Journal articles: 'Balance symptoms'

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Shepard, Neil T., Michael Smith-Wheelock, Steven A. Telian, and Anil Raj. "Vestibular and Balance Rehabilitation Therapy." Annals of Otology, Rhinology & Laryngology 102, no. 3 (March 1993): 198–205. http://dx.doi.org/10.1177/000348949310200306.

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A prospective observational study of the performance of patients enrolled in an individually customized program of habituation and balance rehabilitation physical therapy was conducted from January 1988 to January 1990. Patients ranged in age from 20 to 89 years, with a wide variety of diagnoses. Two global outcome measures — posttherapy symptom response score and pretherapy and posttherapy disability score — were developed and used to judge overall patient performance. In addition, two specific indicators — one for balance performance (dynamic posturography) and one for sensitivity to rapid head movements (motion sensitivity quotient) — were used to measure performance in these two areas. Results indicate statistically significant changes before versus after therapy for both specific measures, and 80% to 85% of the patients showed a reduction in symptoms and disability score following therapy. Analysis of variance and multiple regression analysis indicate that nature of symptoms, pretherapy disability level, history of head injury, and results on dynamic posturography were the variables most predictive of therapy outcome, while age and duration of symptoms made no difference. Other variables, such as medications and site of lesion, were found to affect the length of therapy but not the outcome.

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Teel, Elizabeth F., Stephen W. Marshall, Viswanathan Shankar, Michael McCrea, and Kevin M. Guskiewicz. "Predicting Recovery Patterns After Sport-Related Concussion." Journal of Athletic Training 52, no. 3 (March 1, 2017): 288–98. http://dx.doi.org/10.4085/1062-6050-52.1.12.

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Context: Clinicians sometimes treat concussed individuals who have amnesia, loss of consciousness (LOC), a concussion history, or certain symptom types more conservatively, but it is unclear whether recovery patterns differ in individuals with these characteristics. Objective: To determine whether (1) amnesia, LOC, and concussion history influence the acute recovery of symptoms, cognition, and balance; and (2) cognition and balance are influenced by acute symptom type. Design: Cohort study. Setting: Seven sports at 26 colleges and 210 high schools. Patients or Other Participants: A total of 8905 collegiate (n = 1392) and high school (n = 7513) athletes. Main Outcome Measure(s): The Graded Symptom Checklist, Standardized Assessment of Concussion, and Balance Error Scoring System were administered to all athletes during the preseason. To allow us to track recovery patterns, athletes diagnosed with a concussion (n = 375) repeated these assessments immediately after the injury, 3 hours postinjury, 1 day postinjury, and at 2, 3, 5, 7, and 90 days after injury. Results: Athletes who experienced amnesia had markedly greater deficits in and a slower recovery trajectory on measures of symptoms, cognition, and balance. Athletes with 2 or more prior concussions demonstrated poorer balance than those with no previous history. Otherwise, LOC and concussion history largely did not affect symptoms, cognition, or balance. Greater deficits in balance scores were observed in athletes with all symptom types. Regardless of these characteristics, most athletes recovered within 7 to 10 days. Conclusions: Athletes who experienced amnesia had more symptoms and greater deficits in cognition and balance. Symptoms and cognitive or balance deficits were not consistently associated with LOC or concussion history. Acute symptoms had a strong influence on balance scores and, to a lesser extent, on cognition. However, we found no evidence to support more cautious return-to-play decisions for athletes with these characteristics, as group recovery occurred within normal timelines. Our study supports current clinical practice: recommending that athletes be withheld from activity until they are asymptomatic, followed by a graduated return-to-play progression.

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S, Hurt, Webbe F, and LoGalbo A. "A - 12 Pre-existing Anxiety and Vestibular Symptoms: The Relationship to Balance and Reaction Time in College Athletes." Archives of Clinical Neuropsychology 36, no. 4 (May 21, 2021): 652. http://dx.doi.org/10.1093/arclin/acab035.12.

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Abstract Objective Pre-existing physical and mental health conditions can contribute to deficits in reaction time and balance among athletes. The purpose of this study was to investigate whether athletes who endorsed symptoms of anxiety and/or vestibular dysfunction would have slower reaction time and worse balance than athletes who did not. Methods College athletes (n = 361) at the Florida Institute of Technology who completed a pre-participation baseline evaluation including the Patient Health Questionnaire (PHQ-9), Sport Concussion Assessment Tool (SCAT-5) Baseline version, Balance Error Scoring System (BESS), General Anxiety Disorder Seven Item Scale (GAD-7), and Sway Balance App. Results T-tests indicated athletes who endorsed no anxiety were shown to have better balance on Sway than athletes who endorsed at least one symptom of anxiety, (t(237) = 2.73, p = 0.007, d = 0.31. Athletes who endorsed no vestibular symptoms were also shown to have better balance on Sway than those who endorsed at least one vestibular symptom, t(359) = 2.14, p = 0.03, d = 0.27. Correlational results demonstrated as symptoms of anxiety (r = −0.21, n = 361, p < 0.001) or vestibular dysfunction (r = −0.15, n = 361, p = 0.006) increase, balance performance on Sway decreases. Post-hoc Tukey indicated athletes who endorsed either anxiety or vestibular symptoms had lower scores and thus worse balance on Sway than athletes who endorsed no symptoms (p = 0.009). Conclusions Findings suggest that pre-existing anxiety and vestibular symptoms have a negative impact on balance, supporting need for their inclusion in athletic concussion testing protocols.

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Jönsson, Radi, Eva Sixt, Sten Landahl, and Ulf Rosenhall. "Prevalence of dizziness and vertigo in an urban elderly population." Journal of Vestibular Research 14, no. 1 (April 27, 2004): 47–52. http://dx.doi.org/10.3233/ves-2004-14105.

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The prevalence of balance symptoms (vertigo, dizziness, and dysequilibrium) was investigated in an epidemiological study of elderly people, the longitudinal and cross-sectional gerontological and geriatric population study from Göteborg, Sweden (H70). Three different age cohorts were studied, one at age 70, one at age 75 and one at ages 79, 82, 85, 88 and 90 years. Altogether 2011 participants answered the questionnaire at 3197 occasions. The overall prevalence of balance problems at age 70 was 36% (women) and 29% (men). Balance symptoms were more common among women than men, and increased with increasing age. At ages 88–90 years the corresponding values were 51–45%.. The most common symptom was poor balance/general unsteadiness (11–41%). Rotatory symptoms occurred in 2–17%. Other types of symptoms were less common. Precipitating factors were rising from supine to sitting position in 17–40%. Balance symptoms in a side position were uncommon, but occurred more often when tilting the head backwards (up to 14%). Signs that possibly could indicate neurological involvement were uncommon. Falls in conjuncture to dizziness, vertigo and similar symptoms occurred in 7–15%, in about equal proportions indoors as outdoors.

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FAWCETT, ANGELA J. "Balance and reading are separate symptoms of dyslexia." Developmental Medicine & Child Neurology 53, no. 4 (March 14, 2011): 294–95. http://dx.doi.org/10.1111/j.1469-8749.2010.03886.x.

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Brooker, J. E., J. M. Fletcher, M. J. Dally, R. J. S. Briggs, V. C. Cousins, G. M. Malham, R. J. Kennedy, R. I. Smee, and S. Burney. "Factors associated with symptom-specific psychological and functional impact among acoustic neuroma patients." Journal of Laryngology & Otology 128, S2 (December 19, 2013): S16—S26. http://dx.doi.org/10.1017/s0022215113003216.

