Evidence for cognitive impairment in patients with vestibular disorders

Chari, Divya A; Madhani, Amsal; Sharon, Jeffrey D.; Lewis, Richard

doi:10.1007/s00415-022-11289-3

Cited by 23 publications

(19 citation statements)

References 91 publications

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“…Multiple groups have hypothesized that a dual-tasking phenomenon occurs when engaging in both cognitive and motor activities. If assuming a finite amount of cognitive and attention reserve, patients with vestibulopathies devote greater resources toward balance and gaze stabilization, thus sacrificing what they can allocate for executive functioning (21)(22)(23).…”

Section: Discussionmentioning

confidence: 99%

VM-PATHI Correlates With Cognitive Function Improvement After Successful Treatment in Patients With Vestibular Migraine

Patel,

Hum,

Gardi

et al. 2023

Otol Neurotol

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Objective To assess changes in cognitive function in vestibular migraine patients undergoing treatment. Study Design Prospective cohort. Setting Single-institution tertiary-care center. Patients Thirty-four patients with vestibular migraine were included in the study. Average age at diagnosis was 47.9 years. A majority of patients (91.2%) were female. Interventions Vestibular therapies included pharmacologic treatment (67.6%), mindfulness-based stress reduction (58.8%), vestibular physical therapy (20.6%), and lifestyle changes only (2.9%). Main Outcome Measures Pretreatment and posttreatment questionnaires were collected including the Cognitive Failures Questionnaire (CFQ), Vestibular Migraine Patient Assessment Tool and Handicap Inventory (VM-PATHI), and Dizziness Handicap Inventory. Results Median time between pretreatment and posttreatment questionnaire was 4.4 months (range, 2.8–15.6. mo). CFQ scores decreased in subjects who responded to treatment, as defined by those with a positive change in VM-PATHI score (average decrease, 6.5; p = 0.03). CFQ scores did not improve in subjects who had no improvement in their vestibular condition, as defined by no change or an increase in VM-PATHI score (average increase, 2.0; p = 0.53). Univariate linear regression showed that VM-PATHI score change was highly predictive of CFQ change (p < 0.01, r 2 = 0.36). Multivariate regression demonstrated that the VM-PATHI (p = 0.03) and not the Dizziness Handicap Inventory (p = 0.10) predicted changes in CFQ score. Conclusions Self-reported cognitive dysfunction improves with successful treatment of vestibular migraine.

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Section: Discussionmentioning

confidence: 99%

VM-PATHI Correlates With Cognitive Function Improvement After Successful Treatment in Patients With Vestibular Migraine

Patel,

Hum,

Gardi

et al. 2023

Otol Neurotol

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“…Non-spatial cognition includes attention, executive function, working memory, processing speed, and language; spatial cognition includes spatial memory, navigation, orientation, and mental rotation. 1 Spatial cognition is the processing and comprehension of two-dimensional and three-dimensional space, such as spatial navigation, spatial orientation, spatial memory, and mental imagery, and is a perceptual-motor function. 2 Spatial cognition underpins daily scientific and technological development.…”

Section: Introductionmentioning

confidence: 99%

Does Hearing Impairment Impact Spatial Orientation, Navigation, and Rotation Abilities?

Avci,

Cicek Cinar

2023

Ann Otol Rhinol Laryngol

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Objectives: Spatial cognition is a perceptual-motor function that pertains to the comprehension and processing of two-dimensional and three-dimensional space. The impairment of any sensory system can have adverse effects on cognitive functioning. The objective of this study is to examine spatial cognition in adults with hearing impairments. Methods: There were a total of 61 individuals in this study: thirty-six with hearing loss and 25 with normal hearing. The Spatial Orientation Test (SOT), the Mental Rotation test (MR), and the Money’s Road Map Test (RMT) were administered to assess participants’ spatial learning-orientation, mental imagery-rotation, and spatial navigation abilities. A high number of errors in RMT, high angle difference in SOT and a low score in MR suggest poor spatial abilities. Results: Participants with hearing loss had a greater number of RMT errors and SOT angle difference, but lower MR scores than those with normal hearing ( P < .001). Hearing impairment negatively impacted all 3 spatial cognitive assessments. Hearing loss was associated with a 6.9 increase in the number of RMT errors (95% Confidence Interval (CI): 4.8, 9), a 23.6 increase in the SOT angle difference (95% CI: 16, 31.2), and an 8.5 decrease in the MR score (95% CI: −10.8, −6.2). Conclusions: The study found that individuals with hearing loss exhibited lower performance in various cognitive tasks related to spatial orientation, navigation, spatial learning, mental imagery, and rotation abilities when compared to an age and sex matched control group. In future study, it is imperative to place greater emphasis on hearing loss as a potential detrimental factor in the prediction of spatial cognition impairment.

