Vertigo in TBI

Care for TBI in the UK

Vestibular Rehab in TBI

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DIZZINESS IN TBI

Impacts of Dizziness in TBI

Dizziness can have profound consequences for TBI patients, affecting their physical, emotional, and social well-being. The impact varies based on the severity, frequency, and underlying causes of dizziness. Key consequences include:

  • Increased Risk of Falls: Dizziness impairs balance, heightening the risk of falls and injuries such as fractures, sprains, or further head trauma—especially concerning for TBI patients.

  • Functional Impairment: Persistent dizziness can disrupt daily activities, work, and recreation, leading to a reduced quality of life. TBI patients may struggle with driving, working, or engaging in social activities.

  • Anxiety and Depression: Chronic dizziness often leads to anxiety, depression, and social isolation. The unpredictability of symptoms can cause heightened anxiety about experiencing dizziness in public or during activities.

  • Difficulty Concentrating: Dizziness can impair cognitive function, making it hard to focus during cognitive therapy or tasks requiring mental effort. This can slow progress in cognitive rehabilitation, affecting memory, attention, and problem-solving skills.

  • Increased Fatigue: Dizziness is physically and mentally exhausting, leading to quicker fatigue during therapy sessions. This may result in shorter sessions, reduced exercise intensity, and less overall therapeutic benefit.

  • Decreased Independence: Dizziness can diminish a TBI patient's sense of independence, leading to reliance on others or adaptive devices. This loss of independence can have significant emotional and psychological impacts.

  • Impact on Relationships: Dizziness can strain relationships with family, friends, and caregivers, particularly if ongoing support is needed. Caregivers may also experience increased stress and burden.

  • Poor Engagement with Therapies: Dizziness can create significant barriers to fully participating in therapy activities, potentially delaying recovery and reducing the effectiveness of rehabilitation.

  • Work and Financial Challenges: Dizziness may hinder a TBI patient’s ability to work, leading to financial strain and career disruption, with long-term consequences for financial stability.

  • Avoidance of Activities: TBI patients may avoid activities or environments that trigger dizziness, resulting in decreased participation in meaningful activities and potential social withdrawal.

Kleffelgård, Ingerid & Langhammer, Birgitta & Hellstrom, Torgeir & Sandhaug, Maria & Tamber, Anne-Lise & Søberg, Helene. (2017). Dizziness-related disability following mild–moderate traumatic brain injury. Brain Injury. 31. 1-9. 10.1080/02699052.2017.1377348. 
Hartvigsen J, Boyle E, Cassidy JD, Carroll LJ. Mild traumatic brain injury after motor vehicle collisions: what are the symptoms and who treats them? A population-based 1-year inception cohort study. Arch Phys Med Rehabil. 2014;95:S286–94. doi:10.1016/j. apmr.2013.07.029.