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AbstractIntroduction:The main purpose of this study was to investigate the psychological and functional impact attributed to acoustic neuroma symptoms.Materials and methods:A sample of 207 acoustic neuroma patients completed a study-specific questionnaire about the severity, frequency, and psychological and functional impact of 9 acoustic neuroma symptoms.Results:The survey response rate was 56.4 per cent. All symptoms had some degree of psychological impact for the majority of participants; hearing loss was the symptom most often reported to have a severe psychological impact. The majority of respondents reported functional impact attributed to hearing loss, balance disturbance, dizziness, eye problems, headache and fatigue; balance disturbance was the symptom most often reported to have a severe functional impact. For most symptoms, psychological and functional impact were related to severity and frequency.Conclusion:Of the acoustic neuroma symptoms investigated, hearing loss and balance disturbance were the most likely to have a severe psychological and functional impact, respectively.

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Lin, Harrison W., and Hamid R. Djalilian. "The Role of Migraine in Hearing and Balance Symptoms." JAMA Otolaryngology–Head & Neck Surgery 144, no. 8 (August 1, 2018): 717. http://dx.doi.org/10.1001/jamaoto.2018.0947.

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Murdin, Louisa, and Anne G. M. Schilder. "Epidemiology of Balance Symptoms and Disorders in the Community." Otology & Neurotology 36, no. 3 (March 2015): 387–92. http://dx.doi.org/10.1097/mao.0000000000000691.

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Dávila, R., M. Zumárraga, I. Andia, E. Manero, F. Retuerto, B. Bárcena, and J. Guimón. "Dopaminergic Balance and Subtypes of Schizophrenia." British Journal of Psychiatry 154, S4 (May 1989): 57–60. http://dx.doi.org/10.1192/s0007125000295792.

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Several attempts have been made to relate subtypes of schizophrenia to dopaminergic status. For example, Crow's hypothesis states that Type I schizophrenia is characterised by positive symptoms, increased activity of the dopaminergic system, good response to neuroleptics, and no brain structural changes; and Type II by negative symptoms, reduced dopaminergic activity, poor response to neuroleptics, and brain structural changes. Testing of this hypothesis has, however, been inconclusive, and it seems more likely that both types are inter-related.

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Kondo, Masaki, Kensuke Kiyomizu, Fumiyuki Goto, Tadashi Kitahara, Takao Imai, Makoto Hashimoto, Hiroaki Shimogori, et al. "Analysis of vestibular-balance symptoms according to symptom duration: dimensionality of the Vertigo Symptom Scale-short form." Health and Quality of Life Outcomes 13, no. 1 (2015): 4. http://dx.doi.org/10.1186/s12955-015-0207-7.

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McCREA, MICHAEL, WILLIAM B. BARR, KEVIN GUSKIEWICZ, CHRISTOPHER RANDOLPH, STEPHEN W. MARSHALL, ROBERT CANTU, JAMES A. ONATE, and JAMES P. KELLY. "Standard regression-based methods for measuring recovery after sport-related concussion." Journal of the International Neuropsychological Society 11, no. 1 (January 2005): 58–69. http://dx.doi.org/10.1017/s1355617705050083.

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Clinical decision making about an athlete's return to competition after concussion is hampered by a lack of systematic methods to measure recovery. We applied standard regression-based methods to statistically measure individual rates of impairment at several time points after concussion in college football players. Postconcussive symptoms, cognitive functioning, and balance were assessed in 94 players with concussion (based on American Academy of Neurology Criteria) and 56 noninjured controls during preseason baseline testing, and immediately, 3 hr, and 1, 2, 3, 5, and 7 days postinjury. Ninety-five percent of injured players exhibited acute concussion symptoms and impairment on cognitive or balance testing immediately after injury, which diminished to 4% who reported elevated symptoms on postinjury day 7. In addition, a small but clinically significant percentage of players who reported being symptom free by day 2 continued to be classified as impaired on the basis of objective balance and cognitive testing. These data suggest that neuropsychological testing may be of incremental utility to subjective symptom checklists in identifying the residual effects of sport-related concussion. The implementation of neuropsychological testing to detect subtle cognitive impairment is most useful once postconcussive symptoms have resolved. This management model is also supported by practical and other methodological considerations. (JINS, 2005, 11, 58–69.)

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Cookinham, Brittani, Chad Swank, Mark Weber, Ann Medley, and Kelli Brizzolara. "Concussion History, Career Status and Cumulative Years of Football Exposure Influence Concussion Assessment Performance in Elite Football Players." Neurology 93, no. 14 Supplement 1 (September 30, 2019): S17.3—S18. http://dx.doi.org/10.1212/01.wnl.0000581000.90689.48.

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ObjectiveTo explore relationship of concussion history, career status, and cumulative years of contact football exposure on total symptoms, symptom severity, neurocognitive function, and balance in elite football players.Background61% of retired football players report sustaining a concussion during their professional career. However, the influence of concussion history, career status and cumulative years played on total symptoms, symptom severity, neurocognitive function, and balance is largely unexplored.Design/MethodsElite football players (n = 102; age M = 27.75 ± 6.95 years) without a concussion (>30 days) underwent SCAT-3 assessments. Players were placed into a low (0–1) or multiple concussion (2+) history group and categorized by career status (draft prospects, active professional players and retired professional players). Data were analyzed using negative binomial regression and multiple linear regression analyses.Results58.8% of players reported symptoms. Most common symptoms were fatigue (33.3%), trouble falling asleep (31.4%), difficulty remembering (29.4%), and difficulty concentrating (20.6%). Multiple concussions group reported 3.07 times greater total symptoms (p < 0.001), 3.58 times higher symptom severity (p < 0.001), and lower SAC scores (1.42 points) (p = 0.033) compared to low concussion group. Professionals reported 1.88 times greater total symptoms (p = .038) and 2.35 times higher symptom severity compared to draft prospects (p = 0.001). Retired players reported 7.07 times greater total symptoms (p < 0.001), 8.97 times higher symptom severity (p < 0.001), lower SAC scores (1.98 points) (p = 0.025), and 3.67 more m-BESS errors (p = 0.002), compared to draft prospects. Players with 11–19 years football exposure reported 3.83 times higher symptom severity compared to players with <11 years football exposure (p = 0.001). Players with >19 years football exposure had 6.87 times higher symptom severity than players with <11 years football exposure (p < .001).ConclusionsRetired players with multiple concussions and 19+ years of contact football exposure are likely to have more symptoms, higher symptom severity, and lower neurocognitive scores.

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Moran, Ryan N., Steven P. Broglio, Karla K. Francioni, and Jacob J. Sosnoff. "Exploring Baseline Concussion-Assessment Performance in Adapted Wheelchair Sport Athletes." Journal of Athletic Training 55, no. 8 (June 30, 2020): 856–62. http://dx.doi.org/10.4085/1062-6050-294-19.

