Perceived changes in symptoms and quality-of-life amongst patients with dizziness: a single-centre experience in Malaysia
Introduction: Dizziness is a common complaint by patients, yet it always presents as a diagnostic challenge to the attending clinician. An accurate diagnosis is essential to correctly administer the precise treatment regime, alleviate the symptoms, and improve the quality-of-life of patients wh...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Medical Association
2022
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/101666/7/101666_Perceived%20changes%20in%20symptoms%20and%20quality.pdf http://irep.iium.edu.my/101666/ http://www.e-mjm.org/2022/v77n6/dizziness.pdf |
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| Summary: | Introduction: Dizziness is a common complaint by patients,
yet it always presents as a diagnostic challenge to the
attending clinician. An accurate diagnosis is essential to
correctly administer the precise treatment regime, alleviate
the symptoms, and improve the quality-of-life of patients
who present with dizziness. A specialised vestibular clinic
with a holistic approach of meticulous history-taking,
complete physical examination, a collection of audiovestibular test battery, and facilities for vestibular
rehabilitation was set up to assist in the management of
these patients. This study aims to investigate the effect of
vestibular clinic intervention on the symptoms and qualityof-
life of patients who were managed in the vestibular clinic.
Materials and methods: A total of 64 new patients who were
managed in the vestibular clinic were selected and the
validated Malay – Vestibular Rehabilitation Benefit
Questionnaire (My-VRBQ) was completed during the first
and follow-up visits to measure the changes in symptoms
and quality-of-life before and after receiving care at the
vestibular clinic.
Results: Our study showed that there was a positive effect
of vestibular clinic intervention on the symptoms and
quality-of-life of patients who were managed by the
vestibular clinic. Statistically significant improvements were
seen in the total My-VRBQ scores, symptoms scores, and
quality-of-life scores. The subscale scores of dizziness,
anxiety, and motion-provoked dizziness also showed
statistically significant improvement among the patients
who received care at the vestibular clinic.
Conclusion: This indicates that the vestibular clinic was an
essential part of the work-up, diagnosis, and treatment of
patients with dizziness; and a specialised vestibular clinic
was able to bring about positive outcomes in the symptoms
and quality-of-life of patients with balance disorders. |
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