Prevalence, etiology, and biopsychosocial risk factors of cervicogenic
dizziness in patients with neck pain: A multi-center, cross-sectional study

ABSTRACT Objectives: This study aims to investigate the prevalence, etiology, and risk factors of cervicogenic dizziness in patients with neck pain. Patients and methods: Between June 2016 and April 2018, a total of 2,361 patients (526 males, 1,835 females; mean age: 45.0±13.3 years; range, 18 to 75 years) who presented with the complaint of neck pain lasting for at least one month were included in this prospective, cross-sectional study. Data including concomitant dizziness, severity, and quality of life (QoL) impact of vertigo (via Numeric Dizziness Scale [NDS]), QoL (via Dizziness Handicap Inventory [DHI]), mobility (via Timed Up-and-Go [TUG] test), balance performance [via Berg Balance Scale [BBS]), and emotional status (via Hospital Anxiety- Depression Scale [HADS]) were recorded. Results: Dizziness was evident in 40.1% of the patients. Myofascial pain syndrome (MPS) was the most common etiology for neck pain (58.5%) and accompanied with cervicogenic dizziness in 59.7% of the patients. Female versus male sex (odds ratio [OR]: 1.641, 95% CI: 1.241 to 2.171, p=0.001), housewifery versus other occupations (OR: 1.285, 95% CI: 1.006 to 1.642, p=0.045), and lower versus higher education (OR: 1.649-2.564, p<0.001) significantly predicted the increased risk of dizziness in neck pain patients. Patient with dizziness due to MPS had lower dizziness severity scores (p=0.034) and milder impact of dizziness on QoL (p=0.005), lower DHI scores (p=0.004), shorter time to complete the TUG test (p=0.001) and higher BBS scores (p=0.001). Conclusion: Our findings suggest a significant impact of biopsychosocial factors on the likelihood and severity of dizziness and association of dizziness due to MPS with better clinical statu

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APA	VURAL M, Karan A, GEZER İ, Çalışkan A, ATAR S, yıldız aydın f, BENLİDAYI İ, GÖKŞEN A, KOLDAŞ DOĞAN Ş, KARACAN G, ERDEM R, KURT E, KESİKTAŞ F, AYDIN T, Sahin N, AYDIN Z, ORDAHAN B, türkoğlu g, REŞORLU H, DÖNER D, Yilmaz F, BERTAN H, Erdoğdu D, Karaahmet O, SONEL TUR B, MOUSTAFA E, BORMAN P, İSKENDER Ö, AY S, KURTARAN A, ŞİRZAİ H, Evcik F, ÇAPAN N, ERHAN B, ALPTEKİN k, URAL H (2021). Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. , 399 - 408. 10.5606/tftrd.2021.7983
Chicago	VURAL Meltem,Karan Ayşe,GEZER İlknur Albayrak,Çalışkan Ahmet,ATAR SEVGI,yıldız aydın filiz,BENLİDAYI İlke Coşkun,GÖKŞEN Aylin,KOLDAŞ DOĞAN Şebnem,KARACAN Gülçin,ERDEM Rana,KURT Emine Eda,KESİKTAŞ Fatma Nur,AYDIN Tuğba,Sahin Nilay,AYDIN Zafer,ORDAHAN Banu,türkoğlu gözde,REŞORLU Hatice,DÖNER Davut,Yilmaz Figen,BERTAN Hüseyin,Erdoğdu Deniz,Karaahmet Ozgur Zeliha,SONEL TUR BİRKAN,MOUSTAFA Esra,BORMAN Pınar,İSKENDER Öner,AY SAİME,KURTARAN Aydan,ŞİRZAİ Hülya,Evcik Fatma Deniz,ÇAPAN Nalan,ERHAN Belgin,ALPTEKİN kerem,URAL Halil İbrahim Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. (2021): 399 - 408. 10.5606/tftrd.2021.7983
