Publications by authors named "B M Seemungal"

Background: Vestibular dysfunction causing imbalance affects c. 80% of acute hospitalized traumatic brain injury (TBI) cases. Poor balance recovery is linked to worse return-to-work rates and reduced longevity.

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Article Synopsis
  • The study aimed to investigate the experiences of patients and healthcare professionals in a clinical trial focused on managing acute post-traumatic benign paroxysmal positional vertigo (BPPV).
  • Qualitative data were collected through interviews with a purposively selected group of 15 healthcare professionals and 26 patients in London, revealing a general acceptance of BPPV diagnosis and treatment, but differing opinions on the randomization process.
  • The findings suggest that both groups find acute BPPV management feasible and acceptable, and their feedback could improve future trial designs and clinical practice guidelines.
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Article Synopsis
  • Dizziness is a common issue among older adults, particularly those in falls services, and this study investigates its link to future falls and injuries.
  • A systematic review and meta-analysis of 29 studies involving over 103,000 participants found that dizziness significantly increases the odds of any type of fall and recurrent falls.
  • However, the analysis did not show a significant connection between dizziness and injurious falls, highlighting the need for recognition and intervention regarding dizziness as a fall risk factor.
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Objective: Auditory and somatosensory prepulses are commonly used to assess prepulse inhibition (PPI). The effect of a vestibular prepulse upon blink reflex excitability has not been hitherto assessed.

Methods: Twenty-two healthy subjects and two patients with bilateral peripheral vestibular failure took part in the study.

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Peripheral vestibular activation results in multi-level responses, from brainstem-mediated reflexes (e.g. vestibular ocular reflex - VOR) to perception of self-motion.

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