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Differential diagnosis and management of suspected atypical chronic psychogenic dizziness using the International Classification of Functioning, Disability and Health model: a case report

A dispatch from PubMed — filed

Dizziness in older adults is a complex, often multifactorial condition that can lead to an increased risk of falls, heightened anxiety, and loss of independence. Its nonspecific presentation complicates accurate diagnosis and treatment planning given the potential involvement of vestibular, musculoskeletal, cardiovascular, or psychological systems....

Clinical Takeaway

Applying the ICF framework to atypical psychogenic dizziness in older adults may support more holistic assessment, but a single case report is too preliminary to justify a change in routine practice.

Why It Matters

Psychogenic dizziness is commonly under-recognised in older adults; a structured ICF-based approach could improve multidisciplinary care pathways, though evidence from larger studies is needed.

Key Points
  1. 01Single case report of an older adult with suspected atypical chronic psychogenic dizziness.
  2. 02ICF (International Classification of Functioning, Disability and Health) model applied for differential diagnosis and management.
  3. 03Assessment addressed fall risk, anxiety, and preservation of independence.
  4. 04Highlights the importance of biopsychosocial evaluation in chronic dizziness presentations.
  5. 05Findings cannot be generalised beyond this single case.
Claims & Evidence

The ICF model can support differential diagnosis and management of atypical chronic psychogenic dizziness in older adults.

studypartially supported
Research metadata
PMID
42165378
DOI
10.1080/09593985.2026.2676081.
Journal
Physiotherapy Theory and Practice
Publication type
case_report
Evidence level
4
Sample size
1
Population
Single older adult with suspected atypical chronic psychogenic dizziness
Intervention
ICF model-based differential diagnosis and management approach

Primary outcomes

Differential diagnosis accuracy; Fall risk assessment; Functional independence

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