MLA	VURAL Meltem,Karan Ayşe,GEZER İlknur Albayrak,Çalışkan Ahmet,ATAR SEVGI,yıldız aydın filiz,BENLİDAYI İlke Coşkun,GÖKŞEN Aylin,KOLDAŞ DOĞAN Şebnem,KARACAN Gülçin,ERDEM Rana,KURT Emine Eda,KESİKTAŞ Fatma Nur,AYDIN Tuğba,Sahin Nilay,AYDIN Zafer,ORDAHAN Banu,türkoğlu gözde,REŞORLU Hatice,DÖNER Davut,Yilmaz Figen,BERTAN Hüseyin,Erdoğdu Deniz,Karaahmet Ozgur Zeliha,SONEL TUR BİRKAN,MOUSTAFA Esra,BORMAN Pınar,İSKENDER Öner,AY SAİME,KURTARAN Aydan,ŞİRZAİ Hülya,Evcik Fatma Deniz,ÇAPAN Nalan,ERHAN Belgin,ALPTEKİN kerem,URAL Halil İbrahim Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. , 2021, ss.399 - 408. 10.5606/tftrd.2021.7983
AMA	VURAL M,Karan A,GEZER İ,Çalışkan A,ATAR S,yıldız aydın f,BENLİDAYI İ,GÖKŞEN A,KOLDAŞ DOĞAN Ş,KARACAN G,ERDEM R,KURT E,KESİKTAŞ F,AYDIN T,Sahin N,AYDIN Z,ORDAHAN B,türkoğlu g,REŞORLU H,DÖNER D,Yilmaz F,BERTAN H,Erdoğdu D,Karaahmet O,SONEL TUR B,MOUSTAFA E,BORMAN P,İSKENDER Ö,AY S,KURTARAN A,ŞİRZAİ H,Evcik F,ÇAPAN N,ERHAN B,ALPTEKİN k,URAL H Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. . 2021; 399 - 408. 10.5606/tftrd.2021.7983
Vancouver	VURAL M,Karan A,GEZER İ,Çalışkan A,ATAR S,yıldız aydın f,BENLİDAYI İ,GÖKŞEN A,KOLDAŞ DOĞAN Ş,KARACAN G,ERDEM R,KURT E,KESİKTAŞ F,AYDIN T,Sahin N,AYDIN Z,ORDAHAN B,türkoğlu g,REŞORLU H,DÖNER D,Yilmaz F,BERTAN H,Erdoğdu D,Karaahmet O,SONEL TUR B,MOUSTAFA E,BORMAN P,İSKENDER Ö,AY S,KURTARAN A,ŞİRZAİ H,Evcik F,ÇAPAN N,ERHAN B,ALPTEKİN k,URAL H Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. . 2021; 399 - 408. 10.5606/tftrd.2021.7983
IEEE	VURAL M,Karan A,GEZER İ,Çalışkan A,ATAR S,yıldız aydın f,BENLİDAYI İ,GÖKŞEN A,KOLDAŞ DOĞAN Ş,KARACAN G,ERDEM R,KURT E,KESİKTAŞ F,AYDIN T,Sahin N,AYDIN Z,ORDAHAN B,türkoğlu g,REŞORLU H,DÖNER D,Yilmaz F,BERTAN H,Erdoğdu D,Karaahmet O,SONEL TUR B,MOUSTAFA E,BORMAN P,İSKENDER Ö,AY S,KURTARAN A,ŞİRZAİ H,Evcik F,ÇAPAN N,ERHAN B,ALPTEKİN k,URAL H "Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study." , ss.399 - 408, 2021. 10.5606/tftrd.2021.7983
ISNAD	VURAL, Meltem vd. "Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study". (2021), 399-408. https://doi.org/10.5606/tftrd.2021.7983

APA	VURAL M, Karan A, GEZER İ, Çalışkan A, ATAR S, yıldız aydın f, BENLİDAYI İ, GÖKŞEN A, KOLDAŞ DOĞAN Ş, KARACAN G, ERDEM R, KURT E, KESİKTAŞ F, AYDIN T, Sahin N, AYDIN Z, ORDAHAN B, türkoğlu g, REŞORLU H, DÖNER D, Yilmaz F, BERTAN H, Erdoğdu D, Karaahmet O, SONEL TUR B, MOUSTAFA E, BORMAN P, İSKENDER Ö, AY S, KURTARAN A, ŞİRZAİ H, Evcik F, ÇAPAN N, ERHAN B, ALPTEKİN k, URAL H (2021). Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. Turkish Journal of Physical Medicine and Rehabilitation, 67(4), 399 - 408. 10.5606/tftrd.2021.7983
