Dizziness-related disability in persons with post-COVID condition: A cross sectional study.

IF 2.9 3区医学 Q2 NEUROSCIENCES Journal of Vestibular Research-Equilibrium & Orientation Pub Date : 2024-01-01 DOI:10.3233/VES-230064

Elin Östlind, Elisabeth Ekstrand, Iben Axén, Christina Brogårdh, Agneta Malmgren Fänge, Kjerstin Stigmar, Eva Ekvall Hansson

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Abstract

Background: Dizziness is a common symptom in post-COVID condition (PCC) which may have a large impact on several life domains. However, knowledge on dizziness-severity and disability in PCC is sparse.

Objective: The aim was to describe the severity of dizziness-related disability in individuals with PCC, and how it is manifested in daily life.

Methods: A questionnaire regarding symptoms of PCC, health, and dizziness-related handicap was administered online, and 524 persons with PCC and dizziness were included.

Results: Mean score of the Dizziness Handicap Inventory was 35.2 (24.0) and 51.8%, were classified as having moderate/severe dizziness-related disability. The percentage of maximum value for the subscales were: Physical manifestation, 48%, Emotional Impact, 36% and Catastrophic Impact, 17%. The greatest influence on physical movements was when bending forward, head shaking or doing strenuous physical activities or household chores.

Conclusions: Half had moderate or severe dizziness-related disability and the physical manifestations occurred mostly during specific or strenuous body movements. This indicate a vestibular impairment that may be effectively managed with vestibular rehabilitation. Assessment and treatment of dizziness might be an essential part in PCC rehabilitation and future research should continue to explore the potential causal pathways of dizziness in PCC.

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COVID 后遗症患者与头晕有关的残疾：一项横断面研究。

背景：头晕是脑震荡后遗症（PCC）的常见症状，可能会对多个生活领域产生重大影响。然而，有关 PCC 中头晕严重程度和残疾情况的知识却很少：目的：旨在描述 PCC 患者头晕相关残疾的严重程度，以及在日常生活中的表现形式：方法：在线发放一份有关 PCC 症状、健康状况和头晕相关障碍的调查问卷，共纳入 524 名 PCC 和头晕患者：结果：头晕障碍量表的平均得分为 35.2 分（24.0），51.8% 的人被归类为中度/重度头晕相关残疾。各分量表的最大值百分比分别为身体表现占 48%，情绪影响占 36%，灾难性影响占 17%。对肢体活动影响最大的是向前弯腰、摇头或做剧烈运动或家务时：半数人有中度或重度与头晕有关的残疾，身体表现主要发生在特定或剧烈的身体运动时。这表明，前庭功能受损可通过前庭康复治疗得到有效控制。头晕的评估和治疗可能是 PCC 康复的重要组成部分，未来的研究应继续探索 PCC 中头晕的潜在致病途径。

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来源期刊

Journal of Vestibular Research-Equilibrium & Orientation 医学-耳鼻喉科学

CiteScore

5.00

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Vestibular Research is a peer-reviewed journal that publishes experimental and observational studies, review papers, and theoretical papers based on current knowledge of the vestibular system. Subjects of the studies can include experimental animals, normal humans, and humans with vestibular or other related disorders. Study topics can include the following: Anatomy of the vestibular system, including vestibulo-ocular, vestibulo-spinal, and vestibulo-autonomic pathways Balance disorders Neurochemistry and neuropharmacology of balance, both at the systems and single neuron level Neurophysiology of balance, including the vestibular, ocular motor, autonomic, and postural control systems Psychophysics of spatial orientation Space and motion sickness Vestibular rehabilitation Vestibular-related human performance in various environments

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