Abstract

We compared subjective and objective measurements of symptoms of dizziness and postural stability in patients with mild traumatic brain injury (mTBI) during the first week following the injury. We recruited 244 patients with mTBI and 105 controls. The Dizziness Handicap Inventory (DHI) and modified Clinical Test of Sensory Integration and Balance were used as the subjective and objective measures of dizziness and ability to perform daily activities, respectively. All four DHI subscores significantly differed among the three mTBI subgroups (low, middle, and high; P = 0.00). The predictor of postural stability and sensory integration in all three DHI subgroups was the eyes closed while standing on a firm surface (ECFIS) condition (P = 0.03). A significant relationship was observed between the emotional (r = 0.14, P = 0.028) and total (r = 0.13, P = 0.048) aspects of the DHI and sensory integration indices (ECFIS). Compared with the healthy controls, balance, postural stability, and sensory integration were considerably impaired in the patients with mTBIs. However, a low correlation was observed between subjective (DHI) and objective balance measurements.

Original languageEnglish
Pages (from-to)730-738
Number of pages9
JournalJournal of Medical and Biological Engineering
Volume37
Issue number5
DOIs
Publication statusPublished - Oct 1 2017

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Brain Concussion
Dizziness
Brain
Equipment and Supplies
Postural Balance
Wounds and Injuries

Keywords

  • Balance function
  • Mild traumatic brain injury (mTBI)
  • Postural stability
  • Sensory integration

ASJC Scopus subject areas

  • Medicine(all)
  • Biomedical Engineering

Cite this

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abstract = "We compared subjective and objective measurements of symptoms of dizziness and postural stability in patients with mild traumatic brain injury (mTBI) during the first week following the injury. We recruited 244 patients with mTBI and 105 controls. The Dizziness Handicap Inventory (DHI) and modified Clinical Test of Sensory Integration and Balance were used as the subjective and objective measures of dizziness and ability to perform daily activities, respectively. All four DHI subscores significantly differed among the three mTBI subgroups (low, middle, and high; P = 0.00). The predictor of postural stability and sensory integration in all three DHI subgroups was the eyes closed while standing on a firm surface (ECFIS) condition (P = 0.03). A significant relationship was observed between the emotional (r = 0.14, P = 0.028) and total (r = 0.13, P = 0.048) aspects of the DHI and sensory integration indices (ECFIS). Compared with the healthy controls, balance, postural stability, and sensory integration were considerably impaired in the patients with mTBIs. However, a low correlation was observed between subjective (DHI) and objective balance measurements.",
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AU - Chen, Kai Yun

AU - Huang, Shih Wei

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AU - Liao, Chun De

AU - Hou, Wen Hsuan

AU - Liou, Tsan Hon

AU - Chiang, Yung Hsiao

AU - Tsai, Shin Han

AU - Chiu, Wen Ta

AU - Hsu, Wei Chun

AU - Lin, Li Fong

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