Download PDF
CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(04): e688-e696
DOI: 10.1055/s-0042-1742763
Original Research

Investigation of the Relationship between Vestibular Disorders and Sleep Disturbance

Basak Mutlu 
1   Department of Audiology, School of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey
,
Merve Torun Topcu 
1   Department of Audiology, School of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Introduction Vestibular pathologies cause physical and psychological symptoms, as well as cognitive problems.

Objective To evaluate the deterioration in sleep quality associated with vestibular pathologies.

Methods The Dizziness Handicap Inventory (DHI), the Beck Depression Inventory (BDI), the Pittsburgh Sleep Quality Index (PSQI), and the Limits of Stability test (LOS) were applied to the participants.

Results We included 25 patients with Meniere's disease (MD), 22 patients with benign paroxysmal positional vertigo (BPPV), 21 patients with unilateral peripheral vestibular loss (UPVL), 23 patients with vestibular migraine (VM), and 43 controls. The total PSQI scores of the controls were better than those of the MD (p = 0.014), VM (p < 0.001), BPPV (p = 0.003), and UPVL (p = 0.001) groups. The proportion of poor sleepers in the MD (p = 0.005), BPPV (p = 0.018), and UPVL (p < 0.001) groups was significantly higher than that of the controls. The highest total DHI score (45.68 ± 25.76) was found among the MD group, and it was significantly higher than the scores of the BPPV (p = 0.007) and control (p < 0.001) groups. The highest BDI score was obtained in the VM group, and it was significantly higher than the scores of the BPPV (p = 0.046) and control (p < 0.001) groups. Moreover, the BDI scores of the MD (p = 0.001) and UPVL groups were also significantly worse than the score of the controls (p = 0.001).

Conclusion The present study showed thatpatients with vestibular symptoms have physical and functional complaints, as well as increased psychosocial stress and decreased sleep quality. Evaluating multiple parameters of quality of life may contribute to a better understanding of vestibular physiology and symptoms, and may help establish a more effective therapeutic approach.

