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Dizziness and physical health are associated with pain in dizzy patients-A cross-sectional study.

Publication ,  Journal Article
Gustavsen, IØ; Wilhelmsen, K; Goode, AP; Nordahl, SHG; Goplen, FK; Nilsen, RM; Magnussen, LH
Published in: Physiother Res Int
October 2021

BACKGROUND AND PURPOSE: Associations between dizziness, health-related quality of life, and musculoskeletal pain have not been systematically explored in patients with vestibular disorders. Such knowledge may be important for choice of treatments. The study objectives were to examine the extent and localization of musculoskeletal pain and explore whether pain was associated with dizziness and health-related quality of life. METHODS: The cross-sectional study investigated anonymized data from an earlier survey on patients with long-lasting dizziness (>3 months) examined in an oto-rhino-laryngological department. The sample includes patient between 18 and 70 years with Ménière's disease, vestibular schwannoma, benign positional paroxysmal vertigo, vestibular neuritis, non-otogenic dizziness, and cervicogenic dizziness. General musculoskeletal, that is, pain in muscles, tendons, and joints was registered by a yes/no question. A pain drawing registered localization of pain. Multiple binary logistic regression models were used to determine the association between pain and vertigo-balance and autonomic-anxiety related dizziness by the short Vertigo Symptom Scale (VSS) and sub-scales (VSS-V, VSS-A), and between pain and health-related quality of life by the SF-36, mental and physical component summary scale (SF-36 MCS, SF-36 PCS). RESULTS: The sample consisted of 503 patients, 60.2% were women, the median age was 50 years. General musculoskeletal pain was reported by 72.8% of patients, neck pain by 59.2% and widespread pain by 21.9%. Multiple binary logistic regression models demonstrated that all the pain measures were significantly associated with VSS-V and VSS-A and SF-36 PCS, but not SF-36 MCS. DISCUSSIONS: Musculoskeletal pain is prevalent in patients with long-lasting dizziness. The strong associations between pain, VSS, and SF-36 PCS could result in a self-sustaining complex condition. The findings imply that in addition to assessing and treating the vestibular symptoms, musculoskeletal symptoms and physical health should be addressed.

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Published In

Physiother Res Int

DOI

EISSN

1471-2865

Publication Date

October 2021

Volume

26

Issue

4

Start / End Page

e1923

Location

United States

Related Subject Headings

  • Vertigo
  • Rehabilitation
  • Quality of Life
  • Neck Pain
  • Middle Aged
  • Humans
  • Female
  • Dizziness
  • Cross-Sectional Studies
  • 4201 Allied health and rehabilitation science
 

Citation

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ICMJE
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Gustavsen, I. Ø., Wilhelmsen, K., Goode, A. P., Nordahl, S. H. G., Goplen, F. K., Nilsen, R. M., & Magnussen, L. H. (2021). Dizziness and physical health are associated with pain in dizzy patients-A cross-sectional study. Physiother Res Int, 26(4), e1923. https://doi.org/10.1002/pri.1923
Gustavsen, Ingvild Ølfarnes, Kjersti Wilhelmsen, Adam P. Goode, Stein Helge Glad Nordahl, Frederik Kragerud Goplen, Roy Miodini Nilsen, and Liv Heide Magnussen. “Dizziness and physical health are associated with pain in dizzy patients-A cross-sectional study.Physiother Res Int 26, no. 4 (October 2021): e1923. https://doi.org/10.1002/pri.1923.
Gustavsen IØ, Wilhelmsen K, Goode AP, Nordahl SHG, Goplen FK, Nilsen RM, et al. Dizziness and physical health are associated with pain in dizzy patients-A cross-sectional study. Physiother Res Int. 2021 Oct;26(4):e1923.
Gustavsen, Ingvild Ølfarnes, et al. “Dizziness and physical health are associated with pain in dizzy patients-A cross-sectional study.Physiother Res Int, vol. 26, no. 4, Oct. 2021, p. e1923. Pubmed, doi:10.1002/pri.1923.
Gustavsen IØ, Wilhelmsen K, Goode AP, Nordahl SHG, Goplen FK, Nilsen RM, Magnussen LH. Dizziness and physical health are associated with pain in dizzy patients-A cross-sectional study. Physiother Res Int. 2021 Oct;26(4):e1923.
Journal cover image

Published In

Physiother Res Int

DOI

EISSN

1471-2865

Publication Date

October 2021

Volume

26

Issue

4

Start / End Page

e1923

Location

United States

Related Subject Headings

  • Vertigo
  • Rehabilitation
  • Quality of Life
  • Neck Pain
  • Middle Aged
  • Humans
  • Female
  • Dizziness
  • Cross-Sectional Studies
  • 4201 Allied health and rehabilitation science