/OBJECTIVES: Dizziness is highly prevalent in patients with concussion, with a significant proportion of these patients experiencing visually induced dizziness (VID) in complex visual environments. As current diagnoses rely primarily on subjective questionnaires, establishing objective diagnostic frameworks remains a challenge....
✦ The floor
Discussion
Signed responses from readers of the wire.
Audiologists and vestibular specialists managing post-concussion dizziness patients may find the optokinetic balance assessment framework useful for subtyping, but clinical adoption should await prospective validation studies.
Distinguishing postural from visuoperceptual subtypes of visually induced dizziness after concussion could lead to more targeted vestibular rehabilitation strategies.
- 01Proposes a diagnostic framework for post-concussion visually induced dizziness (VID) using optokinetic balance testing.
- 02Framework identifies two subtypes: postural (balance-dominated) and visuoperceptual (perception-dominated).
- 03Optokinetic stimuli (moving visual patterns) are used to provoke and differentiate symptoms.
- 04The framework is descriptive/proposed — prospective validation data are not yet provided.
- 05Relevant to audiologists and vestibular therapists treating concussion-related dizziness.
Optokinetic balance assessment can distinguish postural and visuoperceptual subtypes of post-concussion visually induced dizziness.
studypartially supported- PMID
- 42512493
- DOI
- 10.3390/brainsci16070719.
- Journal
- Brain Sciences
- Publication type
- research_article
- Evidence level
- 4
- Population
- Adults with post-concussion visually induced dizziness
- Intervention
- Optokinetic balance assessment for diagnostic subtyping
Primary outcomes
Classification of visually induced dizziness into postural vs. visuoperceptual subtypes; Diagnostic utility of optokinetic balance assessment