Hiroyuki Morimoto1, Yuji Asai2, Eric G Johnson3, Yoshinori Koide4, Junichi Niki5, Shigeki Sakai5, Meiho Nakayama6, Kayoko Kabaya7, Ayako Fukui7, Yoko Mizutani8, Takehiko Mizutani8, Yoshino Ueki4, Jun Mizutani4, Takatoshi Ueki9, Ikuo Wada4. 1. Department of Rehabilitation Medicine, Graduate School of Medical Sciences, Nagoya City University, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan; Department of Rehabilitation, Mizutani Hospital, 3-4-1, Kanayama-cho, Atsuta-ku, Nagoya 456-0002, Japan. 2. Department of Rehabilitation Medicine, Graduate School of Medical Sciences, Nagoya City University, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan; Department of Physical Therapy, School of Health Science, Nihon Fukushi University, 2-26, Higashihaemi-cho, Handa 475-0012, Japan. 3. Department of Physical Therapy, School of Allied Health Professions, Loma Linda University, 24951, Circle Drive, Loma Linda, CA 92354, USA. 4. Department of Rehabilitation Medicine, Graduate School of Medical Sciences, Nagoya City University, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. 5. Department of Rehabilitation, Mizutani Hospital, 3-4-1, Kanayama-cho, Atsuta-ku, Nagoya 456-0002, Japan. 6. Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medical Sciences, Nagoya City University, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. Electronic address: m0719062139@gmail.com. 7. Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medical Sciences, Nagoya City University, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. 8. Department of Orthopedics, Mizutani Hospital, 3-4-1, Kanayama-cho, Atsuta-ku, Nagoya 456-0002, Japan. 9. Department of Integrative Anatomy, Graduate School of Medical Sciences, Nagoya City University, 1, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan.
Abstract
OBJECTIVE: Dizziness is one of the most common symptoms in the general population. Patients with dizziness experience balance problems and anxiety, which can lead to decreased physical activity levels and participation in their daily activities. Moreover, recovery of vestibular function from vestibular injury requires physical activity. Although there are reports that decreased physical activity is associated with handicap, anxiety, postural instability and reduced recovery of vestibular function in patients with chronic dizziness, these data were collected by self-report questionnaires. Therefore, the objective data of physical activity and the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness are not clear. The purpose of this research was to objectively measure the physical activity of patients with chronic dizziness in daily living as well as handicap, anxiety and postural stability compared to healthy adults. Additionally, we aimed to investigate the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness. METHODS: Twenty-eight patients with chronic dizziness of more than 3 months caused by unilateral vestibular hypofunction (patient group) and twenty-eight age-matched community dwelling healthy adults (healthy group) participated in this study. The amount of physical activity including time of sedentary behavior, light physical activity, moderate to vigorous physical activity and total physical activity using tri-axial accelerometer, self-perceived handicap and anxiety using questionnaires, and postural stability were measured using computerized dynamic posturography. RESULTS: The results showed worse handicap, anxiety and postural stability in the patient group compared to the healthy group. Objective measures of physical activity revealed that the patient group had significantly longer time of sedentary behavior, shorter time of light physical activity, and shorter time of total physical activity compared to the healthy group; however, time of moderate to vigorous physical activity was not significantly different between groups. Moreover, there were correlations between physical activity and postural stability in the patient group, while there were no correlations between physical activity, handicap or anxiety in the patient group. CONCLUSION: These results suggest that objectively measured physical activity of the patients with chronic unilateral vestibular hypofunction is lower compared to the healthy adults, and less active patients showed decreased postural stability. However, the details of physical activity and causal effect between physical activity and postural stability were not clear and further investigation is needed.
OBJECTIVE:Dizziness is one of the most common symptoms in the general population. Patients with dizziness experience balance problems and anxiety, which can lead to decreased physical activity levels and participation in their daily activities. Moreover, recovery of vestibular function from vestibular injury requires physical activity. Although there are reports that decreased physical activity is associated with handicap, anxiety, postural instability and reduced recovery of vestibular function in patients with chronic dizziness, these data were collected by self-report questionnaires. Therefore, the objective data of physical activity and the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness are not clear. The purpose of this research was to objectively measure the physical activity of patients with chronic dizziness in daily living as well as handicap, anxiety and postural stability compared to healthy adults. Additionally, we aimed to investigate the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness. METHODS: Twenty-eight patients with chronic dizziness of more than 3 months caused by unilateral vestibular hypofunction (patient group) and twenty-eight age-matched community dwelling healthy adults (healthy group) participated in this study. The amount of physical activity including time of sedentary behavior, light physical activity, moderate to vigorous physical activity and total physical activity using tri-axial accelerometer, self-perceived handicap and anxiety using questionnaires, and postural stability were measured using computerized dynamic posturography. RESULTS: The results showed worse handicap, anxiety and postural stability in the patient group compared to the healthy group. Objective measures of physical activity revealed that the patient group had significantly longer time of sedentary behavior, shorter time of light physical activity, and shorter time of total physical activity compared to the healthy group; however, time of moderate to vigorous physical activity was not significantly different between groups. Moreover, there were correlations between physical activity and postural stability in the patient group, while there were no correlations between physical activity, handicap or anxiety in the patient group. CONCLUSION: These results suggest that objectively measured physical activity of the patients with chronic unilateral vestibular hypofunction is lower compared to the healthy adults, and less active patients showed decreased postural stability. However, the details of physical activity and causal effect between physical activity and postural stability were not clear and further investigation is needed.
Authors: Lien Van Laer; Ann Hallemans; Vincent Van Rompaey; Claudia De Valck; Paul Van de Heyning; Luc Vereeck Journal: Front Neurol Date: 2022-08-19 Impact factor: 4.086
Authors: Fabio Sarto; Martina Pizzichemi; Francesco Chiossi; Patrizia S Bisiacchi; Martino V Franchi; Marco V Narici; Elena Monti; Antonio Paoli; Giuseppe Marcolin Journal: Front Physiol Date: 2022-08-17 Impact factor: 4.755
Authors: Lisa van Stiphout; Florence Lucieer; Maksim Pleshkov; Vincent Van Rompaey; Josine Widdershoven; Nils Guinand; Angélica Pérez Fornos; Herman Kingma; Raymond van de Berg Journal: J Neurol Date: 2021-07-14 Impact factor: 6.682