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Context With growing awareness of and advocacy for including individuals with disabilities in sport, implementation of concussion-assessment and -management strategies is warranted. Limited research is available on concussion assessment in adapted wheelchair sport athletes. Objective To examine baseline symptom reporting, computerized neurocognitive testing, and a modified balance scoring system in adapted athletes. A secondary objective was to provide preliminary normative data for this population. Design Cross-sectional study. Setting University athletic training room and computer laboratory. Patients or Other Participants Twenty-one athletes (age = 22.1 ± 3.0 years) from 1 institution's collegiate adapted athletics program. Main Outcome Measure(s) Athletes completed baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) and the Wheelchair Error Scoring System (WESS) before the start of their respective seasons. Symptom reporting variables consisted of total symptoms, symptom severity scores, and baseline symptom factors (eg, vestibular-somatic, sleep arousal, cognitive-sensory, and affective). We analyzed ImPACT composite scores of verbal memory, visual memory, visual motor processing speed, and reaction time and impulse control to determine neurocognitive function. Balance performance was quantified using the WESS condition and overall errors. Results Compared with normative reference values, 17 (81%) of adapted athletes reported greater symptoms and 20 (95%) performed at or below average on at least 1 neurocognitive composite score. Mean errors on the WESS were 3.14 ± 2.9, with 81% committing ≥1 error. Sex differences were not present for symptoms, neurocognitive testing, or balance measures. Conclusions Our findings provide context for baseline performance in adapted athletes and help to further develop the WESS as an assessment of balance in these athletes.

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Toussaint, Loren L., Ann Vincent, Samantha J. McAllister, Terry H. Oh, and Afton L. Hassett. "A comparison of fibromyalgia symptoms in patients with Healthy versus Depressive, Low and Reactive affect balance styles." Scandinavian Journal of Pain 5, no. 3 (July 1, 2014): 161–66. http://dx.doi.org/10.1016/j.sjpain.2014.05.001.

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AbstractBackground and aimsAffect balance reflects relative levels of negative affect (NA) and positive affect (PA) and includes four styles: Healthy (low NA/high PA), Depressive (high NA/low PA), Reactive (high NA/high PA) and Low (low NA/low PA). These affect balance styles may have important associations with clinical outcomes in patients with fibromyalgia. Herein, we evaluated the severity of core fibromyalgia symptom domains as described by the Outcomes Research in Rheumatology-Fibromyalgia working group in the context of the four affect balance styles.MethodsData from 735 patients with fibromyalgia who completed the Brief Pain Inventory, Multidimensional Fatigue Inventory, Profile of Mood States, Medical Outcomes Sleep Scale, Multiple Ability Self-Report Questionnaire, Fibromyalgia Impact Questionnaire-Revised, Medical Outcomes Study Short Form-36, and Positive and Negative Affect Schedule were included in this analysis.ResultsThe majority (51.8%) of patients in our sample had a Depressive affect balance style; compared to patients with a Healthy affect balance style, they scored significantly worse in all fibromyalgia symptom domains including pain, fatigue, sleep disturbance, dyscognition, depression, anxiety, stiffness, and functional status (P = <.001 to .004). Overall, patients with a Healthy affect balance style had the lowest level of symptoms, while symptom levels of those with Reactive and Low affect balance styles were distributed in between those of the Depressive and Healthy groups.Conclusions and implicationsThe results of our cross-sectional study suggest that having a Healthy affect balance style is associated with better physical and psychological symptom profiles in fibromyalgia. Futures studies evaluating these associations longitudinally could provide rationale for evaluating the effect of psychological interventions on affect balance and clinical outcomes in fibromyalgia.

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Greener, Mark. "Parkinson's disease: beyond motor symptoms." Nursing and Residential Care 23, no. 1 (January 2, 2021): 1–5. http://dx.doi.org/10.12968/nrec.2021.23.1.7.

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Motor symptoms—such as tremor, slow movements and poor balance—are the hallmarks of Parkinson's disease. However, people with PD also experience numerous nonmotor symptoms, which sometimes pose more of a problem and cause more distress than the movement disorders. Mark Greener summarises some recent studies that offer new insights into PD's nonmotor symptoms.

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Braxmeyer, DL, and JL Keyes. "The pathophysiology of potassium balance." Critical Care Nurse 16, no. 5 (October 1, 1996): 59–71. http://dx.doi.org/10.4037/ccn1996.16.5.59.

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Knowledge of the mechanisms causing potassium imbalance provides tools for the nurse to assess symptoms and intervene with appropriate and timely action for patients with potassium imbalance. Figure 5 provides a flow chart as a guide for carrying out assessment of potassium balance in those individuals who are at risk.

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Stapleton, E., and R. Mills. "Role of open-ended questionnaires in patients with balance symptoms." Journal of Laryngology & Otology 122, no. 2 (June 25, 2007): 139–44. http://dx.doi.org/10.1017/s0022215107009073.

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AbstractIntroduction:A clear and detailed clinical history is essential in the assessment of patients with balance symptoms. The aim of this study was to assess the usefulness of open-ended questionnaires in the specialist balance clinic.Methods:Fifty-four consecutive new patients completed an open-ended questionnaire, prior to a consultation in which the clinical history was taken using a standardised proforma. The results of the two were compared.Results:The open-ended questionnaires provided patient-centred data, and did not provide clinicians with sufficient data for diagnosis. Patients were more likely to respond in the affirmative when asked about symptoms directly, than to report the same symptoms spontaneously on an open-ended questionnaire. When questions had a number of possible answers, patients were more likely to report them in full in an open-ended questionnaire than to provide a response during direct questioning.

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Zetterlund, Christina, Lars‐Olov Lundqvist, and Hans Olof Richter. "Visual, musculoskeletal and balance symptoms in individuals with visual impairment." Clinical and Experimental Optometry 102, no. 1 (June 25, 2018): 63–69. http://dx.doi.org/10.1111/cxo.12806.

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Bishop, Jennifer L., Jerika C. Norona, Patricia N. E. Roberson, Deborah P. Welsh, and Sara K. McCurry. "Adult Attachment, Role Balance, and Depressive Symptoms in Emerging Adulthood." Journal of Adult Development 26, no. 1 (March 19, 2018): 31–40. http://dx.doi.org/10.1007/s10804-018-9295-z.

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Mander, A. J., A. Young, M. V. Merrick, and J. J. Morton. "Fluid balance, vasopressin and withdrawal symptoms during detoxification from alcohol." Drug and Alcohol Dependence 24, no. 3 (December 1989): 233–37. http://dx.doi.org/10.1016/0376-8716(89)90060-4.

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Szczerbik, E., K. Iwanicka-Pronicka, M. Syczewska, M. Kalinowska, and K. Graff. "P 088 - Balance of children and adolescents with vertigo symptoms." Gait & Posture 65 (September 2018): 376–77. http://dx.doi.org/10.1016/j.gaitpost.2018.07.023.

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Alkathiry, Abdulaziz A., Patrick J. Sparto, Brin Freund, Susan L. Whitney, Anne Mucha, Joseph M. Furman, Michael W. Collins, and Anthony P. Kontos. "Using Accelerometers to Record Postural Sway in Adolescents With Concussion: A Cross-Sectional Study." Journal of Athletic Training 53, no. 12 (December 1, 2018): 1166–72. http://dx.doi.org/10.4085/1062-6050-518-17.

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Objective To investigate the magnitude of postural sway induced by different balance tasks in adolescents with concussion and to examine the associations of postural sway with concussion symptoms. Design Cross-sectional study. Patients or Other Participants Fifty-six adolescents (20 girls, 36 boys) between 13 and 17 years of age who sustained a concussion within the past 44 days and were still symptomatic. Main Outcome Measure(s) Anterior-posterior postural sway was measured using an accelerometer attached to the participant's lower back while he or she performed 6 static-balance tasks that varied the visual input, type of surface, and foot stance. Participants self-reported symptoms that occurred at the time of the concussion (eg, dizziness, confusion, amnesia) as well as at the time of balance testing (eg, eye and head movement–induced dizziness). Results The normalized path length of postural sway during the different balance tasks was greater with the eyes closed (mean = 19.3 mG/s) compared with the eyes open (mean = 12.4 mG/s; P < .001). Furthermore, sway while standing with the feet together on a foam surface (mean = 17.9 mG/s) or while tandem standing on a firm surface (mean = 19.4 mG/s) was greater than sway while standing with the feet together on a firm surface (mean = 10.3 mG/s; P < .001). Greater sway was associated with dizziness and confusion reported at the time of injury (P < .05). Dizziness and headache symptoms at rest were positively correlated with sway (P < .05). Conclusions Using accelerometers to measure postural sway during different challenging balance conditions in adolescents with concussion may provide an objective means of quantifying balance impairments in clinical environments. Furthermore, the association of these measurements with symptoms suggests a need to account for symptom severity at the time of testing.

