{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T23:18:21Z","timestamp":1770333501708,"version":"3.49.0"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T00:00:00Z","timestamp":1632787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>Associations between dizziness, health\u2010related quality of life, and musculoskeletal pain have not been systematically explored in patients with vestibular disorders. Such knowledge may be important for choice of treatments. The study objectives were to examine the extent and localization of musculoskeletal pain and explore whether pain was associated with dizziness and health\u2010related quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The cross\u2010sectional study investigated anonymized data from an earlier survey on patients with long\u2010lasting dizziness (&gt;3\u00a0months) examined in an oto\u2010rhino\u2010laryngological department. The sample includes patient between 18 and 70\u00a0years with M\u00e9ni\u00e8re's disease, vestibular schwannoma, benign positional paroxysmal vertigo, vestibular neuritis, non\u2010otogenic dizziness, and cervicogenic dizziness. General musculoskeletal, that is, pain in muscles, tendons, and joints was registered by a yes\/no question. A pain drawing registered localization of pain. Multiple binary logistic regression models were used to determine the association between pain and vertigo\u2010balance and autonomic\u2010anxiety related dizziness by the short Vertigo Symptom Scale (VSS) and sub\u2010scales (VSS\u2010V, VSS\u2010A), and between pain and health\u2010related quality of life by the SF\u201036, mental and physical component summary scale (SF\u201036 MCS, SF\u201036 PCS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sample consisted of 503 patients, 60.2% were women, the median age was 50\u00a0years. General musculoskeletal pain was reported by 72.8% of patients, neck pain by 59.2% and widespread pain by 21.9%. Multiple binary logistic regression models demonstrated that all the pain measures were significantly associated with VSS\u2010V and VSS\u2010A and SF\u201036 PCS, but not SF\u201036 MCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussions<\/jats:title><jats:p>Musculoskeletal pain is prevalent in patients with long\u2010lasting dizziness. The strong associations between pain, VSS, and SF\u201036 PCS could result in a self\u2010sustaining complex condition. The findings imply that in addition to assessing and treating the vestibular symptoms, musculoskeletal symptoms and physical health should be addressed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.1923","type":"journal-article","created":{"date-parts":[[2021,9,29]],"date-time":"2021-09-29T05:25:59Z","timestamp":1632893159000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Dizziness and physical health are associated with pain in dizzy patients\u2014A cross\u2010sectional study"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7558-9540","authenticated-orcid":false,"given":"Ingvild \u00d8lfarnes","family":"Gustavsen","sequence":"first","affiliation":[{"name":"Department of Health and Functioning Faculty of Health and Social Sciences, Western Norway University of Applied Sciences  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6345-1031","authenticated-orcid":false,"given":"Kjersti","family":"Wilhelmsen","sequence":"additional","affiliation":[{"name":"Department of Health and Functioning Faculty of Health and Social Sciences, Western Norway University of Applied Sciences  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0793-3298","authenticated-orcid":false,"given":"Adam P.","family":"Goode","sequence":"additional","affiliation":[{"name":"Department of Health and Functioning Faculty of Health and Social Sciences, Western Norway University of Applied Sciences  Bergen Norway"},{"name":"Department of Orthopaedic Surgery Duke University School of Medicine  Durham North Carolina USA"},{"name":"Duke Clinical Research Institute, Duke University School of Medicine  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-7603","authenticated-orcid":false,"given":"Stein Helge Glad","family":"Nordahl","sequence":"additional","affiliation":[{"name":"Norwegian National Advisory Unit on Vestibular Disorders Department of Otorhinolaryngology\u00a0&amp; Head Neck Surgery Haukeland University Hospital  Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8022-9483","authenticated-orcid":false,"given":"Frederik Kragerud","family":"Goplen","sequence":"additional","affiliation":[{"name":"Norwegian National Advisory Unit on Vestibular Disorders Department of Otorhinolaryngology\u00a0&amp; Head Neck Surgery Haukeland University Hospital  Bergen Norway"},{"name":"Department of Clinical Medicine University of Bergen  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6340-4593","authenticated-orcid":false,"given":"Roy Miodini","family":"Nilsen","sequence":"additional","affiliation":[{"name":"Department of Health and Functioning Faculty of Health and Social Sciences, Western Norway University of Applied Sciences  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8119-7922","authenticated-orcid":false,"given":"Liv Heide","family":"Magnussen","sequence":"additional","affiliation":[{"name":"Department of Health and Functioning Faculty of Health and Social Sciences, Western Norway University of Applied Sciences  Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,9,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2015.04.010"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.1998.11746057"},{"issue":"1302","key":"e_1_2_11_4_1","first-page":"919","article-title":"The physiological basis and practical value of head exercises in the treatment of vertigo","volume":"217","author":"Dix M. 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