Association between duration of onset and results of clinical tests for persons with dizziness caused by peripheral vestibular disorders
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Abstract
Background: Dizziness symptom could be the results of several lesions including the peripheral vestibular disorders (PVD) which are associated with several pathologies. After the acute stage, there is spontaneous recovery which begins immediately after the vestibular insult. Therefore, there was a question about whether the results of commonly used clinical tests would be related to the duration since symptom onset or not.
Objective: To analyze the association between duration since symptom onset (acute and chronic PVD) and clinical test results.
Methods: Forty participants with dizziness within 1 year, aged 18-79 years old, were classified into two groups: acute (n=20) and chronic (n=20). All participants performed six clinical tests including modified clinical test of sensory interaction on balance, gait with vertical head turns, gait and pivot turn, head impulse test, horizontal dynamic visual acuity test, and vertical dynamic visual acuity test, and were performed battery vestibular diagnostic test on the same day. The association between duration since symptom onset and clinical test results was analyzed.
Results: No statistically significant association was found between duration since symptom onset and abnormal clinical test results. Moreover, the chronic PVD group was more likely to present abnormal result on clinical tests than the acute PVD group.
Conclusions: Most of the patients with chronic PVD could not adapt behavior after sudden onset. Therefore, the clinical tests could detect the abnormality of peripheral vestibular function although the patients had prolonged symptoms.
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