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Mendes da Costa, Rayra, Tássia Magnabosco Sisconeto, Lucas Resende Sousa, Giselle Helena Tavares, and Ana Carolina Kanitz. "Contributions of physical exercise to motor symptoms and the balance of people with Parkinson's Disease: a systematic review." Revista Andaluza de Medicina del Deporte 13, no. 4 (March 26, 2020): 235–40. http://dx.doi.org/10.33155/j.ramd.2020.03.011.

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Objective: The aim of the study was to conduct a systematic review evaluating the effects of physical exercise on balance and motor symptoms of Parkinson’s Disease. Method: The search was carried out on the PubMed, Scielo and PEDro databases. The articles were evaluated by two independent researchers, following the criteria: presenting a control group, having more than eight weeks of intervention, assessing motor symptoms (Unified Parkinson’s Disease Rating Scale and Parkinson’s Disease Questionnaire -39) and balance (Timed Up and Go and Berg Scale). Results: The search resulted in 1377 articles, of which 11 were included in the study. The total number of participants was 925, in which 545 were allocated in the intervention groups and 380 in the control groups. The strength training and balance, performed alone or in combination, are highlighted in improvements related to balance. Exercise, regardless of type, improves motor symptoms. Conclusions: Thus, physical exercise has a positive effect on both balance and motor symptoms of Parkinson’s Disease, strength and balance modalities stand out.

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Langoni, Chandra da Silveira, Thais de Lima Resende, Andressa Bombardi Barcellos, Betina Cecchele, Juliana Nunes da Rosa, Mateus Soares Knob, Tatiane do Nascimento Silva, Tamiris de Souza Diogo, Irenio Gomes da Silva, and Carla Helena Augustin Schwanke. "The effect of group exercises on balance, mobility, and depressive symptoms in older adults with mild cognitive impairment: a randomized controlled trial." Clinical Rehabilitation 33, no. 3 (December 4, 2018): 439–49. http://dx.doi.org/10.1177/0269215518815218.

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Objective: To determine the effects of group exercises on balance, mobility, and depressive symptoms in community-dwelling older adults with mild cognitive impairment. Design: Single blinded, randomized, matched pairs clinical trial. Setting: Four primary healthcare units. Subjects: Fifty-two sedentary subjects with mild cognitive impairment were paired (age, sex, body mass index, and Addenbrooke’s Cognitive Examination Revised score), tested, and then randomized into an intervention group ( n = 26) and a control group ( n = 26). Intervention: The intervention group performed strength (ankle weights, elastic bands, and dumbbells) and aerobic exercises (walking) in their communities’ public spaces, twice a week (60 minutes each), during 24 weeks. The control group maintained its usual routine. Main measures: Balance (Berg Balance Scale (BBS)), mobility (Timed Up and Go Test (TUG)), and depressive symptoms (Geriatric Depression Scale-15) were assessed before and after the intervention. Results: Before the intervention, the two groups did not differ statistically. After, the intervention group showed significant improvement ( P < 0.05) in balance (before: 53 ± 3; after: 55.1 ± 1.1 points), mobility (before: 10.7 ± 2.9 seconds; after: 8.3 ± 2 seconds), and depressive symptoms (median punctuation (interquartile range) before: 4 (1.8–6); after: 2.5 (1–4)). The control group presented a significant increase in their depressive symptoms (median before: 3.5 (2–7.3); after: 4 (2–5.3)), while their balance and mobility showed no significant modification. Small effect sizes were observed in the intervention group and control group depressive symptoms, as well as in the control group’s mobility and balance. Large effect sizes were observed the intervention group’s mobility and balance. Conclusion: Group exercises improved balance, mobility, and depressive symptoms in community-dwelling older adults with mild cognitive impairment.

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McCrea, Michael, Kevin Guskiewicz, Christopher Randolph, William B. Barr, Thomas A. Hammeke, Stephen W. Marshall, Matthew R. Powell, Kwang Woo Ahn, Yanzhi Wang, and James P. Kelly. "Incidence, Clinical Course, and Predictors of Prolonged Recovery Time Following Sport-Related Concussion in High School and College Athletes." Journal of the International Neuropsychological Society 19, no. 1 (October 12, 2012): 22–33. http://dx.doi.org/10.1017/s1355617712000872.

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AbstractSport-related concussion (SRC) is typically followed by clinical recovery within days, but reports of prolonged symptoms are common. We investigated the incidence of prolonged recovery in a large cohort (n = 18,531) of athlete seasons over a 10-year period. A total of 570 athletes with concussion (3.1%) and 166 controls who underwent pre-injury baseline assessments of symptoms, neurocognitive functioning and balance were re-assessed immediately, 3 hr, and 1, 2, 3, 5, 7, and 45 or 90 days after concussion. Concussed athletes were stratified into typical (within 7 days) or prolonged (> 7 days) recovery groups based on symptom recovery time. Ten percent of athletes (n = 57) had a prolonged symptom recovery, which was also associated with lengthier recovery on neurocognitive testing (p < .001). At 45–90 days post-injury, the prolonged recovery group reported elevated symptoms, without deficits on cognitive or balance testing. Prolonged recovery was associated with unconsciousness [odds ratio (OR), 4.15; 95% confidence interval (CI) 2.12–8.15], posttraumatic amnesia (OR, 1.81; 95% CI, 1.00–3.28), and more severe acute symptoms (p < .0001). These results suggest that a small percentage of athletes may experience symptoms and functional impairments beyond the typical window of recovery after SRC, and that prolonged recovery is associated with acute indicators of more severe injury. (JINS, 2012, 18, 1–12)

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Malmström, Eva-Maj, Måns Magnusson, Johan Holmberg, Mikael Karlberg, and Per-Anders Fransson. "Dizziness and localized pain are often concurrent in patients with balance or psychological disorders." Scandinavian Journal of Pain 20, no. 2 (April 28, 2020): 353–62. http://dx.doi.org/10.1515/sjpain-2019-0121.

