Association of Head Injury, Neck Injury or Acoustic Trauma on Phenotype of Ménière’s Disease
Abstract
:1. Introduction
2. Methods
2.1. Study Design
2.2. Participants
2.3. Data Collection
2.4. Data Analyses
3. Results
3.1. Traumatic Brain Injury
3.2. Neck Trauma Associated with Vertigo
3.3. Noise-Induced Hearing Loss
4. Discussion
4.1. Effect of Traumatic Brain Injury
4.2. Effect of Neck Trauma with Vertigo
4.3. Effect of Noise Trauma
4.4. Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A. Questions Related to Head Injury, Neck Injury and to Exposure to Environmental Noise
- Do you have a direct injury to the head or neck which was associated with the onset of vertigo symptoms (which occurred within 6 months of the event)?
- Did you experience unconsciousness lasting less than 2 h with your head injury? In what year did this happen?
- Did you experience any whiplash-type injury to the neck? In what year did this happen?
- Did you experience any direct injury of the ear, acute noise injury, or bleeding from the ear which would have caused hearing loss or tinnitus? In what year did this happen?
- Were you exposed to loud noise at work (a noise level exceeding 85 dB (A)) for more than 5 years?
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TBI Analysis | Neck Injury Analysis | Chronic Noise Exposure Analysis | ||||
---|---|---|---|---|---|---|
Complaints | Reference Group (n = 737) Mean | TBI Group (n = 175) Mean | Reference Group (n = 52) Mean | NTwV Group (n = 47) Mean | Reference Group (n = 682) Mean | Noise Exposure Group (n = 230) Mean |
Vertigo frequency | 1.99 | 2.02 | 2.06 | 2.24 | 2.09 | 2.03 |
Vertigo spell duration | 2.80 | 3.01 | 2.85 | 2.88 | 2.87 | 2.79 |
Vertigo spell intensity | 3.13 | 3.19 | 3.04 | 3.02 | 3.15 | 3.19 |
Severity of nausea | 2.32 | 2.52 | 2.45 | 1.81 | 2.40 | 2.28 |
Frequency of VDA | 1.46 | 1.90 ** | 1.40 | 2.31 * | 1.59 | 1.45 |
Head movement indued vertigo | 1.39 | 1.67 ** | 1.43 | 1.89 | 1.47 | 1.40 |
Pre-syncope | 0.10 | 0.21 ** | 0.09 | 0.23 * | 0.19 | 0.26 |
Physical strain induced vertigo | 1.01 | 1.24 * | 1.04 | 1.55 * | 1.05 | 1.09 |
Postural imbalance | 1.38 | 1.51 ** | 1.46 | 1.86 * | 1.43 | 1.32 |
Gait problems | 0.48 | 0.61 | 0.45 | 0.76 | 0.51 | 0.50 |
Problems with arising from chair | 0.42 | 0.50 * | 0.32 | 0.63 * | 0.41 | 0.50 |
Impact of hearing loss | 1.29 | 1.33 | 1.30 | 1.39 | 1.25 | 1.44 ** |
Impact of tinnitus | 1.62 | 1.88 | 1.56 | 1.73 | 1.57 | 1.81 * |
Impact of hyperacusis | 1.67 | 1.33 | 1.87 | 2.10 * | 1.62 | 1.88 ** |
E-QoL VAS scale | 72.33 | 69.75 | 72.5 | 67.2 | 72.0 | 71.4 |
E-QoL EQ-5D-3L | 0.75 | 0.70 ** | 0.74 | 0.65 ** | 0.74 | 0.73 |
Anxiety | 1.43 | 1.57 | 1.32 | 1.67 | 1.42 | 1.57 * |
Fatigue | 1.22 | 1.32 | 1.15 | 1.58 ** | 1.22 | 1.28 |
Headache with vertigo | 0.72 | 0.95 * | 0.72 | 1.04 | 0.7 | 0.92 * |
Any TBI (n = 175) | Mild TBI (n = 58) | Moderate TBI (n = 81) | Severe TBI (n = 36) | |
---|---|---|---|---|
Negelkerge sq | 0.034 | 0.064 | 0.018 | 0.018 |
Chi Square test and significance | Χ2 = 19.4, p < 0.001 | Χ2 = 21.1, p < 0.001 | Χ2 = 7.2, p = 0.007 | Χ2 = 4.9, p = 0.027 |
Complaint 1 | VDA | Poor E-QoL | VDA | Motility problems |
Complaint 2 | Headache associated with vertigo | VDA |
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Pyykkö, I.; Vinay; Vetkas, A.; Zou, J.; Manchaiah, V. Association of Head Injury, Neck Injury or Acoustic Trauma on Phenotype of Ménière’s Disease. Audiol. Res. 2024, 14, 204-216. https://doi.org/10.3390/audiolres14010019
Pyykkö I, Vinay, Vetkas A, Zou J, Manchaiah V. Association of Head Injury, Neck Injury or Acoustic Trauma on Phenotype of Ménière’s Disease. Audiology Research. 2024; 14(1):204-216. https://doi.org/10.3390/audiolres14010019
Chicago/Turabian StylePyykkö, Ilmari, Vinay, Artur Vetkas, Jing Zou, and Vinaya Manchaiah. 2024. "Association of Head Injury, Neck Injury or Acoustic Trauma on Phenotype of Ménière’s Disease" Audiology Research 14, no. 1: 204-216. https://doi.org/10.3390/audiolres14010019
APA StylePyykkö, I., Vinay, Vetkas, A., Zou, J., & Manchaiah, V. (2024). Association of Head Injury, Neck Injury or Acoustic Trauma on Phenotype of Ménière’s Disease. Audiology Research, 14(1), 204-216. https://doi.org/10.3390/audiolres14010019