Frequency of peripheral vestibular pathology following traumatic brain injury: a systematic review of literature

Šarkić, Bojana; Douglas, Jacinta; Simpson, Andrea; Vasconcelos, Alexandra; Scott, Bethany R.; Melitsis, Lauren M.; Spehar, Stephanie M.

doi:10.1080/14992027.2020.1811905

Cited by 12 publications

(11 citation statements)

References 59 publications

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“…Motin et al (12) reported a prevalence of 13%, whereas Haripriya et al (3) found a prevalence of 17%. Šarkić et al (13) completed a systematic review of vestibular dysfunction in people with TBI. The review has 17 studies comprising 556 participants with mild to moderate injuries (13).…”

Section: Discussionmentioning

confidence: 99%

“…Šarkić et al (13) completed a systematic review of vestibular dysfunction in people with TBI. The review has 17 studies comprising 556 participants with mild to moderate injuries (13). They found a prevalence of 40% of subjects to be positive, with 69% of those positive having posterior canal BPPV (13).…”

Section: Discussionmentioning

confidence: 99%

“…The review has 17 studies comprising 556 participants with mild to moderate injuries (13). They found a prevalence of 40% of subjects to be positive, with 69% of those positive having posterior canal BPPV (13). The present study saw a prevalence of 58% when all subjects with TBIs were screened for BPPV, regardless of symptom reporting.…”

Section: Discussionmentioning

confidence: 99%

“…In a systematic review of vestibular disorders after TBI, 17 studies comprising 556 participants with mild to moderate injuries were assessed with positional testing (13). Of those 556, 69% were positive for BPPV (13). Others have reported a prevalence of 12% in those with minimal brain trauma, 24% with mild brain trauma, and 40% in those with moderate brain trauma (14).…”

Section: Introductionmentioning

confidence: 99%

“…Motin et al (12) reported a prevalence of 13.3% in a sample of subjects with moderate to severe brain injuries. In a systematic review of vestibular disorders after TBI, 17 studies comprising 556 participants with mild to moderate injuries were assessed with positional testing (13). Of those 556, 69% were positive for BPPV (13).…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Symptom Reporting for Benign Paroxysmal Positional Vertigo in a Traumatic Brain Injury Population

et al. 2022

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ObjectiveTo assess the prevalence of benign paroxysmal positional vertigo (BPPV) in traumatic brain injury population.Study DesignIn this cross-sectional design, each subject completed screening for BPPV, which included subjective questioning and positional testing. Subjects were asked if they experienced dizziness with bed mobility. All were tested with the Dix-Hallpike and the roll test to determine if nystagmus consistent with BPPV was present.SettingBrain injury inpatient rehabilitation unit.ParticipantsSubjects admitted to the rehabilitation unit during a 6-month time frame who had a traumatic mechanism of brain injury or experienced a fall resulting from a neurologic event.InterventionsDiagnostic interventions included the Dix-Hallpike and roll tests.Main MeasuresThe primary outcomes of this study were the prevalence of BPPV and symptom reports.ResultsSeventy-six subjects met the inclusion criteria. Three subjects were transferred to acute care before screening for BPPV could be completed. Of the 73 subjects who completed the screening process, 42 (58%) tested positive for BPPV, of which only 7 (10%) reported subjective symptoms of dizziness and/or vertigo. χ2 Analysis of the two screening methods demonstrated a statistically significant difference in the positivity rate between tests (χ21 = 5.715, p = 0.017, Cohen's W = 0.279). If subjects responded yes to both screening questions, they were significantly more likely to test positive for BPPV with a moderate effect size of 0.279.ConclusionThere was a high prevalence of BPPV within an inpatient rehabilitation facility in subjects with traumatic brain injury, with a small percentage of patients reporting dizziness with subjective questioning.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Symptom Reporting for Benign Paroxysmal Positional Vertigo in a Traumatic Brain Injury Population

et al. 2022

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Acute Concussion

Plummer,

Abramson

2024

Physical Medicine and Rehabilitation Clinics of North America

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A cross-sectional survey of non-specialist Australian audio-vestibular clinical practice for traumatic brain injury and rehabilitation

2023

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Objective: This study explored non-specialist audiological clinical practice in the context of traumatic brain injury (TBI), and whether such practices incorporated considerations of TBI-related complexities pertaining to identification, diagnosis and management of associated auditory and vestibular disturbances. Design: A cross-sectional online survey exploring clinical practice, TBI-related training and information provision was distributed to audiologists across Australia via Audiology Australia and social media. Fifty audiologists, 80% female and 20% male, participated in this study. Years of professional practice ranged from new graduate to more than 20 years of experience. Results: Clear gaps of accuracy in knowledge and practice across all survey domains relating to the identification, diagnosis and management of patients with auditory and/or vestibular deficits following TBI were evident. Further, of the surveyed audiologists working in auditory and vestibular settings, 91% and 86%, respectively, reported not receiving professional development for the diagnosis and management of post-traumatic audio-vestibular deficits. Conclusion: Inadequate resources, equipment availability and TBI-related training may have contributed to the gaps in service provision, influencing audiological management of patients with TBI. A tailored TBI approach to identification, diagnosis and management of post-traumatic auditory and vestibular disturbances is needed.

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Frequency of peripheral vestibular pathology following traumatic brain injury: a systematic review of literature

Cited by 12 publications

References 59 publications

The Prevalence of Symptom Reporting for Benign Paroxysmal Positional Vertigo in a Traumatic Brain Injury Population

The Prevalence of Symptom Reporting for Benign Paroxysmal Positional Vertigo in a Traumatic Brain Injury Population

Acute Concussion

A cross-sectional survey of non-specialist Australian audio-vestibular clinical practice for traumatic brain injury and rehabilitation

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