International Clinical Protocol on Vestibular Disorders (Dizziness)

Trinus, K.F.; Claussen, C. F.

doi:10.5935/0946-5448.20170029

Cited by 6 publications

(13 citation statements)

References 47 publications

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“…To standardize complaints, the questionnaire "Types of dizziness" has been used according to the International Clinical Protocol on Vestibular Disorders (Dizziness) [8]. Statistics: standard Excel kit for Windows has been used.…”

Section: Methodsmentioning

confidence: 99%

Mild blast injury: vertigo complaints analysis

Trinus

2023

INJ

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The data about vestibular disorders resulting from blast injury are contradictory. To disclose the problem of vestibular disorder as the consequence of blast injury, we have done present investigation. One hundred and nine patients were examined: 65 Anti-Terroristic Operation (ATO) participants, who survived mild and moderate blast injury without cranial trauma, and 44 non-ATO patients (rhinitis, pharyngitis, otitis). Questionnaire “Types of dizziness” has been used according to the International Clinical Protocol on Vestibular Disorders (Dizziness). Complaints of dizziness (distortion of perception of space, movement and time) have been revealed in 70.77 % (46) ATO and 43.18 % (19) non-ATO patients: F-test = 0.51, T-test = 0.004, thus, showing that this complaint is not specific for mild traumatic brain injury (mTBI). Objective vertigo (sensation of subjects moving around the patient) met in 26.15 % (17) ATO and 11.56 % (5) non-ATO patients: F-test = 0.027, T-test = 0.046. So, we have two different qualitative groups. Тhese complaints are specific for the patients, who survived blast injury. Complaints of vertigo are also typical for the patients, who survived blast injury. Complaints of giddiness are specific for the patients, who survived blast injury. Imbalance and drop attacks are not typical for ATO patients. Complaints of kinetosis are specific for the patients, who survived blast injury. Orthostatics (discomfort sensations that appear after sudden standing up) has been revealed in 76.92 % (50) ATO and 47.73 % (21) non-ATO patients, this complaint is not specific for mTBI. Vestibular system organizes space orientation tetrad: vestibular, somatosensory, visual and hearing information to percept, orient and interact with environment. Acro-, nycto- and ascendophobia have appeared to be of no importance. Agoraphobia (Greek αγωρα — market, supermarket syndrome, discomfort in open, public places or crowds) has been detected in 33.85 % (22) ATO and 15.91 % (7) non-ATO patients. This complaint is not specific for mTBI. Claustrophobia (discomfort appearing in small, closed spaces) is met in 20.00 % (13) ATO and 9.09 % (4) non-ATO patients: F-test = 0.024, T-test = 0.10. Thus, we have two different qualitative groups. This is also interesting case, when we reveal qualitative difference without quantitative one. This is the argument to use F-test in our study. So, complaints of claustrophobia are specific for the patients, who survived blast injury. The same situation is with descendophobia (discomfort during walking down the hill or descending the staircase, patients note the necessity of visual control. It has been shown that among other signs, there is a positive correlation with age, imbalance, ascendophobia and dyspnea). The results are discussed from the point of view of the severe vestibular impairment due to the blast injury. Conclusions. 1. MBTI from blast injury is accompanied by severe stress, objective and subjective vertigo, giddiness and kinetosis, which are considered to be the symptoms of vestibular damage. 2. Dizziness, orthostatics and agoraphobia are quantitatively significantly increased in mBTI, but it might not be considered specific for blast injury consequences. 3. Giddiness, claustrophobia and descendophobia in ATO patients have no quantitative changes compared to the ENT patients, but are specific for mBTI after blast injury. 4. It is important to use matrix Fisher test in statistical examinations.

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Section: Methodsmentioning

confidence: 99%

Mild blast injury: vertigo complaints analysis

Trinus

2023

INJ

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“…The number of connections of the vestibular nuclei with many motor centers of the nervous system provides support for the position of the body, muscle tone, as well as movements of the eyeballs. Therefore, equilibrium is provided by vestibulo-spinal and vestibulo-ocular conduction pathways [1]. It is also known, that posture retention and control are a set of interactions between the musculoskeletal, visual, vestibular and skin systems [2].…”

Section: Introductionmentioning

confidence: 99%

Electrogmyographic Features of Muscles Soleus in People With the Increased Sensitivity of the Vestibular Analyzer

Vadzyuk

Shmata

Ulianytska

2020

EUREKA: Life Sciences

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The article deals with the features of electromyographic indicators of the soleus muscles while maintaining a upright position in people with increased vestibular sensitivity. From the literature, it is concluded that the study of electromyographic features of indicators in the conditions of irritation of the vestibular analyzer in people with different vestibular sensitivity is an important area in physiology. Vestibular sensitivity was determined by the questionnaire, Voyachek's sample and Fukuda's written test. To assess the electromyographic activity of the soleus muscles, a computer DX complex was used for registration of interference electromyography. Registration was carried out during performing Romberg test, before and after vestibular loading. According to the results of the vestibular irritation, there was a greater decrease in the amplitude of the flap muscles of the lower extremities in persons with the increased vestibular sensitivity than in people with the adequate sensitivity. Based on the results achieved, it can be assumed, that in people with the increased sensitivity of the vestibular analyzer, the irritation of the receptors of the semicircular canals alters the activity of extensor motoneurons of the human spinal cord more significantly than in persons with the adequate sensitivity.

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“…[11][12][13][14]. Водночас спостерігається тенденція до збільшення поширеності підвищеної чутливості вестибулярного аналізатора серед осіб молодого віку [15,16].…”

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“…Підвищена чутливість вестибулярного аналізатора, на перший погляд, не спричиняє безпосередньої загрози для життя, проте істотно погіршує його якість [5, [14][15][16][17][18][19][20]. Водночас вона має прогресуючий характер і супроводжується недостатньою компенсацією за умов стресу [8,16]. Нині немає єдиної точки зору на те, чи підвищена чутливість вестибулярного аналізатора є хворобою.…”

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“…Механізми розвитку підвищеної чутливості вестибулярного аналізатора складні і залишаються недостатньо вивченими. Для пояснення виникнення її було запропоновано кілька концепцій, у яких переважне значення автори надавали порушенню регуляції окремих ланок судинного тонусу: астено-вегетативного, конституціонально -спадкового та ендокринного [9,[14][15][16].…”

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Some psychophysiological features of people with hypersensitivity to the vestibular analyzer

2020

Eksp.klin.fiziol.biohim.

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International Clinical Protocol on Vestibular Disorders (Dizziness)

Cited by 6 publications

References 47 publications

Mild blast injury: vertigo complaints analysis

Mild blast injury: vertigo complaints analysis

Electrogmyographic Features of Muscles Soleus in People With the Increased Sensitivity of the Vestibular Analyzer

Some psychophysiological features of people with hypersensitivity to the vestibular analyzer

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