Impact of Mild Traumatic Brain Injury on the Subjective Perception of Hearing and Balance
Objective Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are limited to the short‐term, some patients experience long‐term daily impairments in function and quality of life. The objective of...
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| Vydáno v: | OTO open : the official open access journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation Ročník 9; číslo 3; s. e70152 - n/a |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
John Wiley and Sons Inc
01.07.2025
Wiley |
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| ISSN: | 2473-974X, 2473-974X |
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| Abstract | Objective
Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are limited to the short‐term, some patients experience long‐term daily impairments in function and quality of life. The objective of this study was to assess the relationship between mTBI post‐concussive symptoms and hearing, tinnitus, and dizziness symptoms.
Study design
Cross‐sectional study.
Setting
Level I public trauma center.
Methods
Adult patients presenting with mTBI ≥6 months prior to study enrollment were asked to complete the Neurobehavioral Symptom Inventory (NSI), Revised Hearing Handicap Inventory (RHHI), Tinnitus Functional Index (TFI), and Dizziness Handicap Inventory (DHI) survey instruments. The NSI is a validated, self‐reported measure of post‐concussive symptoms. Linear regression analyses were performed.
Results
A total of 38 subjects were recruited, with mean age of 52 (range 24‐78), 74% male, 61% self‐identifying as White, and 87% self‐identifying as Non‐Hispanic/Latinx. Median time since injury was 32.5 months (IQR 30‐35). Mean NSI score was 22.32 (range 0‐70), mean RHHI was 16.05 (0‐68), mean TFI was 16.00 (0‐85.2), and mean DHI was 18.86 (0‐100). On linear regression, NSI score was positively correlated with RHHI, TFI, and DHI scores (P < .01).
Conclusion
The postconcussive symptoms of mTBI are associated with impairments in hearing, tinnitus, and dizziness. Based on this work, structural causal models may be developed to dissect associations to inform management and treatment of mTBI patients with audiovestibular symptoms. |
|---|---|
| AbstractList | Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are limited to the short-term, some patients experience long-term daily impairments in function and quality of life. The objective of this study was to assess the relationship between mTBI post-concussive symptoms and hearing, tinnitus, and dizziness symptoms.
Cross-sectional study.
Level I public trauma center.
Adult patients presenting with mTBI ≥6 months prior to study enrollment were asked to complete the Neurobehavioral Symptom Inventory (NSI), Revised Hearing Handicap Inventory (RHHI), Tinnitus Functional Index (TFI), and Dizziness Handicap Inventory (DHI) survey instruments. The NSI is a validated, self-reported measure of post-concussive symptoms. Linear regression analyses were performed.
A total of 38 subjects were recruited, with mean age of 52 (range 24-78), 74% male, 61% self-identifying as White, and 87% self-identifying as Non-Hispanic/Latinx. Median time since injury was 32.5 months (IQR 30-35). Mean NSI score was 22.32 (range 0-70), mean RHHI was 16.05 (0-68), mean TFI was 16.00 (0-85.2), and mean DHI was 18.86 (0-100). On linear regression, NSI score was positively correlated with RHHI, TFI, and DHI scores (
< .01).
