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The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
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Vestibular Disability/Handicap in Fibromyalgia: A Questionnaire Study.

Viviana Mucci1, Ilaria Demori2, Fabio Rapallo3

  • 1School of Science, Western Sydney University, Sydney, NSW 2751, Australia.

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|July 27, 2022
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Summary

Fibromyalgia patients frequently experience dizziness, a vestibular symptom impacting their pain and psychological well-being. This suggests dizziness may be an intrinsic component of fibromyalgia, requiring clinical attention.

Keywords:
Cognitive Behavioural Assessment-HospitalDizziness Handicap InventorySituational Vertigo QuestionnairepainDETECT questionnairepersistent postural-perceptual dizzinessvisually induced dizziness

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Area of Science:

  • Neurology
  • Vestibular Science

Background:

  • Fibromyalgia (FM) is a complex central pain disorder with diverse symptoms.
  • Emerging evidence suggests a link between fibromyalgia and vestibular dysfunction, including dizziness.

Purpose of the Study:

  • To determine the prevalence of vestibular symptoms in fibromyalgia patients.
  • To investigate the relationship between dizziness and clinical/psychological characteristics in FM.

Main Methods:

  • Utilized questionnaires including the Dizziness Handicap Inventory (DHI) and Situational Vertigo Questionnaire (SVQ).
  • Assessed 277 fibromyalgia patients and 80 controls for socio-demographic, clinical, and psychological factors.

Main Results:

  • Fibromyalgia patients reported significantly higher rates of vestibular symptoms compared to controls.
  • Dizziness correlated with FM pain, non-pain symptoms, and negatively impacted psychological status, including mood and social interactions.
  • Observed unique dizziness characteristics suggesting an intrinsic mechanism possibly related to migraine and dysautonomia.

Conclusions:

  • Dizziness is a prevalent and significant condition in fibromyalgia patients.
  • Vestibular dysfunction in FM may be linked to central mechanisms, migraine, and dysautonomia.
  • The impact of dizziness on psychological health highlights its role in the fibromyalgia experience, necessitating clinical consideration.