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AbstractBackground and aimsSymptoms of dizziness and pain are both common complaints and the two symptoms often seem to coincide. When symptoms appear concomitant for sustained periods of time the symptoms might maintain and even exacerbate each other, sometimes leading to psychological distress. In order to evaluate such comorbidity we studied patients referred to a vestibular unit and to a psychiatric outpatient clinic with respectively balance disorders and psychological issues.MethodsConsecutive patients referred to a vestibular unit (n = 49) and a psychiatric outpatient clinic (n = 62) answered the Dizziness Handicap Inventory (DHI) questionnaire and a questionnaire detailing occurrence of dizziness and pain.ResultsThe experience of dizziness and pain often coincided within individuals across both clinical populations, especially if the pain was located to the neck/shoulder or the back (p = 0.006). Patients who reported dizziness had significantly more often pain (p = 0.024); in the head (p = 0.002), neck/shoulders (p = 0.003) and feet (p = 0.043). Moreover, patients who reported dizziness stated significantly higher scoring on emotional (p < 0.001) and functional (p < 0.001) DHI sub-scales. Furthermore, patients who reported an accident in their history suffered significantly more often from dizziness (p = 0.039) and pain (p < 0.001); in the head (p < 0.001), neck/shoulders (p < 0.001) and arms (p = 0.045) and they scored higher on the emotional (p = 0.004) and functional (p = 0.002) DHI sub-scales.ConclusionsThe findings suggest comorbidity to exist between dizziness and neck/shoulder or back pain in patients seeking health care for balance disorders or psychological issues. Patients suffering from dizziness and pain, or with both symptoms, also reported higher emotional and functional strain. Thus, healthcare professionals should consider comorbidity when determining diagnosis and consequent measures.ImplicationsClinicians need to have a broader “receptive scope” in both history and clinical examinations, and ask for all symptoms. Although the patients in this study visited a vestibular unit respectively a psychological clinic, they commonly reported pain conditions when explicitly asked for this symptom. A multimodal approach is thus to favor, especially when the symptoms persist, for the best clinical management.

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Amjad, Halima, David Roth, Jennifer Wolff, Esther Oh, and Quincy Samus. "2041." Journal of Clinical and Translational Science 1, S1 (September 2017): 22. http://dx.doi.org/10.1017/cts.2017.91.

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OBJECTIVES/SPECIFIC AIMS: Traditional hospice focuses on symptoms and quality of life (QOL) at the very end of life. Clinical symptoms and QOL in the last 1–2 years of life are also important and may be affected by dementia. Our objective was to characterize how symptoms differ between people with and without dementia in the last years before death and whether symptoms impact social dimensions of QOL. METHODS/STUDY POPULATION: We studied 1270 community-dwelling participants who died between 2011 and 2015 in the National Health and Aging Trends Study, a nationally representative cohort of older adults. From the last interview before death, we examined sensory (vision; hearing), physical (pain; problems with breathing, chewing/swallowing, speaking, upper or lower extremity strength/movement, and balance/coordination), and psychiatric (depression; anxiety; insomnia) symptoms by dementia status. We examined associations between symptoms and participation restrictions (visiting family/friends, attending religious services, participating in clubs/activities, going out for enjoyment, and engaging in favorite activity). RESULTS/ANTICIPATED RESULTS: Low energy (69%), pain (59%), and lower extremity strength/movement problems (56%) were most common. People with dementia (37.3% of decedents) had higher prevalence of all symptoms (p≤0.01), except pain, breathing problems, and insomnia. Dementia and greater symptom burden were independently associated with greater odds of participation restrictions (p<0.05). Problems speaking were significantly associated with limitations in all activities except for attending religious services. Balance/coordination, energy, and strength/movement problems were associated with limitations in 3 activities. DISCUSSION/SIGNIFICANCE OF IMPACT: Sensory, physical, and psychiatric symptoms are common in the year before death, with greater symptom prevalence in people with dementia. Both dementia and symptoms are associated with restrictions in participation. Older patients may benefit not only from earlier emphasis on palliative care but also programs and assistive devices that accommodate physical impairments.

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Olson, Beatriz R. "Relation between Sodium Balance and Menstrual Cycle Symptoms in Normal Women." Annals of Internal Medicine 125, no. 7 (October 1, 1996): 564. http://dx.doi.org/10.7326/0003-4819-125-7-199610010-00005.

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Kumar, Prasanna, Aviral Dube, Beegum Sheena Karim, Tarun Rache, Ravindra Prabhu Attur, Sreedhran Nair, and Anna Suresh. "Effect of Conductance and Sodium Balance on Inter/Intra-Dialytic Symptoms." Turkish Journal of Nephrology 29, no. 1 (February 12, 2020): 52–58. http://dx.doi.org/10.5152/turkjnephrol.2020.3682.

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EKBLAD, SARA, BARBRO LÖNNBERG, GÖRAN BERG, LARS ÖDKVIST, TORBJÖRN LEDIN, and MATS HAMMAR. "Estrogen Effects on Postural Balance in Postmenopausal Women Without Vasomotor Symptoms." Obstetrics & Gynecology 95, no. 2 (February 2000): 278–83. http://dx.doi.org/10.1097/00006250-200002000-00021.

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Sato, Kazunari, Toshihiko Kawamura, and Toru Abo. ""Senobi" Stretch Ameliorates Asthma Symptoms by Restoring Autonomic Nervous System Balance." Journal of Investigative Medicine 58, no. 8 (December 1, 2010): 968–70. http://dx.doi.org/10.2310/jim.0b013e3181f9167b.

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Tealdo, Giulia, and Elisabetta Zanoletti. "Hearing and balance complaints as presenting symptoms of petrous bone malignancies." Hearing, Balance and Communication 18, no. 3 (April 8, 2020): 173–76. http://dx.doi.org/10.1080/21695717.2020.1745543.

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Amalanathan, Sophia, Roy Thomas Daniel, and Arun Alexander. "Finding My New Balance." Journal of Patient Experience 8 (January 1, 2021): 237437352198924. http://dx.doi.org/10.1177/2374373521989249.

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All of us walk with faith, unaware of what lies ahead in our life, until we have that fall, my story is about how I lost my balance and regained it in a better form. Little did I know about this rare brain tumor that was slowly taking over my neural commands. To fight for my life was the only aim prior to surgery and getting back to living my life after neurosurgery was aiming higher than before. This narrative essay is about my trials and tribulations of a rare brain tumor that presented with audio-vestibular symptoms. It portrays vividly my experience of this brain tumor, and importantly vestibular rehabilitation that which allows the brain to achieve recovery of neural functions due to its inherent properties of neural plasticity.

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Pereira, Jessica Rodrigues, Sebastião Gobbi, Camila Vieira Ligo Teixeira, Carla Manuela Crispim Nascimento, Danilla Icassatti Corazza, Thays Martins Vital, Salma Stéphany Soleman Hernandez, Florindo Stella, and Ryosuke Shigematsu. "Effects of Square-Stepping Exercise on balance and depressive symptoms in older adults." Motriz: Revista de Educação Física 20, no. 4 (December 2014): 454–60. http://dx.doi.org/10.1590/s1980-65742014000400013.

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The aim of this study was analyze the effects of Square-Stepping Exercise (SSE) on depressive symptoms, balance and functional mobility in older adults. Participants were distributed into two groups: Trained Group (TG), who performed a 16-week intervention with SSE and Control Group (CG), who performed only evaluations. The Berg Balance Scale and Time Up and Go Test (TUG) constituted the evaluation protocol to verify balance and functional mobility. Geriatric Depression Scale-short form (GDS-15) was applied for measure depressive symptoms. Evaluations were realized pre and post 16-week. Significant improvements were observed in the TG with the maintenance of GDS-15 scores and on the time to perform the TUG test which reflects better functional mobility than the CG. This could lead to conclude that the SSE is an important tool for improve balance, prevent falls and decrease depression symptoms.

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Forrester, Brittany, Emily Kalambaheti, Mia Cozart, and Matthew Michael Antonucci. "Improvements in Cognition, Graded Symptom Checklist Score, Balance and Memory Following Neurological Rehabilitation for a 58-year-old Male Patient with Post-Concussion Syndrome: Case Report." Neurology 95, no. 20 Supplement 1 (November 16, 2020): S10.1—S10. http://dx.doi.org/10.1212/01.wnl.0000719956.59037.e1.