The postconcussive symptoms of mTBI are associated with impairments in hearing, tinnitus, and dizziness. Based on this work, structural causal models may be developed to dissect associations to inform management and treatment of mTBI patients with audiovestibular symptoms. Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are limited to the short-term, some patients experience long-term daily impairments in function and quality of life. The objective of this study was to assess the relationship between mTBI post-concussive symptoms and hearing, tinnitus, and dizziness symptoms.ObjectiveTraumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are limited to the short-term, some patients experience long-term daily impairments in function and quality of life. The objective of this study was to assess the relationship between mTBI post-concussive symptoms and hearing, tinnitus, and dizziness symptoms.Cross-sectional study.Study designCross-sectional study.Level I public trauma center.SettingLevel I public trauma center.Adult patients presenting with mTBI ≥6 months prior to study enrollment were asked to complete the Neurobehavioral Symptom Inventory (NSI), Revised Hearing Handicap Inventory (RHHI), Tinnitus Functional Index (TFI), and Dizziness Handicap Inventory (DHI) survey instruments. The NSI is a validated, self-reported measure of post-concussive symptoms. Linear regression analyses were performed.MethodsAdult patients presenting with mTBI ≥6 months prior to study enrollment were asked to complete the Neurobehavioral Symptom Inventory (NSI), Revised Hearing Handicap Inventory (RHHI), Tinnitus Functional Index (TFI), and Dizziness Handicap Inventory (DHI) survey instruments. The NSI is a validated, self-reported measure of post-concussive symptoms. Linear regression analyses were performed.A total of 38 subjects were recruited, with mean age of 52 (range 24-78), 74% male, 61% self-identifying as White, and 87% self-identifying as Non-Hispanic/Latinx. Median time since injury was 32.5 months (IQR 30-35). Mean NSI score was 22.32 (range 0-70), mean RHHI was 16.05 (0-68), mean TFI was 16.00 (0-85.2), and mean DHI was 18.86 (0-100). On linear regression, NSI score was positively correlated with RHHI, TFI, and DHI scores (P < .01).ResultsA total of 38 subjects were recruited, with mean age of 52 (range 24-78), 74% male, 61% self-identifying as White, and 87% self-identifying as Non-Hispanic/Latinx. Median time since injury was 32.5 months (IQR 30-35). Mean NSI score was 22.32 (range 0-70), mean RHHI was 16.05 (0-68), mean TFI was 16.00 (0-85.2), and mean DHI was 18.86 (0-100). On linear regression, NSI score was positively correlated with RHHI, TFI, and DHI scores (P < .01).The postconcussive symptoms of mTBI are associated with impairments in hearing, tinnitus, and dizziness. Based on this work, structural causal models may be developed to dissect associations to inform management and treatment of mTBI patients with audiovestibular symptoms.ConclusionThe postconcussive symptoms of mTBI are associated with impairments in hearing, tinnitus, and dizziness. Based on this work, structural causal models may be developed to dissect associations to inform management and treatment of mTBI patients with audiovestibular symptoms. Objective Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are limited to the short‐term, some patients experience long‐term daily impairments in function and quality of life. The objective of this study was to assess the relationship between mTBI post‐concussive symptoms and hearing, tinnitus, and dizziness symptoms. Study design Cross‐sectional study. Setting Level I public trauma center. Methods Adult patients presenting with mTBI ≥6 months prior to study enrollment were asked to complete the Neurobehavioral Symptom Inventory (NSI), Revised Hearing Handicap Inventory (RHHI), Tinnitus Functional Index (TFI), and Dizziness Handicap Inventory (DHI) survey instruments. The NSI is a validated, self‐reported measure of post‐concussive symptoms. Linear regression analyses were performed. Results A total of 38 subjects were recruited, with mean age of 52 (range 24‐78), 74% male, 61% self‐identifying as White, and 87% self‐identifying as Non‐Hispanic/Latinx. Median time since injury was 32.5 months (IQR 30‐35). Mean NSI score was 22.32 (range 0‐70), mean RHHI was 16.05 (0‐68), mean TFI was 16.00 (0‐85.2), and mean DHI was 18.86 (0‐100). On linear regression, NSI score was positively correlated with RHHI, TFI, and DHI scores (P < .01). Conclusion The postconcussive symptoms of mTBI are associated with impairments in hearing, tinnitus, and dizziness. Based on this work, structural causal models may be developed to dissect associations to inform management and treatment of mTBI patients with audiovestibular symptoms. Abstract Objective Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are limited to the short‐term, some patients experience long‐term daily impairments in function and quality of life. The objective of this study was to assess the relationship between mTBI