Keywords

vestibular diseases - sleep hygiene - handicap


Publication History

Received: 06 September 2021

Accepted: 14 December 2021

Article published online:
08 June 2022

© 2022. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Vidal PP, Degallaix L, Josset P, Gasc JP, Cullen KE. Postural and locomotor control in normal and vestibularly deficient mice. J Physiol 2004; 559 (Pt 2): 625-638 DOI: 10.1113/jphysiol.2004.063883.
    CrossrefPubMedGoogle Scholar
  • 2 Smith PF. The vestibular system and cognition. Curr Opin Neurol 2017; 30 (01) 84-89 DOI: 10.1097/WCO.0000000000000403.
    CrossrefPubMedGoogle Scholar
  • 3 zu Eulenburg P, Baumgärtner U, Treede RD, Dieterich M. Interoceptive and multimodal functions of the operculo-insular cortex: tactile, nociceptive and vestibular representations. Neuroimage 2013; 83: 75-86 DOI: 10.1016/j.neuroimage.2013.06.057.
    CrossrefPubMedGoogle Scholar
  • 4 Besnard S, Tighilet B, Chabbert C. et al. The balance of sleep: Role of the vestibular sensory system. Sleep Med Rev 2018; 42: 220-228 DOI: 10.1016/j.smrv.2018.09.001.
    CrossrefPubMedGoogle Scholar
  • 5 Bittar RS, Lins EM. Clinical characteristics of patients with persistent postural-perceptual dizziness. Rev Bras Otorrinolaringol (Engl Ed) 2015; 81 (03) 276-282 DOI: 10.1016/j.bjorl.2014.08.012.
    CrossrefPubMedGoogle Scholar
  • 6 Goto F, Tsutumi T, Arai M, Ogawa K. [Somatic symptoms in those hospitalized for dizziness or vertigo]. Nippon Jibiinkoka Gakkai Kaiho 2010; 113 (09) 742-750
    CrossrefPubMedGoogle Scholar
  • 7 Weidt S, Bruehl AB, Straumann D, Hegemann SC, Krautstrunk G, Rufer M. Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship. BMC Health Serv Res 2014; 14: 317-326 DOI: 10.1186/1472-6963-14-317.
    CrossrefPubMedGoogle Scholar
  • 8 Wu J, Liu C, Yu H. et al. Clinical characteristics of sleep disorders in patients with vestibular migraine. Sleep Breath 2020; 24 (04) 1383-1388 DOI: 10.1007/s11325-019-01994-1.
    CrossrefPubMedGoogle Scholar
  • 9 Wang Y, Xia F, Wang W, Hu W. Assessment of sleep quality in benign paroxysmal positional vertigo recurrence. Int J Neurosci 2018; 128 (12) 1143-1149 DOI: 10.1080/00207454.2018.1486835.
    CrossrefPubMedGoogle Scholar
  • 10 Sugaya N, Arai M, Goto F. The effect of sleep disturbance in patients with chronic dizziness. Acta Otolaryngol 2017; 137 (01) 47-52 DOI: 10.1080/00016489.2016.1213418.
    CrossrefPubMedGoogle Scholar
  • 11 von Brevern M, Bertholon P, Brandt T. et al. Benign paroxysmal positional vertigo: Diagnostic criteria. J Vestib Res 2015; 25 (3-4): 105-117 DOI: 10.3233/VES-150553.
    CrossrefPubMedGoogle Scholar
  • 12 Strupp M, Mandalà M, López-Escámez JA. Peripheral vestibular disorders: an update. Curr Opin Neurol 2019; 32 (01) 165-173 DOI: 10.1097/WCO.0000000000000649.
    CrossrefPubMedGoogle Scholar
  • 13 Lopez-Escamez JA, Carey J, Chung WH. et al; Classification Committee of the Barany Society, Japan Society for Equilibrium Research, European Academy of Otology and Neurotology (EAONO), Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), Korean Balance Society. Diagnostic criteria for Menière's disease. J Vestib Res 2015; 25 (01) 1-7 DOI: 10.3233/VES-150549.
    CrossrefPubMedGoogle Scholar
  • 14 Lempert T, Olesen J, Furman J. et al. Vestibular migraine: diagnostic criteria. J Vestib Res 2012; 22 (04) 167-172 DOI: 10.3233/VES-2012-0453.
    CrossrefPubMedGoogle Scholar
  • 15 Sugaya N, Arai M, Goto F. The effect of vestibular rehabilitation on sleep disturbance in patients with chronic dizziness. Acta Otolaryngol 2017; 137 (03) 275-278 DOI: 10.1080/00016489.2016.1244859.
    CrossrefPubMedGoogle Scholar
  • 16 Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28 (02) 193-213 DOI: 10.1016/0165-1781(89)90047-4.
    Google Scholar
  • 17 Buysse DJ, Angst J, Gamma A, Ajdacic V, Eich D, Rössler W. Prevalence, course, and comorbidity of insomnia and depression in young adults. Sleep 2008; 31 (04) 473-480 DOI: 10.1093/sleep/31.4.473.
    CrossrefPubMedGoogle Scholar
  • 18 Ağargün MY, Kara H, Anlar O. The Validity and Reliability of the Pittsburgh Sleep Quality Index. The Turkish Journal of Psychiatry 1996; 7: 107-115
    Google Scholar
  • 19 Beck AT, Steer RA, Garbin MG. Psychometric Properties of The Beck Depression Inventory: Twenty-Five Years of Evaluation. Clin Psychol Rev 1988; 8: 77-100
    CrossrefGoogle Scholar
  • 20 Hisli N. Beck Depresyon Envanterinin Üniversite Öğrencileri için Geçerliği, Güvenirliği. Psikoloji Dergisi 1989; 7 (23) 3-13