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ObjectiveTo suggest the efficacy of multi-modal, intensive, neurologic rehabilitation approaches to improve cognition, balance, and cognitive impairment in patients with post-concussion syndrome.BackgroundA 58-year-old male patient presented to Plasticity Brain Centers for evaluation and treatment of persistent symptoms following a previously diagnosed concussion. His symptoms followed rapidly after injury and included headaches, neck pain, and difficulty with sleeping. Upon intake, he reported on the graded symptom checklist (GSC) a symptom severity score of 59. A Comprehensive Assessment of Postural Systems (CAPS ®) was performed assessing balance and stability on both a solid and foamed surface with eyes opened, eyes closed, and multiple head positions. An average stability score upon intake was calculated as 53.9% overall. Neurocognitive testing utilizing C3 Logix Neurocognitive Assessment Suite, Trails A time was 28.6 and standardized assessment of cognition (SAC) score was a 28/30 with specific difficulty in delayed memory.Design/MethodsA 5-day, intensive, multi-modal program of neurologic exercises was administered in 10 one-hour treatment sessions. Each session consisted of repetitive peripheral somatosensory stimuli, cognitive exercises, neuromuscular reeducation, vestibular rehabilitation, orthoptic exercises, and off-vertical axis rotation utilizing a multi-axis rotational chair.ResultsUpon exit, symptom severity score decreased to 35 (−40.6%); Trails A time decreased to 19.7 (−31.1%); balance improved from an average stability score of 75.5%–79.6% (+5.4%); and standardized assessment of cognition (SAC) score increased to an overall score of 30/10 (+7.1%) with an improvement in delayed memory.ConclusionsThe authors suggest further investigation into multi-modal, intensive approaches to improve cognition, balance, and cognitive impairment in patients with post-concussion syndrome.

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McAllister-Deitrick, Jamie, Alicia M. Trbovich, Steven P. Broglio, Michael McCrea, Thomas W. McAllister, and Anthony P. Kontos. "Effect of Diagnosed Sleep Disorders on Baseline Concussion Symptom, Cognitive, and Balance Assessments in Collegiate Athletes." American Journal of Sports Medicine 48, no. 4 (February 12, 2020): 991–99. http://dx.doi.org/10.1177/0363546520902701.

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Background: Symptoms, cognition, balance, and other domains are commonly assessed at baseline testing as part of comprehensive preseason evaluations among collegiate student-athletes. Although approximately 27% of college students have at least 1 sleep disorder, researchers have yet to examine the role of a preexisting sleep disorder on preinjury baseline performance. Purpose: To compare athletes with and without a reported history of diagnosed sleep disorders on commonly used baseline concussion assessments. Study Design: Cross-sectional study; Level of evidence, 3. Methods: A total of 666 National Collegiate Athletic Association student-athletes completed baseline measures including the Balance Error Scoring System (BESS), Brief Symptom Inventory–18 (BSI-18), Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Post-Concussion Symptom Scale (PCSS), Sport Concussion Assessment Tool–5th Edition (SCAT5), and Standardized Assessment of Concussion (SAC). There were 333 athletes with a history of diagnosed sleep disorders who were matched on age, sex, sport, and concussion history to 333 athletes with no history of diagnosed sleep disorders. Participants in both groups had a mean age of 19.89 ± 1.36 years and included 182 (54.7%) male athletes, and 126 (37.8%) reported a history of ≥1 concussions. Results: A series of 1-way analyses of covariance with Bonferroni corrections revealed significant group differences on the BESS (F1,559 = 8.88; P < .01); BSI-18 somatization (F1,640 = 18.48; P < .01), depression (F1,640 = 18.78; P < .01), anxiety (F1,640 = 19.42; P < .01), and global severity index (F1,640 = 27.18; P < .01); PCSS (F1,424 = 29.42; P < .01); SCAT5 symptom number (F1,634 = 28.79; P < .01) and symptom severity (F1,634 = 31.74; P < .01); and SAC (F1,578 = 4.36; P = .037). Specifically, while the sleep disorder group did perform better on the BESS, they also reported higher symptoms on the BSI-18, PCSS, and SCAT5 and performed worse on the SAC. There were no group differences on ImPACT performance. Conclusion: Collegiate student-athletes with diagnosed sleep disorders reported elevated affective and concussion symptoms at baseline that could affect the interpretation of postinjury impairments and symptoms. Based on the small effect sizes of our findings, however, the magnitude of these differences is of questionable clinical significance. Still, clinicians should consider diagnosed sleep disorders as reported during preparticipation sports physical examinations when interpreting baseline and postinjury concussion assessments.

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Moran, Ryan N., Nicholas G. Murray, Michael R. Esco, Ward Dobbs, and Jamie McAllister-Deitrick. "Effects of exercise on symptoms, vestibular/ocular motor screening and postural stability in a college-aged sample." Concussion 5, no. 2 (June 2020): CNC73. http://dx.doi.org/10.2217/cnc-2020-0003.

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Aim: To examine the effects of maximal exercise on symptoms, vestibular/ocular motor screening (VOMS) and postural stability. Methodology: A total of 17 college-aged individuals completed a symptom scale, VOMS and the modified Clinical Test for Sensory Interaction and Balance (m-CTSIB), followed by a graded maximal exercise treadmill test. Assessments were repeated post exercise, 20 and 40 min post-exercise. Results: Significant increases in total symptoms, symptom severity scores and m-CTSIB scores from baseline to immediate post exercise were reported. Following 20-min recovery, improvements were noted on symptoms, visual motion sensitivity on VOMS and m-CTSIB. Conclusion: Symptoms and postural stability are influenced by exercise and following 20 min of rest, returned to baseline, indicating that a period of 20 min following a suspected concussion may be needed to negate exercise effects.

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Shukla, Umesh, Nita Radhakrishnan, Bhanu Kiran Bhakhri, Ravi Shankar, Sohini Ghosh, Vikas Jain, Dharmendra K. Singh, and Devendra K. Gupta. "Children, comorbidities and COVID-19 - What tilts the balance?" Asian Journal of Medical Sciences 12, no. 3 (March 1, 2021): 10–13. http://dx.doi.org/10.3126/ajms.v12i3.32738.

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Background: Data on the outcome of children with SARS-COV-2 infection (COVID-19) is still evolving as the pandemic unfolds. Aims and Objective: The present study aims at describing the clinical severity, course and outcome of COVID-19 in children who had underlying illnesses or co-infections. Materials and Methods: Retrospective, single center, observational study, conducted in a pediatric tertiary care center at Noida (National Capital Region, India). Results: We analyzed the data of 15 children with co-morbidities associated with COVID-19. Cancer (n=4, 26.6%), co-infections (n=5, 33.3%), Thalassemia major (n=2, 13.3%) and one child each with celiac disease, cholelithiasis, Duchenne muscular dystrophy and multiple rib fractures were diagnosed with COVID-19. None were asymptomatic. 9 children (60%) had mild symptoms and 4 had moderate symptoms (26.6%) with respiratory distress. 2 children had severe respiratory distress requiring high flow oxygen. Convalescent plasma, IVIG, Oseltamivir, Azithromycin, Hydroxychloroquine were given as treatment in varying combinations. All children recovered from COVID-19. Conclusion: Active malignancy, hypogammaglobinemia, underlying lung disease were associated with moderate to severe symptoms in this series of patients. Convalescent plasma helped in both children with severe hypoxia.