post‐concussive symptoms and hearing, tinnitus, and dizziness symptoms. Study design Cross‐sectional study. Setting Level I public trauma center. Methods Adult patients presenting with mTBI ≥6 months prior to study enrollment were asked to complete the Neurobehavioral Symptom Inventory (NSI), Revised Hearing Handicap Inventory (RHHI), Tinnitus Functional Index (TFI), and Dizziness Handicap Inventory (DHI) survey instruments. The NSI is a validated, self‐reported measure of post‐concussive symptoms. Linear regression analyses were performed. Results A total of 38 subjects were recruited, with mean age of 52 (range 24‐78), 74% male, 61% self‐identifying as White, and 87% self‐identifying as Non‐Hispanic/Latinx. Median time since injury was 32.5 months (IQR 30‐35). Mean NSI score was 22.32 (range 0‐70), mean RHHI was 16.05 (0‐68), mean TFI was 16.00 (0‐85.2), and mean DHI was 18.86 (0‐100). On linear regression, NSI score was positively correlated with RHHI, TFI, and DHI scores (P < .01). Conclusion The postconcussive symptoms of mTBI are associated with impairments in hearing, tinnitus, and dizziness. Based on this work, structural causal models may be developed to dissect associations to inform management and treatment of mTBI patients with audiovestibular symptoms. |
| Author | Civantos, Alyssa M. Sabes, Jennifer H. Durr, Megan L. Johnson, Kennedy Chang, Jolie L. Azzawi, Sultan Al Cheung, Steven W. Tarapore, Phiroz E. |
| AuthorAffiliation | 2 Department of Neurosurgery University of California‐San Francisco San Francisco California USA 3 Surgical Services, Division of Otolaryngology, Head and Neck Surgery, Department of Surgery San Francisco Veterans Affairs Health Care System San Francisco California USA 1 Department of Otolaryngology–Head and Neck Surgery University of California‐San Francisco San Francisco California USA |
| AuthorAffiliation_xml | – name: 3 Surgical Services, Division of Otolaryngology, Head and Neck Surgery, Department of Surgery San Francisco Veterans Affairs Health Care System San Francisco California USA – name: 1 Department of Otolaryngology–Head and Neck Surgery University of California‐San Francisco San Francisco California USA – name: 2 Department of Neurosurgery University of California‐San Francisco San Francisco California USA |
| Author_xml | – sequence: 1 givenname: Alyssa M. orcidid: 0000-0003-1226-6634 surname: Civantos fullname: Civantos, Alyssa M. organization: University of California‐San Francisco – sequence: 2 givenname: Kennedy surname: Johnson fullname: Johnson, Kennedy organization: University of California‐San Francisco – sequence: 3 givenname: Sultan Al surname: Azzawi fullname: Azzawi, Sultan Al organization: University of California‐San Francisco – sequence: 4 givenname: Phiroz E. surname: Tarapore fullname: Tarapore, Phiroz E. organization: University of California‐San Francisco – sequence: 5 givenname: Steven W. surname: Cheung fullname: Cheung, Steven W. organization: San Francisco Veterans Affairs Health Care System – sequence: 6 givenname: Jennifer H. surname: Sabes fullname: Sabes, Jennifer H. organization: University of California‐San Francisco – sequence: 7 givenname: Jolie L. surname: Chang fullname: Chang, Jolie L. organization: San Francisco Veterans Affairs Health Care System – sequence: 8 givenname: Megan L. surname: Durr fullname: Durr, Megan L. email: Megan.Durr@ucsf.edu organization: University of California‐San Francisco |
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| Cites_doi | 10.3389/fneur.2022.930389 10.1038/s41598-023-45024-3 10.1682/JRRD.2007.09.0140 10.1038/s41598-022-07835-8 10.1097/HTR.0000000000000484 10.1136/bmjopen-2023-075049 10.1089/089771501750291828 10.1016/j.heares.2015.06.004 10.1001/archotol.1990.01870040046011 10.3389/fnins.2022.872609 10.1097/HTR.0000000000000468 10.1682/JRRD.2011.01.0001 10.1097/HTR.0000000000000395 10.1016/j.apmr.2010.05.017 10.1097/AUD.0000000000000746 10.3389/fneur.2021.576366 10.1097/AUD.0000000000000967 10.1097/MAO.0000000000000616 10.1044/2023_AJA-23-00213 10.1037/rep0000367 10.1007/s11910-022-01184-9 10.1186/s12877-024-04901-w 10.1002/lary.28034 10.1097/MAO.0000000000002890 10.1093/epirev/mxu005 |
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| Keywords | traumatic brain injury dizziness concussion hearing loss tinnitus vestibular |
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Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate... Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many immediate symptoms are... Abstract Objective Traumatic brain injury affects 1.5 million people per year in the United States, with the majority classified as mild (mTBI). While many... |
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| SubjectTerms | concussion dizziness hearing loss Original Research tinnitus traumatic brain injury vestibular |
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| Title | Impact of Mild Traumatic Brain Injury on the Subjective Perception of Hearing and Balance |
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