 1 to 3 days a month, 2 reported having dizziness for 4 to 9 days a month, and 1 reported having dizziness for more than 15 days a month. Three participants reported their dizziness symptoms resolved within seconds, 7 within minutes, and 2 within hours. Eleven (42.3%) participants reported headaches. Self-reported dizziness or imbalance was not associated with hearing loss (X 2=0.57; p=0.45), SCD genotype (X 2=0.75; p=0.68), or sex (X 2=0.09; p=0.76). Headache history was associated with dizziness or imbalance (X 2=9.76; p=0.002). Conclusions: In this small pilot study, 46% of individuals with SCD reported dizziness or imbalance, which is twice the rate reported amongst the general population. Headache history is associated with dizziness and imbalance amongst individuals with SCD. Further investigation is warranted to determine the specific effects of SCD on the vestibular end-organs. Disclosures Lanzkron: Imara: Research Funding; Pfizer: Current holder of individual stocks in a privately-held company; GBT: Research Funding; Shire: Research Funding; Teva: Current holder of individual stocks in a privately-held company; Novartis: Research Funding; Novo Nordisk: Consultancy; Bluebird Bio: Consultancy; CSL Behring: Research Funding. Lance: Novartis: Other: participated in research advisory board in 2020.
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Pradhan, Sara. "Psychological burden of anaphylaxis and the fight for an EpiPen." BMJ Case Reports 14, no. 9 (September 2021): e243838. http://dx.doi.org/10.1136/bcr-2021-243838.
Повний текст джерелаАнотація:
A university student with a background of atopy presented to her general practitioner (GP) 2 weeks following an episode of throat tightening and dizziness occurring after touching cashew nut to her lip. She took antihistamine medication immediately and went to sleep, fearing for her life. On waking, she felt astounded to be alive. Her symptoms resolved gradually over the following week. She waited 2 weeks for an appointment with her GP, who referred her to allergy clinic. Eight months later, she was still waiting for her clinic appointment, and was left fearing a future fatal reaction, having been provided with no interim treatment. Not all patients who have severe allergic reactions present to the emergency department. Living with the constant fear of anaphylaxis can be overwhelming for patients and their families, and it can negatively impact mental health. Therefore, we advise early allergy counselling and early EpiPen prescription.
Дисертації з теми "Burden of Dizziness"
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Wang, Xiaoting [Verfasser], and Eva [Akademischer Betreuer] Grill. "The economic burden of vertigo and dizziness / Xiaoting Wang ; Betreuer: Eva Grill." München : Universitätsbibliothek der Ludwig-Maximilians-Universität, 2020. http://d-nb.info/1221761498/34.
Повний текст джерелаЧастини книг з теми "Burden of Dizziness"
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M. Lisi, Donna. "Assessing Anticholinergic Effects in Older Adults." In Geriatrics [Working Title]. IntechOpen, 2020. http://dx.doi.org/10.5772/intechopen.94555.
Повний текст джерелаАнотація:
Anticholinergic medications are widely used in older adults and are a common source of adverse events in this population. Common drug classes include antiarrhythmics, antidepressants, antiemetics, first generation antihistamines, urinary incontinence antimuscarinic agents, antiparkinsonian agents, antipsychotics, antispasmodics, and skeletal muscle relaxants. These drugs have been associated with delirium, cognitive impairment, sedation, dizziness, falls, fracture, constipation, urinary retention, blurred vision, tachycardia and dry mouth. If possible, these drugs should be avoided in older adults or less toxic agents within the class should be utilized. This chapter will explore the mechanism of action of anticholinergic drugs at both the cellular and organ system level; discuss how to assess for anticholinergic drug burden; list medications with anticholinergic effects as identified in the Beer’s criteria on potentially inappropriate medication use in older adults; review anticholinergic drug–drug interactions; describe contraindications to the use of anticholinergic agents; and explore practical considerations such as the availability of these substances in nonprescription medications, their use at end of life and deprescribing.