Constant dizziness versus episodic vertigo in Ménière's disease : health-related quality of life, cognitive dissonance, and postural problems
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Date
Authors
Pyykko, Ilmari
Zou, Jing
Manchaiah, Vinaya
Journal Title
Journal ISSN
Volume Title
Publisher
AVES
Abstract
BACKGROUND : The aim was to explore and characterize dizziness and vertigo (constant vs episodic) and associated problems in patients with
Ménière’s disease (MD) to allow characterization of the impact of the disease.
METHODS : The study used a retrospective survey design. A total of 539 people with MD participated in this study. The online questionnaire
included 36 items which had mixture of structured and open-ended questions that were focusing on MD symptoms, impact of their symptoms,
vestibular rehabilitation, as well as health-related quality of life (HRQoL).
RESULTS : Forty-six percent of the patients had episodic vertigo, 6% had constant dizziness, 15% had both episodic vertigo and constant dizziness,
and 31% did not have vertigo or dizziness within the last 2 years. Patients with MD without any vertigo rated their HRQoL as 73.9%, those
with episodic vertigo as 71.1%, those with constant dizziness as 56.9%, and those with constant dizziness and episodic vertigo as 57.9% indicating
significant reduction in HRQoL in constant dizziness patients. Constant dizziness was associated with cognitive visual problems, fatigue,
balance problems, vestibular drop attacks and syncope. The impact of balance problem was more severe among those with constant dizziness.
The most common balance problem was tripping-off (34%), followed by swaying (25%) or rocking (8%) sensations. In the self-administered rehabilitative
training, there were no differences between any of the vertigo or dizziness groups although disease profile of MD differed significantly.
CONCLUSION : We emphasize that constant dizziness in MD constitutes a long-term maladaptation to a vestibular and visual cognitive function
causing cognitive dissonance. Different types of vertigo and their associated complaints require different treatment strategies to the manage
balance problems and to cope with the disease, but best practices is still under research.
Description
Keywords
Ménière’s disease, Mal de-Debarquement syndrome, Balance problems, Swaying, Rocking, Tripping-off, Quality of life (QoL), SDG-03: Good health and well-being, Health-related quality of life (HRQoL)
Sustainable Development Goals
SDG-03:Good heatlh and well-being
Citation
Pyykkö, I., Zou, J. & Manchaiah, V. Constant dizziness versus episodic vertigo in Ménière’s disease: health-related quality of life, cognitive dissonance, and postural problems. Journal of International Advanced Otology 2024; 20(5): 417-425, doi : 10.5152/iao.2024.231113.