Functional Dizziness and Vertigo

Strupp, Michael; Brandt, Thomas; Dieterich, Marianne

doi:10.1007/978-3-030-78260-3_15

Cited by 3 publications

(3 citation statements)

References 81 publications

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“…This could then lead to individuals becoming aware of minor changes in postural sway that are always occurring (see Carpenter et al. [38]), but that typically take place outside of conscious awareness given that the "error signals" are so low [39]. As Van den Bergh et al.…”

Section: Discussionmentioning

confidence: 99%

Exploring the role of attention towards balance in chronic dizziness: Development of the Balance Vigilance Questionnaire

Ellmers,

Kal

2023

Euro J of Neurology

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Background and purposeVigilance towards balance has been proposed to underpin various chronic dizziness disorders, including persistent postural–perceptual dizziness (PPPD). The objective of this study was to develop (through patient input) a validated balance‐specific measure of vigilance that comprehensively assesses the varied ways in which this construct may manifest.MethodsWe developed the Balance Vigilance Questionnaire (Balance‐VQ) through patient and clinician feedback, designed to assess vigilance towards balance. We then validated the questionnaire in 497 participants consisting of patients diagnosed with chronic dizziness disorders (including 97 individuals diagnosed with PPPD) and healthy controls.ResultsThe final six‐item Balance‐VQ was shown to be a valid and reliable way to assess vigilance towards balance. Scores were significantly higher in individuals diagnosed with PPPD compared to controls. Although scores were also higher in the PPPD group compared to individuals with diagnosed vestibular disorders other than PPPD, Balance‐VQ scores did not discriminate between the two groups when confounding factors (including dizziness severity) were controlled for. Scores did, however, independently discriminate between the PPPD group and individuals who experience dizziness in daily life, but who have not been diagnosed with a neuro‐otological disorder.ConclusionsOur findings confirm that the Balance‐VQ is a valid and reliable instrument for assessing vigilance towards balance. As symptom vigilance has been identified as a key risk factor for developing chronic dizziness following acute vestibular symptoms or balance disruption, we recommend using the Balance‐VQ as a screening tool in people presenting with such symptoms.

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Section: Discussionmentioning

confidence: 99%

Exploring the role of attention towards balance in chronic dizziness: Development of the Balance Vigilance Questionnaire

Ellmers,

Kal

2023

Euro J of Neurology

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“…La Sociedad Bárány, establece el término de PPPD para definirlo [17]. Previamente, se denominaba mareo o vértigo somatomorfo, psicógeno, postural fóbico, subjetivo crónico y visual [9, 16,18,19]. El término funcional expresa que debe diferenciarse de los trastornos orgánicos y de las enfermedades psiquiátricas [16].…”

Section: Mareo Y Vértigo Funcionalunclassified

“…Los hallazgos clínicos y los resultados del tratamiento de este estudio sugieren una influencia autonómica subyacente en la producción de vértigo y síntomas otológicos. Mareo y vértigo funcional Strupp, 2023 [16]…”

Section: Pappas 2003 [13] 10 Añosunclassified

Mareo y vértigo ortostático, funcional y cinetosis

Invencio-Da-Costa,

Sánchez-Blanco,

Yáñez-González

et al. 2023

ORL

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Introducción: el mareo en los niños ha recibido poca atención en la literatura médica, a pesar de su elevada prevalencia. Comprende un conjunto de patologías muy frecuentes y poco conocidas como el vértigo ortostático, el vértigo funcional y la cinetosis. El objetivo de este artículo ha consistido en presentar una revisión de la literatura sobre estos procesos. Materiales y Métodos: se realizó una revisión narrativa sobre el vértigo ortostático, el vértigo funcional y la cinetosis, mediante la selección de los artículos que consideramos más importantes, entre 2000 y 2023 en Pubmed, Scielo y Cochrane. Resultados: se presentan los artículos que, a nuestro criterio, mejor definen los procesos que se describen. Discusión: el mareo ortostático es el que aparece al incorporarse, de decúbito a sedestación, o de sedestación a bipedestación. El mareo funcional, conocido actualmente como mareo perceptual postural persistente, es un trastorno crónico, en el que los pacientes experimentan síntomas de mareo, y que se exacerba en bipedestación, el movimiento y/o la exposición a estímulos visuales complejos. La cinetosis es una respuesta fisiológica normal, ante una percepción inusual de movimiento; ya sea durante un movimiento real o en su ausencia; denominándose trastorno cuando la sintomatología es significativa. Todas las patologías estudiadas presentan unos criterios establecidos por la Sociedad Bárány. El tratamiento es personalizado dependiendo del perfil de cada paciente. Conclusiones: dada la variedad de causas de mareo en la infancia, es importante conocer los criterios diagnósticos y terapéuticos más adecuados para mejorar la calidad de vida de nuestros pacientes.

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Exploring the role of attention towards balance in chronic dizziness: Development of the Balance Vigilance Questionnaire (Balance-VQ)

Ellmers

Kal

2023

Preprint

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Background and Objectives: Vigilance towards balance has been proposed to underpin various chronic dizziness disorders, including Persistent Postural Perceptual Dizziness (PPPD). The objective of this study is to develop (through patient input) a validated balance-specific measure of vigilance that comprehensively assesses the varied ways in which this construct may manifest. Methods: We developed the Balance Vigilance Questionnaire (Balance-VQ) through patient and clinician feedback, designed to assess vigilance towards balance. We then validated the questionnaire in 497 participants consisting of patients diagnosed with chronic dizziness disorders (including 97 individuals diagnosed with PPPD) and healthy controls. Results: The final 6-item Balance-VQ was shown to be a valid and reliable way to assess vigilance towards balance. Scores were significantly higher in individuals diagnosed with PPPD compared to controls. Although scores were also higher in the PPPD group compared to individuals with diagnosed vestibular disorders other than PPPD, Balance-VQ scores did not discriminate between the two groups when confounding factors were controlled for. Conclusions: Our findings confirm that the Balance-VQ is a valid and reliable instrument for assessing vigilance towards balance. As symptom vigilance has been identified as a key risk factor for developing chronic dizziness following an acute neuro-otological insult, we recommend using the Balance-VQ as a screening tool in people presenting with such symptoms.

show abstract

Functional Dizziness and Vertigo

Cited by 3 publications

References 81 publications

Exploring the role of attention towards balance in chronic dizziness: Development of the Balance Vigilance Questionnaire

Exploring the role of attention towards balance in chronic dizziness: Development of the Balance Vigilance Questionnaire

Mareo y vértigo ortostático, funcional y cinetosis

Exploring the role of attention towards balance in chronic dizziness: Development of the Balance Vigilance Questionnaire (Balance-VQ)

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