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Krause, Eike, Julia P. R. Louza, John-Martin Hempel, Juliane Wechtenbruch, Tobias Rader, and Robert Gürkov. "Prevalence and Characteristics of Preoperative Balance Disorders in Cochlear Implant Candidates." Annals of Otology, Rhinology & Laryngology 117, no. 10 (October 2008): 764–68. http://dx.doi.org/10.1177/000348940811701011.

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Objectives: The aim of this study was to elucidate the frequency and characteristics of preoperative vertigo symptoms in patients who undergo cochlear implantation (CI), in order to differentiate them from CI-related symptoms. Methods: In a prospective observational study, 47 adult CI candidates were asked about vertigo problems on a questionnaire. A subdivision into 3 groups was done: Group A (probable otogenic vertigo), group B (possible otogenic vertigo), and group C (not otogenic vertigo). Horizontal semicircular canal function was measured. Patients with vertigo complaints were compared to patients without vertigo with regard to the presence of abnormal vestibular function findings. Results: Twenty-five patients (53%) reported preoperative vertigo problems. In 21 (84%), the patient's history suggested a probable (group A) or possible (group B) otogenic origin. Patients with vertigo more often had abnormal findings on vestibular function testing than did patients without vertigo. This difference, however, was not statistically significant. Conclusions: A considerable number of CI candidates have preoperative vertigo symptoms. These cannot be explained by horizontal semicircular canal function alone. In order to understand why CI patients develop postoperative vertigo, analysis of prospective preoperative vestibular function test findings and vertigo symptoms is necessary.

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Ledesma, Jason, Padma Priya Puttagunta, Shayan Torabi, Kristen Berube, Eric Tamrazian, Diamond Garcia, and Bijal Kirit Mehta. "Presenting Symptoms and Disease Severity in Multiple Sclerosis Patients." Neurology International 13, no. 1 (January 8, 2021): 18–24. http://dx.doi.org/10.3390/neurolint13010002.

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Introduction: The study aims to determine an association between presenting symptoms in multiple sclerosis and measures of disease severity, including the expanded disability status score (EDSS) and MRI based lesion volumes. Methods: Data was collected as part of a larger 3 year MS study, from 2014 to 2017, to compare Vitamin A levels and MS progression. All data was collected from a single clinical site. Demographic data as well as date of diagnosis and use of disease modifying therapies. Patients not able to obtain MRIs or lab tests and histories of vitamin abnormalities were excluded from the study. 29 patients met inclusion criteria. We chose presenting symptoms of vision, balance, sensory function, and motor function as these represented the most common manifestations of the disease and mirror the domains of the EDSS, which is the most commonly used scale for MS disease severity. We also included neuroimaging based lesion volume as another objective measure for comparison. Results: Although duration of disease was different between comparator groups, no significant difference was found between them when EDSS and lesion volumes were compared. There was a difference in lesion volumes when comparing those patients that had presenting symptoms of visual changes or balance symptoms with those presenting with sensory changes. Conclusions: This study supports the notion that presenting symptoms are not associated with EDSS independent disease duration. It also verifies that severity of disease is not associated with lesion volumes. However, sensory symptoms as a presenting symptom was associated with less lesion volumes in our study.

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Ledesma, Jason, Padma Priya Puttagunta, Shayan Torabi, Kristen Berube, Eric Tamrazian, Diamond Garcia, and Bijal Kirit Mehta. "Presenting Symptoms and Disease Severity in Multiple Sclerosis Patients." Neurology International 13, no. 1 (January 8, 2021): 18–24. http://dx.doi.org/10.3390/neurolint13010002.

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Introduction: The study aims to determine an association between presenting symptoms in multiple sclerosis and measures of disease severity, including the expanded disability status score (EDSS) and MRI based lesion volumes. Methods: Data was collected as part of a larger 3 year MS study, from 2014 to 2017, to compare Vitamin A levels and MS progression. All data was collected from a single clinical site. Demographic data as well as date of diagnosis and use of disease modifying therapies. Patients not able to obtain MRIs or lab tests and histories of vitamin abnormalities were excluded from the study. 29 patients met inclusion criteria. We chose presenting symptoms of vision, balance, sensory function, and motor function as these represented the most common manifestations of the disease and mirror the domains of the EDSS, which is the most commonly used scale for MS disease severity. We also included neuroimaging based lesion volume as another objective measure for comparison. Results: Although duration of disease was different between comparator groups, no significant difference was found between them when EDSS and lesion volumes were compared. There was a difference in lesion volumes when comparing those patients that had presenting symptoms of visual changes or balance symptoms with those presenting with sensory changes. Conclusions: This study supports the notion that presenting symptoms are not associated with EDSS independent disease duration. It also verifies that severity of disease is not associated with lesion volumes. However, sensory symptoms as a presenting symptom was associated with less lesion volumes in our study.

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Walter, Alysha A., Em V. Adams, Marieke Van Puymbroeck, Brandi M. Crowe, Enrique Urrea-Mendoza, Brent L. Hawkins, Julia Sharp, Kathleen Woschkolup, Freddy J. Revilla, and Arlene A. Schmid. "Changes in Nonmotor Symptoms Following an 8-Week Yoga Intervention for People with Parkinson's Disease." International Journal of Yoga Therapy 29, no. 1 (November 1, 2019): 91–99. http://dx.doi.org/10.17761/2019-00025.

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Abstract Parkinson's disease (PD) is a neurodegenerative disorder marked by progressive degenerative motor symptoms (e.g., tremors, impaired balance and gait) and nonmotor symptoms (e.g., fatigue, sleep disturbances, pain) that can negatively influence health-related quality of life (HRQoL). Previous studies have shown that yoga for individuals with PD improves balance, strength, and mobility. However, little research has been conducted to determine the effect of yoga on nonmotor symptoms of PD. The purpose of this study was to examine changes in nonmotor symptoms among individuals with PD following an 8-week yoga intervention. Data used for analyses were part of a larger study that researched improvements in motor function for individuals with PD. Participants (N = 27) were randomly assigned to experimental (n = 15) and control (n = 12) groups and completed pre- and postintervention quantitative measures. Within-group improvements were statistically significant for fatigue measured by the Parkinson's Fatigue Scale, balance confidence measured by the Activities Balance Confidence Scale, the belief in one's ability to manage falls measured by the Falls Management Scale, activity constraints measured by the Activities Constraint Questionnaire, and PD-specific quality of life measured by the Parkinson's Disease Questionnaire-8. Across-group changes were statistically significant for activity constraints. Findings indicate yoga may be an efficacious intervention for improving nonmotor symptoms as well as HRQoL for individuals with PD.

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TAUIL, Carlos Bernardo, Cintia RAMARI, Flávia Martins DA SILVA, Erica BRASIL, Ana de DAVID, Jaqueline Ramos Andrade GOMES, Felipe von Glehn SILVA, Carlos Otávio BRANDÃO, Leonilda Maria Barbosa DOS SANTOS, and Leopoldo dos SANTOS-NETO. "The impact of physical functions on depressive symptoms in people with multiple sclerosis." Arquivos de Neuro-Psiquiatria 79, no. 1 (January 2021): 44–50. http://dx.doi.org/10.1590/0004-282x20200099.

