An Observational Study on Influence of Pre-Existing Diseases on Vestibular Rehabilitation of Vertigo in Patients with Head Injuries
- 1. Assistant Professor of ENT, ACSR Government Medical College, Nellore
Description
Background: A symptom complex of Vertigo, dizziness, and imbalance occur in patients following concussion. Multiple factors play role in their recovery following rehabilitation. The causes may be peripheral or central. Aim and Objectives: To study the influence of pre-existing diseases on the vestibular dysfunction recovery in patients with head injuries. Objectives were to observe the factors which predispose, promote and perpetuate the rehabilitation of vertigo. The objectives were to record the predisposing and promoting factors of vertigo, undertake bedside equilibrium tests and caloric test for peripheral and central causes of vertigo. Materials: 83 patients with head injuries were included who presented with vertigo. Patients with pre-existing diseases like hypertension, diabetes and thyroid hormone dysfunction were included. All the patients were assessed using a Dizziness handicap index with subscales to assess the physical, functional and emotional aspects. Vestibular rehabilitation was done and DHI scores were evaluated at the end of 12 weeks. Results: Out of 83 patients 61 (73.49%) were males and 22 (26.50%) were females. Male to female ratio was 2.3:1. Patients aged 18 to 27 years were 12 (14.45%), Patients aged 28 to 37 years were 36 (43.37%), Patients aged 38 to 47 years were 21 (25.30%), and Patients aged 48 to 57 years were 14 (16.86%). The mean age was 38.75±3.15 years. The head injury severity as per Head Injury Severity Scale (HISS) was minimal in 24 (28.91%), 26 mild in (31.32%) and 33 moderate in 33 (39.75%) of patients. There were 44 (53.01%) patients with Pre-existing diseases and 39 (46.98%) patients without pre-existing diseases. There was no statistical significant predilection of any age group to gender or degree of head trauma (p>0.05). Conclusions: Vertigo after concussion brain injury was common. All the patients responded to vestibular rehabilitation from 3rd week onwards. By 12th week the patients without pre-existing diseases with central vestibular dysfunction and fixed peripheral vestibular dysfunction were either resolved or greatly improved. The patients with pre-existing diseases responded rather slowly and the DHI indices/scores were more compared to the patients without pre-existing diseases.
Abstract (English)
Background: A symptom complex of Vertigo, dizziness, and imbalance occur in patients following concussion. Multiple factors play role in their recovery following rehabilitation. The causes may be peripheral or central. Aim and Objectives: To study the influence of pre-existing diseases on the vestibular dysfunction recovery in patients with head injuries. Objectives were to observe the factors which predispose, promote and perpetuate the rehabilitation of vertigo. The objectives were to record the predisposing and promoting factors of vertigo, undertake bedside equilibrium tests and caloric test for peripheral and central causes of vertigo. Materials: 83 patients with head injuries were included who presented with vertigo. Patients with pre-existing diseases like hypertension, diabetes and thyroid hormone dysfunction were included. All the patients were assessed using a Dizziness handicap index with subscales to assess the physical, functional and emotional aspects. Vestibular rehabilitation was done and DHI scores were evaluated at the end of 12 weeks. Results: Out of 83 patients 61 (73.49%) were males and 22 (26.50%) were females. Male to female ratio was 2.3:1. Patients aged 18 to 27 years were 12 (14.45%), Patients aged 28 to 37 years were 36 (43.37%), Patients aged 38 to 47 years were 21 (25.30%), and Patients aged 48 to 57 years were 14 (16.86%). The mean age was 38.75±3.15 years. The head injury severity as per Head Injury Severity Scale (HISS) was minimal in 24 (28.91%), 26 mild in (31.32%) and 33 moderate in 33 (39.75%) of patients. There were 44 (53.01%) patients with Pre-existing diseases and 39 (46.98%) patients without pre-existing diseases. There was no statistical significant predilection of any age group to gender or degree of head trauma (p>0.05). Conclusions: Vertigo after concussion brain injury was common. All the patients responded to vestibular rehabilitation from 3rd week onwards. By 12th week the patients without pre-existing diseases with central vestibular dysfunction and fixed peripheral vestibular dysfunction were either resolved or greatly improved. The patients with pre-existing diseases responded rather slowly and the DHI indices/scores were more compared to the patients without pre-existing diseases.
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IJPCR,Vol14,Issue7,Article87.pdf
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Additional details
Dates
- Accepted
-
2022-06-01
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue7,Article87.pdf
- Development Status
- Active
References
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