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1
Association of Traumatic Brain Injury with Vestibular Dysfunction and Dizziness in Post-9/11 Veterans
In: ETSU Faculty Works (2020)
Abstract: Objective:To describe the prevalence and impact of vestibular dysfunction and nonspecific dizziness diagnoses and explore their associations with traumatic brain injury (TBI) severity, mechanism, and postconcussive comorbidities among post-9/11 veterans. Setting:Administrative medical record data from the US Departments of Defense and Veterans Affairs (VA). Participants:Post-9/11 veterans with at least 3 years of VA care. Design:Cross-sectional, retrospective, observational study. Main measures:International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes for TBI, vestibular dysfunction, dizziness, and other commonly associated postconcussive conditions; Neurobehavioral Symptom Inventory. Results:Of the 570 248 post-9/11 veterans in this sample, 0.45% had a diagnosis of vestibular dysfunction and 2.57% had nonspecific dizziness. Those with either condition were more likely to have evidence of TBI (57.11% vs 28.51%) and reported more disruption from neurobehavioral symptoms. Blast and nonblast injuries were associated with greater symptom disruption, particularly in combination. Conclusions:There was a consistent, significant association between TBI and vestibular dysfunction or nonspecific dizziness, after controlling for sociodemographic factors, injury mechanism, and comorbid conditions. Given that most deployed post-9/11 veterans report blast and/or nonblast injuries, the need for prompt identification and management of these conditions and symptoms is clear.
Keyword: Audiology and Speech-Language Pathology; dizziness; Geriatrics; Physical Therapy; Rehabilitation and Therapy; Speech Pathology and Audiology; traumatic brain injury; vestibular dysfunction
URL: https://doi.org/10.1097/HTR.0000000000000513
https://dc.etsu.edu/etsu-works/7777
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2
Impact of Otolith Dysfunction on Postural Stability and Quality of Life: a Chronic Effects of Neurotrauma Consortium Study
In: ETSU Faculty Works (2019)
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3
The Development of the Benign Paroxysmal Positional Vertigo Symptom Impact Questionnaire (BSIQ)
In: ETSU Faculty Works (2019)
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4
Noise and Blast-related Effects on Vestibular and Balance Function
In: ETSU Faculty Works (2018)
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5
Longitudinal consequences of mTBI and blast exposure on vestibular and balance function: preliminary observations
In: ETSU Faculty Works (2018)
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6
Impact of Otolith Dysfunction on Postural Stability and Quality of Life
In: ETSU Faculty Works (2018)
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7
Vestibular Consequences of Mild Traumatic Brain Injury and Blast Exposure: A Review
In: ETSU Faculty Works (2017)
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8
Reliability and Validity of Bertec Computerized Dynamic Posturography
In: ETSU Faculty Works (2017)
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9
Vestibular, Balance, Microvascular and White Matter Neuroimaging Characteristics of Blast Injuries and Mild Traumatic Brain Injury: Four Case Reports
In: ETSU Faculty Works (2016)
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10
Vestibular Consequences of mTBI and Blast Exposure
In: ETSU Faculty Works (2016)
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11
Video Head Impulse Testing (vHIT) and the Assessment of Horizontal Semicircular Canal Function
In: ETSU Faculty Works (2015)
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12
Vestibular Consequences of mTBI and Blast Exposure
In: ETSU Faculty Works (2015)
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13
Effects of Age on Vestibular and Balance Systems
In: ETSU Faculty Works (2015)
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14
A Multidisciplinary Approach to Managing the Dizzy Patient
In: ETSU Faculty Works (2013)
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15
A Multidisciplinary Approach to Managing the Dizzy Patient
In: ETSU Faculty Works (2013)
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16
A Benign Paroxysmal Positional Vertigo Specialty Clinic: A Model for Va Health Care
In: ETSU Faculty Works (2013)
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17
The Role of Rotational Stimulation in Vestibular Compensation
In: ETSU Faculty Works (2013)
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18
A Benign Paroxysmal Positional Vertigo Specialty Clinic
In: ETSU Faculty Works (2012)
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