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Association of Traumatic Brain Injury with Vestibular Dysfunction and Dizziness in Post-9/11 Veterans
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In: ETSU Faculty Works (2020)
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Abstract:
Objective:To describe the prevalence and impact of vestibular dysfunction and nonspecific dizziness diagnoses and explore their associations with traumatic brain injury (TBI) severity, mechanism, and postconcussive comorbidities among post-9/11 veterans. Setting:Administrative medical record data from the US Departments of Defense and Veterans Affairs (VA). Participants:Post-9/11 veterans with at least 3 years of VA care. Design:Cross-sectional, retrospective, observational study. Main measures:International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes for TBI, vestibular dysfunction, dizziness, and other commonly associated postconcussive conditions; Neurobehavioral Symptom Inventory. Results:Of the 570 248 post-9/11 veterans in this sample, 0.45% had a diagnosis of vestibular dysfunction and 2.57% had nonspecific dizziness. Those with either condition were more likely to have evidence of TBI (57.11% vs 28.51%) and reported more disruption from neurobehavioral symptoms. Blast and nonblast injuries were associated with greater symptom disruption, particularly in combination. Conclusions:There was a consistent, significant association between TBI and vestibular dysfunction or nonspecific dizziness, after controlling for sociodemographic factors, injury mechanism, and comorbid conditions. Given that most deployed post-9/11 veterans report blast and/or nonblast injuries, the need for prompt identification and management of these conditions and symptoms is clear.
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Keyword:
Audiology and Speech-Language Pathology; dizziness; Geriatrics; Physical Therapy; Rehabilitation and Therapy; Speech Pathology and Audiology; traumatic brain injury; vestibular dysfunction
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URL: https://doi.org/10.1097/HTR.0000000000000513 https://dc.etsu.edu/etsu-works/7777
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2 |
Tinnitus within the Context of Traumatic Brain Injury and PTSD
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In: ETSU Faculty Works (2018)
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Longitudinal consequences of mTBI and blast exposure on vestibular and balance function: preliminary observations
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In: ETSU Faculty Works (2018)
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4 |
Vestibular Consequences of Mild Traumatic Brain Injury and Blast Exposure: A Review
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In: ETSU Faculty Works (2017)
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5 |
Sound Therapy Approaches: Post-traumatic Tinnitus
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In: ETSU Faculty Works (2016)
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Vestibular Consequences of Mild Traumatic Brain Injury
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In: ETSU Faculty Works (2015)
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7 |
Taming TBI-Associated Tinnitus
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In: ETSU Faculty Works (2015)
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8 |
Vestibular Consequences of Mild Traumatic Brain Injury and Blast Exposure
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In: ETSU Faculty Works (2014)
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Symposium: Vestibular Related Traumatic Brain Injury (TBI)
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In: ETSU Faculty Works (2014)
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10 |
Vestibular Assessment and Treatment on TBI
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In: ETSU Faculty Works (2013)
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Vestibular-Related Traumatic Brain Injury: A Preliminary Voxel-Based Morphometry Analysis
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In: ETSU Faculty Works (2013)
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12 |
Diagnosis and Treatment of Vestibular Disorders in mTBI
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In: ETSU Faculty Works (2013)
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13 |
Mild Traumatic Brain Injury and Associated Effects on the Auditory System
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In: ETSU Faculty Works (2012)
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Vestibular Consequences of Mild Traumatic Brain Injury and Blast Exposure
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In: ETSU Faculty Works (2012)
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15 |
Head Injury and Blast Exposure: Vestibular Consequences
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In: ETSU Faculty Works (2011)
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16 |
Vestibular Evaluation of Traumatic Brain Injury
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In: ETSU Faculty Works (2009)
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17 |
Vestibular Consequences of Mild Traumatic Brain Injury (Blast Injury)
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In: ETSU Faculty Works (2008)
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