Abstract

Background: Mild traumatic brain injury (mTBI) is the major cause of neurobehavioral disorder. It often causes persistent and progressive symptoms, such as mental disorder, dizziness and balance problems. The relationship between subjective measurement of balance and the objective instrument of dizziness remains unclear.

Methods and findings: We enrolled 210 mTBI patients, including 94 patients with dizziness problems and 116 patients without dizziness problems. The participants completed the dizziness handicap inventory (DHI) and stability and sway indices through the Biodex stability System. A Box-Cox transformation for each index was performed to assess the linear regression relationship with all aspects (physical, emotional, and functional) of the DHI. After a propensity score adjustment, gender and age were significant predictors for all stability and sway indices. In addition, body height was a significant factor in balance test results when eyes were open. Furthermore, the emotional aspect of the DHI significantly correlated with stability and sway indices, except the mediolateral stability index (MLSI).

Conclusion: The three aspects of the subjective instrument of dizziness were significantly related with anxiety, depression and sleep problems. For mTBI patients, the objective changes in balance were associated with the emotional aspect of DHI.
Original languageEnglish
JournalJournal of Neurology and Neuroscience
Volume08
Publication statusPublished - Jan 1 2017

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Brain Concussion
Dizziness
Equipment and Supplies
Social Adjustment
Propensity Score
Body Height
Mental Disorders
Linear Models
Sleep
Anxiety
Depression

Keywords

  • Dizziness handicap inventory
  • Sway index
  • Stability index
  • Anxiety
  • Sleep Problem
  • Depression
  • Propensity Score

Cite this

@article{2b0aa373ab264064a6247892ce44ffa3,
title = "Significance of Balance Test in Assessing Emotional Aspect of Dizziness in Mild Traumatic Brain Injury Patients",
abstract = "Background: Mild traumatic brain injury (mTBI) is the major cause of neurobehavioral disorder. It often causes persistent and progressive symptoms, such as mental disorder, dizziness and balance problems. The relationship between subjective measurement of balance and the objective instrument of dizziness remains unclear.Methods and findings: We enrolled 210 mTBI patients, including 94 patients with dizziness problems and 116 patients without dizziness problems. The participants completed the dizziness handicap inventory (DHI) and stability and sway indices through the Biodex stability System. A Box-Cox transformation for each index was performed to assess the linear regression relationship with all aspects (physical, emotional, and functional) of the DHI. After a propensity score adjustment, gender and age were significant predictors for all stability and sway indices. In addition, body height was a significant factor in balance test results when eyes were open. Furthermore, the emotional aspect of the DHI significantly correlated with stability and sway indices, except the mediolateral stability index (MLSI).Conclusion: The three aspects of the subjective instrument of dizziness were significantly related with anxiety, depression and sleep problems. For mTBI patients, the objective changes in balance were associated with the emotional aspect of DHI.",
keywords = "Dizziness handicap inventory, Sway index, Stability index, Anxiety, Sleep Problem, Depression, Propensity Score",
author = "{Ping Ma}, Hon and {Shen Chen}, Po and {Chi Ou}, Ju and {Hsiao Chiang}, Yung and {Han Tsai}, Shin and {Ta Chiu}, Wen and {Hsing Liao}, Kuo and {Che Wu}, Chung and Kai-Yun Chen",
year = "2017",
month = "1",
day = "1",
language = "English",
volume = "08",
journal = "Journal of Neurology and Neuroscience",

}

TY - JOUR

T1 - Significance of Balance Test in Assessing Emotional Aspect of Dizziness in Mild Traumatic Brain Injury Patients

AU - Ping Ma, Hon

AU - Shen Chen, Po

AU - Chi Ou, Ju

AU - Hsiao Chiang, Yung

AU - Han Tsai, Shin

AU - Ta Chiu, Wen

AU - Hsing Liao, Kuo

AU - Che Wu, Chung

AU - Chen, Kai-Yun

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Background: Mild traumatic brain injury (mTBI) is the major cause of neurobehavioral disorder. It often causes persistent and progressive symptoms, such as mental disorder, dizziness and balance problems. The relationship between subjective measurement of balance and the objective instrument of dizziness remains unclear.Methods and findings: We enrolled 210 mTBI patients, including 94 patients with dizziness problems and 116 patients without dizziness problems. The participants completed the dizziness handicap inventory (DHI) and stability and sway indices through the Biodex stability System. A Box-Cox transformation for each index was performed to assess the linear regression relationship with all aspects (physical, emotional, and functional) of the DHI. After a propensity score adjustment, gender and age were significant predictors for all stability and sway indices. In addition, body height was a significant factor in balance test results when eyes were open. Furthermore, the emotional aspect of the DHI significantly correlated with stability and sway indices, except the mediolateral stability index (MLSI).Conclusion: The three aspects of the subjective instrument of dizziness were significantly related with anxiety, depression and sleep problems. For mTBI patients, the objective changes in balance were associated with the emotional aspect of DHI.

AB - Background: Mild traumatic brain injury (mTBI) is the major cause of neurobehavioral disorder. It often causes persistent and progressive symptoms, such as mental disorder, dizziness and balance problems. The relationship between subjective measurement of balance and the objective instrument of dizziness remains unclear.Methods and findings: We enrolled 210 mTBI patients, including 94 patients with dizziness problems and 116 patients without dizziness problems. The participants completed the dizziness handicap inventory (DHI) and stability and sway indices through the Biodex stability System. A Box-Cox transformation for each index was performed to assess the linear regression relationship with all aspects (physical, emotional, and functional) of the DHI. After a propensity score adjustment, gender and age were significant predictors for all stability and sway indices. In addition, body height was a significant factor in balance test results when eyes were open. Furthermore, the emotional aspect of the DHI significantly correlated with stability and sway indices, except the mediolateral stability index (MLSI).Conclusion: The three aspects of the subjective instrument of dizziness were significantly related with anxiety, depression and sleep problems. For mTBI patients, the objective changes in balance were associated with the emotional aspect of DHI.

KW - Dizziness handicap inventory

KW - Sway index

KW - Stability index

KW - Anxiety

KW - Sleep Problem

KW - Depression

KW - Propensity Score

UR - http://www.jneuro.com/neurology-neuroscience/significance-of-balance-test-in-assessing-emotional-aspect-of-dizziness-in-mild-traumatic-brain-injury-patients.php?aid=19676

M3 - Article

VL - 08

JO - Journal of Neurology and Neuroscience

JF - Journal of Neurology and Neuroscience

ER -