    Google Scholar
  • 21 Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990; 116 (04) 424-427 DOI: 10.1001/archotol.1990.01870040046011.
    CrossrefPubMedGoogle Scholar
  • 22 Karapolat H, Eyigor S, Kirazli Y, Celebisoy N, Bilgen C, Kirazli T. Reliability, validity, and sensitivity to change of Turkish Activities-specific Balance Confidence Scale in patients with unilateral peripheral vestibular disease. Int J Rehabil Res 2010; 33 (01) 12-18 DOI: 10.1097/mrr.0b013e32832c0d72.
    CrossrefPubMedGoogle Scholar
  • 23 Ricci NA, Aratani MC, Doná F, Macedo C, Caovilla HH, Ganança FF. A systematic review about the effects of the vestibular rehabilitation in middle-age and older adults. Rev Bras Fisioter 2010; 14 (05) 361-371
    Google Scholar
  • 24 Zaiontz C. 2019. Real Statistics Resource Pack software (Release 6.8). Copyright (2013–2020)
    Google Scholar
  • 25 Kotrlik JW, Williams HA, Jabor MK. Reporting and Interpreting Effect Size in Quantitative Agricultural Education Research. J Agric Educ 2011; 52 (01) 132-142
    CrossrefGoogle Scholar
  • 26 Hair J, Hult G, Ringle C, Sarstedt M. A Primer on Partial Least Squares Structural Equation Modeling (Pls-Sem). 2017. Thousand Oaks: Sage;
    Google Scholar
  • 27 Henseler J, Ringle C, Sarsted M. A new criterion for assesing discriminant validity in variance-based structural equation modeling. J Acad Mark Sci 2015; 43: 115-135
    CrossrefGoogle Scholar
  • 28 Albayrak AS. Çoklu Doğrusal Bağlantı Halinde En Küçük Kareler Tekniğinin Alternatifi Yanlı Tahmin Teknikleri ve Bir Uygulama. Zonguldak Karaelmas Üniversitesi Sosyal Bilimler Dergisi 2005; 1 (01) 105-126
    Google Scholar
  • 29 Hsu LC, Hu HH, Wong WJ, Wang SJ, Luk YO, Chern CM. Quality of life in elderly patients with dizziness: analysis of the Short-Form Health Survey in 197 patients. Acta Otolaryngol 2005; 125 (01) 55-59 DOI: 10.1080/00016480410017512.
    CrossrefPubMedGoogle Scholar
  • 30 Yardley L, Dibb B, Osborne G. Factors associated with quality of life in Menière's disease. Clin Otolaryngol Allied Sci 2003; 28 (05) 436-441 DOI: 10.1046/j.1365-2273.2003.00740.x.
    CrossrefPubMedGoogle Scholar
  • 31 Kim SK, Kim JH, Jeon SS, Hong SM. Relationship between sleep quality and dizziness. PLoS One 2018; 13 (03) e0192705 DOI: 10.1371/journal.pone.0192705.
    CrossrefPubMedGoogle Scholar
  • 32 Konomi U, Suzuki M, Ogawa Y. et al. Assessment of Sleep Disturbance Using the Pittsburgh Sleep Quality Index in Patients with Dizziness. Equilib Res 2014; 73 (06) 502-511
    CrossrefGoogle Scholar
  • 33 Takahashi M, Odagiri K, Sato R, Wada R, Onuki J. Personal factors involved in onset or progression of Ménière's disease and low-tone sensorineural hearing loss. ORL J Otorhinolaryngol Relat Spec 2005; 67 (05) 300-304 DOI: 10.1159/000089412.
    CrossrefPubMedGoogle Scholar
  • 34 Nakayama M, Suzuki M, Inagaki A. et al. Impaired quality of sleep in Ménière's disease patients. J Clin Sleep Med 2010; 6 (05) 445-449
    CrossrefPubMedGoogle Scholar
  • 35 Kang SH, Yoon IY, Lee SD, Han JW, Kim TH, Kim KW. REM sleep behavior disorder in the Korean elderly population: prevalence and clinical characteristics. Sleep (Basel) 2013; 36 (08) 1147-1152 DOI: 10.5665/sleep.2874.
    CrossrefPubMedGoogle Scholar
  • 36 Pujol M, Pujol J, Alonso T. et al. Idiopathic REM sleep behavior disorder in the elderly Spanish community: a primary care center study with a two-stage design using video-polysomnography. Sleep Med 2017; 40: 116-121 DOI: 10.1016/j.sleep.2017.07.021.
    CrossrefPubMedGoogle Scholar
  • 37 Tian Y, Li LM. [Epidemiological study of sleep disorder in the elderly]. Zhonghua Liu Xing Bing Xue Za Zhi 2017; 38 (07) 988-992
    PubMedGoogle Scholar
  • 38 Li S, Tian L, Han Z, Wang J. Impact of postmaneuver sleep position on recurrence of benign paroxysmal positional vertigo. PLoS One 2013; 8 (12) e83566 DOI: 10.1371/Journal.Pone.0083566.
    CrossrefPubMedGoogle Scholar
  • 39 Shigeno K, Ogita H, Funabiki K. Benign paroxysmal positional vertigo and head position during sleep. J Vestib Res 2012; 22 (04) 197-203 DOI: 10.3233/VES-2012-0457.
    CrossrefPubMedGoogle Scholar
  • 40 Su P, Liu YC, Lin HC. Risk factors for the recurrence of post-semicircular canal benign paroxysmal positional vertigo after canalith repositioning. J Neurol 2016; 263 (01) 45-51 DOI: 10.1007/s00415-015-7931-0.
    CrossrefPubMedGoogle Scholar