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Brain Inj. 2017;31(11):1436-1444. doi: 10.1080/02699052.2017.1377348. Epub 2017 Oct 3.

Dizziness-related disability following mild-moderate traumatic brain injury.

Author information

1
a Dept. of Physical Medicine and Rehabilitation , Oslo University Hospital HF , Oslo , Norway.
2
b Faculty of Health Sciences , Oslo University College of Applied Sciences , Oslo, Norway.
3
c Faculty of Medicine , University of Oslo , Norway.
4
d Statped Head Office/Oslo , Norway.

Erratum in

Abstract

OBJECTIVE:

To investigate the associations between dizziness-related disability after mild- moderate Traumatic Brain Injury (TBI) and personal factors, injury-related factors and post-injury functioning using the International Classification of Functioning, Disability and Health (ICF) as a framework.

METHODS:

Baseline assessments for a Randomised Controlled Trial (RCT) were obtained for 65 patients (mean age 39.2 years; SD 12.9 years; 70.8% women) who had dizziness and reduced balance 2-6 months after injury. The severity of the brain injury, physical and psychological self-reported symptoms and results from the performance based tests were used as independent variables. The main outcome measure (dependent variable) was the Dizziness Handicap Inventory (DHI).

RESULTS:

Multivariate analyses showed that, the dizziness-related disability was predicted by pre-injury comorbidities (p ≤ 0.05) and was associated with self-reported vertigo symptoms (p < 0.001), reduced performance-based balance (p ≤ 0.05) and psychological distress (p ≤ 0.05). These factors accounted for 62% of the variance in DHI.

CONCLUSION:

Dizziness and balance problems after mild-moderate TBI appear to be complex biopsychosocial phenomena. Assessments linked to the ICF domains of functioning might contribute to a broader understanding of the needs of these patients. Further, prospective clinical studies with non-dizzy control groups are needed to investigate dizziness-related disability after TBI.

KEYWORDS:

ICF; Traumatic brain injury; balance; dizziness

PMID:
28972411
DOI:
10.1080/02699052.2017.1377348
[Indexed for MEDLINE]

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