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“…The psychological consequences of vestibular disorders are also widely acknowledged 10,11 . People with vestibular disorders frequently experience anxiety, low mood, and panic 12–14 ; cognitive problems with spatial cognition, attention, and executive function are also common 15,16 . Alterations to vestibulocortical networks involving brain regions implicated in memory, attention, and emotion regulation are thought to underlie this association 11,17–19 .…”

Section: Introductionmentioning

confidence: 99%

“…27,28 Thus far, mostly quantitative studies have been conducted to shed light on the impact of vestibular disorders and experiences of psychological aspects. 15,16,19,29,30 These have applied a range of selfreport questionnaires, objective cognitive assessments, and experimental paradigms to understand the prevalence and nature of functional and psychological deficits. Currently, there is a lack of research focusing on the lived experiences and daily life challenges faced by individuals with vestibular disorders and how psychological factors contribute to this.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 People with vestibular disorders frequently experience anxiety, low mood, and panic [12][13][14] ; cognitive problems with spatial cognition, attention, and executive function are also common. 15,16 Alterations to vestibulocortical networks involving brain regions implicated in memory, attention, and emotion regulation are thought to underlie this association. 11,[17][18][19] In addition to secondary difficulties with compensating and adjusting to living with a vestibular disorder.…”

Section: Introductionmentioning

confidence: 99%

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Impact and experiences of vestibular disorders and psychological distress: Qualitative findings from patients, family members and healthcare professionals

Smith,

Pyke,

Fowler

et al. 2023

Health Expectations

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IntroductionPeople with vestibular disorders frequently experience reduced quality of life and challenges with activities of daily living. Anxiety, depression and cognitive problems often co‐present with vestibular disorders and can aggravate symptoms and prolong clinical recovery. We aimed to gain in‐depth insights into the impact of vestibular disorders and the contribution of psychological factors by exploring multistakeholder perspectives.MethodsSemistructured interviews were conducted between October 2021 and March 2022 with 47 participants in the United Kingdom including: 20 patients (age M = 50.45 ± 13.75; 15 females), nine family members (age M = 61.0 ± 14.10; four females), and 18 healthcare professionals. Data were analysed using framework analysis.ResultsVestibular disorders impact diverse aspects of patients' lives including work, household chores, socialising, and relationships with family and friends. Being unable to engage in valued activities or fulfil social roles contributes to feelings of grief and frustration, affecting identity, confidence, and autonomy. Anxiety and low mood contribute to negative thought processes, avoidance, and social withdrawal, which can impede clinical recovery through reduced activity levels, and end engagement with treatment. Coping strategies were thought to help empower patients to self‐manage their symptoms and regain a sense of control, but these require oversight from healthcare providers.ConclusionsDaily activity limitations, social participation restrictions, and psychological distress can interact to impact quality of life, sense of self, and clinical recovery amongst people with vestibular disorders. Information and resources could aid societal awareness of the impact of vestibular disorders and help patients and families feel understood. An individualised and comprehensive approach that concurrently addresses mental, physical, social, and occupational needs is likely to be beneficial.Patient or Public ContributionTwo group meetings were held at the beginning and end of the study with a patient and public involvement network formed of people with vestibular disorders and family members. These individuals commented on the study aims, interview schedule, participant recruitment practices, and interpretation of the themes identified. Two core patient members were involved at all stages of the research. These individuals contributed to the formulation of the interview schedule, development and application of the coding scheme, development and interpretation of themes, and preparation of the final manuscript.

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Evidence for cognitive impairment in patients with vestibular disorders

Cited by 23 publications

References 91 publications

VM-PATHI Correlates With Cognitive Function Improvement After Successful Treatment in Patients With Vestibular Migraine

VM-PATHI Correlates With Cognitive Function Improvement After Successful Treatment in Patients With Vestibular Migraine

Does Hearing Impairment Impact Spatial Orientation, Navigation, and Rotation Abilities?

Impact and experiences of vestibular disorders and psychological distress: Qualitative findings from patients, family members and healthcare professionals

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