Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study.
Balance
cervicogenic dizziness
handicap
myofascial pain syndrome
neck pain
Journal
Turkish journal of physical medicine and rehabilitation
ISSN: 2587-1250
Titre abrégé: Turk J Phys Med Rehabil
Pays: Turkey
ID NLM: 101719024
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
18
12
2020
accepted:
03
02
2021
entrez:
10
2
2022
pubmed:
11
2
2022
medline:
11
2
2022
Statut:
epublish
Résumé
This study aims to investigate the prevalence, etiology, and risk factors of cervicogenic dizziness in patients with neck pain. Between June 2016 and April 2018, a total of 2,361 patients (526 males, 1,835 females; mean age: 45.0±13.3 years; range, 18 to 75 years) who presented with the complaint of neck pain lasting for at least one month were included in this prospective, cross-sectional study. Data including concomitant dizziness, severity, and quality of life (QoL) impact of vertigo (via Numeric Dizziness Scale [NDS]), QoL (via Dizziness Handicap Inventory [DHI]), mobility (via Timed Up-and-Go [TUG] test), balance performance [via Berg Balance Scale [BBS]), and emotional status (via Hospital Anxiety- Depression Scale [HADS]) were recorded. Dizziness was evident in 40.1% of the patients. Myofascial pain syndrome (MPS) was the most common etiology for neck pain (58.5%) and accompanied with cervicogenic dizziness in 59.7% of the patients. Female versus male sex (odds ratio [OR]: 1.641, 95% CI: 1.241 to 2.171, p=0.001), housewifery versus other occupations (OR: 1.285, 95% CI: 1.006 to 1.642, p=0.045), and lower versus higher education (OR: 1.649-2.564, p<0.001) significantly predicted the increased risk of dizziness in neck pain patients. Patient with dizziness due to MPS had lower dizziness severity scores (p=0.034) and milder impact of dizziness on QoL (p=0.005), lower DHI scores (p=0.004), shorter time to complete the TUG test (p=0.001) and higher BBS scores (p=0.001). Our findings suggest a significant impact of biopsychosocial factors on the likelihood and severity of dizziness and association of dizziness due to MPS with better clinical status.
Identifiants
pubmed: 35141479
doi: 10.5606/tftrd.2021.7983
pmc: PMC8790272
doi:
Types de publication
Journal Article
Langues
eng
Pagination
399-408Informations de copyright
Copyright © 2021, Turkish Society of Physical Medicine and Rehabilitation.
Déclaration de conflit d'intérêts
Conflict of Interest: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
Références
Agri. 2008 Jul;20(3):14-9
pubmed: 19085177
BMC Geriatr. 2014 Feb 01;14:14
pubmed: 24484314
Best Pract Res Clin Rheumatol. 2007 Apr;21(2):367-87
pubmed: 17512488
Arch Otolaryngol Head Neck Surg. 1990 Apr;116(4):424-7
pubmed: 2317323
J Orthop Sports Phys Ther. 2000 Dec;30(12):755-66
pubmed: 11153554
Arch Phys Med Rehabil. 2006 Jan;87(1):76-81
pubmed: 16401442
Best Pract Res Clin Rheumatol. 2011 Apr;25(2):185-98
pubmed: 22094195
J Psychosom Res. 1992 Dec;36(8):731-41
pubmed: 1432863
Semin Neurol. 2013 Jul;33(3):244-55
pubmed: 24057828
J Altern Complement Med. 2007 Jun;13(5):513-8
pubmed: 17604554
J Orthop Sports Phys Ther. 2009 May;39(5):364-77
pubmed: 19411769
Chiropr Man Therap. 2013 Jan 07;21(1):3
pubmed: 23295018
Psychother Psychosom Med Psychol. 2010 Sep-Oct;60(9-10):e1-12
pubmed: 20099217
Arch Phys Med Rehabil. 1992 Nov;73(11):1073-80
pubmed: 1444775
World Neurosurg. 2018 Nov;119:e686-e693
pubmed: 30092465
Arch Intern Med. 2008 Oct 27;168(19):2118-24
pubmed: 18955641
J Exerc Rehabil. 2020 Oct 27;16(5):385-391
pubmed: 33178639
J Back Musculoskelet Rehabil. 2000 Jan 1;15(2):83-7
pubmed: 22388447
Otol Neurotol. 2014 Dec;35(10):1858-65
pubmed: 25058834
World Neurosurg. 2018 Jan;109:347-350
pubmed: 29061460
J Am Geriatr Soc. 1991 Feb;39(2):142-8
pubmed: 1991946
Pain Physician. 2015 Jul-Aug;18(4):E583-95
pubmed: 26218949
BMJ. 2007 Mar 10;334(7592):527-31
pubmed: 17347239
Pain Physician. 2018 May;21(3):285-294
pubmed: 29871373
J Psychosom Res. 2017 Feb;93:62-68
pubmed: 28107895
Acta Psychiatr Scand. 1983 Jun;67(6):361-70
pubmed: 6880820
Neurologia (Engl Ed). 2018 Mar;33(2):98-106
pubmed: 27452617
Arch Physiother. 2017 Sep 12;7:12
pubmed: 29340206
Curr Opin Neurol. 2015 Feb;28(1):69-73
pubmed: 25502050
J Anxiety Disord. 2003;17(4):369-88
pubmed: 12826087
Pain. 2015 Jun;156(6):988-997
pubmed: 25760473
J Vestib Res. 1993 Winter;3(4):383-9
pubmed: 8275272
Rev Bras Reumatol Engl Ed. 2017 Mar - Apr;57(2):93-99
pubmed: 28343625
Ann Phys Rehabil Med. 2009 Sep-Oct;52(7-8):556-67
pubmed: 19747892