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ABSTRACT Background: Multiple sclerosis (MS) is an immune-mediated disease that affects the central nervous system. The impact of MS transcends physical functions and extends to psychological impairment. Approximately 50% of people with MS develop depressive symptoms during their lifetime and depressive symptoms may predict impairment of physical functions. However, prediction of depressive symptoms based on objective measures of physical functions is still necessary. Objective: To compare physical functions between people with MS presenting depressive symptoms or not and to identify predictors of depressive symptoms using objective measures of physical functions. Methods: Cross-sectional study including 26 people with MS. Anxiety and/or depressive symptoms were assessed by the Beck Depression Inventory-II (BDI-II) and by the Hospital Anxiety and Depression Scale (HADS). Outcomes of physical functions included: the Nnnine-hole Ppeg Ttest (NHPT), knee muscle strength, balance control, the Timed Up and Go Test (TUG), and the 6-minute walk test (6MWT). Perceived exertion was measured using the Borg scale. Results: The frequency of depressive symptoms was 42% in people with MS. Balance control during a more challenging task was impaired in people with MS who presented depressive symptoms. Balance could explain 21-24% of the variance in depressive symptoms. 6MWT and TUG presented a trend of significance explaining 16% of the variance in the BDI-II score. Conclusions: Impairment in physical functions consists in a potential predictor of depressive symptoms in people with MS. Exercise interventions aiming at the improvement of physical functions, together with the treatment of depressive symptoms and conventional medical treatment, are suggested.

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Sibille, K., L. Kindler, T. Glover, R. Staud, J. Riley, and R. Fillingim. "Affect balance style predicts ischemic pain sensitivity, somatic symptoms, and pain coping." Journal of Pain 11, no. 4 (April 2010): S9. http://dx.doi.org/10.1016/j.jpain.2010.01.043.

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Ekblad, S., A. Bergendahl, P. Enler, T. Ledin, C. Möllen, and M. Hammar. "Disturbances in postural balance are common in postmenopausal women with vasomotor symptoms." Climacteric 3, no. 3 (January 2000): 192–98. http://dx.doi.org/10.1080/13697130008500097.

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Singh, Gurpreet, Tarang K. Jain, Wen Liu, Yvonne Colgrove, Rajesh Pahwa, Kelly Lyon, and Neena Sharma. "Effects of Balance Training on Nonmotor Symptoms in Individuals With Parkinson Disease." Topics in Geriatric Rehabilitation 36, no. 3 (July 2020): 187–93. http://dx.doi.org/10.1097/tgr.0000000000000279.

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Lee, Pai-Lin, Yu-Chi Yang, Chih-Kun Huang, Ching-Hsiang Hsiao, Ting-Yang Liu, and Cheng-Yen Wang. "Effect of exercise on depressive symptoms and body balance in the elderly." Educational Gerontology 43, no. 1 (November 15, 2016): 33–44. http://dx.doi.org/10.1080/03601277.2016.1260905.

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Cookinham, Brittani, and Chad Swank. "Concussion history and career status influence sports concussion assessment tool (SCAT-3) performance in elite football players." Neurology 91, no. 23 Supplement 1 (December 4, 2018): S5.3—S6. http://dx.doi.org/10.1212/01.wnl.0000550631.88276.6a.

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ObjectiveTo determine if concussion history and career status influences baseline Sports Concussion Assessment Tool (SCAT-3) performance in elite football players.Design/methodsFifty-seven elite football players (age 29.39 ± 7.49 years) categorized by career status (draft prospects, active professional players and retired professional players) underwent SCAT-3 assessments. The SCAT-3 was administered in accordance to published recommendations.14 To examine our primary purpose, participants were placed into either a low concussion history (0–1 concussions) or multiple concussion history (2 + concussions) group. A Mann-Whitney U test was used to examine the differences of concussion history on SCAT-3 total symptoms, total symptom severity, SAC total scores, and m-BESS balance scores. To examine our secondary purpose, a Kruskal-Wallis test and a post-hoc analysis was used to analyze differences between career status categories.ResultsAt baseline, common baseline symptoms were: fatigue (45.6%), trouble falling asleep (35.1%), difficulty remembering (33.3%) and irritability (22.8%); 36.8% reported no symptoms. The low concussion (0–1) group reported fewer symptoms (U = 608.50, p = 0.001), less symptom severity (U = 598.00, p = 0.001), and produced greater scores on the Standardized Assessment of Concussion (SAC) total scores compared to the multiple concussion (2+) group (U = 253.00, p = 0.024), but no differences were observed on modified Balance Error Scoring System (m-BESS) scores (U = 501.50, p = 0.066) on the Mann-Whitney U test. The Kruskal-Wallis Test and post-hoc analysis indicated retired players were significantly different from draft prospects and current professional players for total symptom scores (p < 0.001), total symptom severity (p < 0.001), SAC total scores (p = 0.030), and m-BESS (p < 0.001).ConclusionsConcussion history and career status appear to influence performance on the SCAT-3 in elite football players. With this in mind, future research is recommended to determine normative scores on the SCAT-3 for elite football players.

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Bogle, Jamie M. "Vestibular and Balance Dysfunction Following Sport-Related Concussion." Perspectives of the ASHA Special Interest Groups 4, no. 6 (December 26, 2019): 1349–63. http://dx.doi.org/10.1044/2019_pers-sig6-2019-0004.

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Purpose Sport-related concussion is a significant public health concern that requires a multidisciplinary team to appropriately manage. Athletes often report dizziness and imbalance following concussion, and these symptoms can predict increased time to recover. Vestibular diagnostic evaluations provide important information regarding the athlete's oculomotor, gaze stability, and balance function in order to identify deficits for rehabilitation. These measures also describe objective function helpful for determining when an athlete is ready to return to play. The purpose of this clinical focus article is to provide background on the current understanding of the effects of concussion on the peripheral and central vestibular system, as well as information on a protocol that can be used for acute concussion assessment. Case studies describing 3 common postconcussion presentations will highlight the usefulness of this protocol. Conclusion Sport-related concussion is a highly visible disorder with many symptoms that may be evaluated in the vestibular clinic. A thoughtful protocol evaluating the typical presentation of these patients may help guide the multidisciplinary team in determining appropriate management and clearance for return to sport.

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Padmavathi, P., S. Raja Sankar, and N. Kokilavani. "Premenstrual Symptoms and Academic Performance Among Adolescent Girls." Asian Journal of Health Sciences 1, no. 1 (December 1, 2013): 20–24. http://dx.doi.org/10.15419/ajhs.v1i1.411.

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Premenstrual syndrome is a psychophysiological stress induced disorder. Stress disturbs the balance of sympathetic and parasympathetic nervous system. Changes in heart rate and blood pressure are the most important physiological response following stress.To correlate the premenstrual symptoms and academic performance among adolescent girls. A correlational survey was adopted for the study Setting: Higher secondary school, NamakkalDistrict. 60adolescentgirlsfulfillingtheinclusioncriteriawereselectedbysimplerandomsamplingtechnique.Allparticipantsweregiven a questionnaire to complete; questions were related to Baseline Proforma of adolescent girls, rating scale on the common premenstrual symptoms, Student life stress Inventory, Academic Demand Distress were given 40 minutes to complete the questionnaire. The findings revealed that, there was significantly higher numbers of symptoms perceived 8.46±2.9 follicular and 7.14±2.8, luteal, p=.001 and higher distress (1.25±0.41 follicular and 1.52±0.31 luteal, p=.003) in the follicular phase than in the luteal phase. The academic demand component of academic stress measured daily frequency and distress associated with assignments, papers, projects/presentation and time studying. Within the follicular phase number of assignments due was significantly correlated to symptom perception and distress (.41, .31, respectively) and the number of projects/presentations due was correlated to symptom distress (.29) at p<.05. There were significant correlations between follicular phase symptom perception and distress, and luteal phase symptom distress with academic demand distress. There was significant correlation between premenstrual symptoms and academic performance.

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Journal articles on the topic 'Balance symptoms'

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