Chicago	VURAL Meltem,Karan Ayşe,GEZER İlknur Albayrak,Çalışkan Ahmet,ATAR SEVGI,yıldız aydın filiz,BENLİDAYI İlke Coşkun,GÖKŞEN Aylin,KOLDAŞ DOĞAN Şebnem,KARACAN Gülçin,ERDEM Rana,KURT Emine Eda,KESİKTAŞ Fatma Nur,AYDIN Tuğba,Sahin Nilay,AYDIN Zafer,ORDAHAN Banu,türkoğlu gözde,REŞORLU Hatice,DÖNER Davut,Yilmaz Figen,BERTAN Hüseyin,Erdoğdu Deniz,Karaahmet Ozgur Zeliha,SONEL TUR BİRKAN,MOUSTAFA Esra,BORMAN Pınar,İSKENDER Öner,AY SAİME,KURTARAN Aydan,ŞİRZAİ Hülya,Evcik Fatma Deniz,ÇAPAN Nalan,ERHAN Belgin,ALPTEKİN kerem,URAL Halil İbrahim Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. Turkish Journal of Physical Medicine and Rehabilitation 67, no.4 (2021): 399 - 408. 10.5606/tftrd.2021.7983
MLA	VURAL Meltem,Karan Ayşe,GEZER İlknur Albayrak,Çalışkan Ahmet,ATAR SEVGI,yıldız aydın filiz,BENLİDAYI İlke Coşkun,GÖKŞEN Aylin,KOLDAŞ DOĞAN Şebnem,KARACAN Gülçin,ERDEM Rana,KURT Emine Eda,KESİKTAŞ Fatma Nur,AYDIN Tuğba,Sahin Nilay,AYDIN Zafer,ORDAHAN Banu,türkoğlu gözde,REŞORLU Hatice,DÖNER Davut,Yilmaz Figen,BERTAN Hüseyin,Erdoğdu Deniz,Karaahmet Ozgur Zeliha,SONEL TUR BİRKAN,MOUSTAFA Esra,BORMAN Pınar,İSKENDER Öner,AY SAİME,KURTARAN Aydan,ŞİRZAİ Hülya,Evcik Fatma Deniz,ÇAPAN Nalan,ERHAN Belgin,ALPTEKİN kerem,URAL Halil İbrahim Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. Turkish Journal of Physical Medicine and Rehabilitation, vol.67, no.4, 2021, ss.399 - 408. 10.5606/tftrd.2021.7983
AMA	VURAL M,Karan A,GEZER İ,Çalışkan A,ATAR S,yıldız aydın f,BENLİDAYI İ,GÖKŞEN A,KOLDAŞ DOĞAN Ş,KARACAN G,ERDEM R,KURT E,KESİKTAŞ F,AYDIN T,Sahin N,AYDIN Z,ORDAHAN B,türkoğlu g,REŞORLU H,DÖNER D,Yilmaz F,BERTAN H,Erdoğdu D,Karaahmet O,SONEL TUR B,MOUSTAFA E,BORMAN P,İSKENDER Ö,AY S,KURTARAN A,ŞİRZAİ H,Evcik F,ÇAPAN N,ERHAN B,ALPTEKİN k,URAL H Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(4): 399 - 408. 10.5606/tftrd.2021.7983
Vancouver	VURAL M,Karan A,GEZER İ,Çalışkan A,ATAR S,yıldız aydın f,BENLİDAYI İ,GÖKŞEN A,KOLDAŞ DOĞAN Ş,KARACAN G,ERDEM R,KURT E,KESİKTAŞ F,AYDIN T,Sahin N,AYDIN Z,ORDAHAN B,türkoğlu g,REŞORLU H,DÖNER D,Yilmaz F,BERTAN H,Erdoğdu D,Karaahmet O,SONEL TUR B,MOUSTAFA E,BORMAN P,İSKENDER Ö,AY S,KURTARAN A,ŞİRZAİ H,Evcik F,ÇAPAN N,ERHAN B,ALPTEKİN k,URAL H Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(4): 399 - 408. 10.5606/tftrd.2021.7983
IEEE	VURAL M,Karan A,GEZER İ,Çalışkan A,ATAR S,yıldız aydın f,BENLİDAYI İ,GÖKŞEN A,KOLDAŞ DOĞAN Ş,KARACAN G,ERDEM R,KURT E,KESİKTAŞ F,AYDIN T,Sahin N,AYDIN Z,ORDAHAN B,türkoğlu g,REŞORLU H,DÖNER D,Yilmaz F,BERTAN H,Erdoğdu D,Karaahmet O,SONEL TUR B,MOUSTAFA E,BORMAN P,İSKENDER Ö,AY S,KURTARAN A,ŞİRZAİ H,Evcik F,ÇAPAN N,ERHAN B,ALPTEKİN k,URAL H "Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study." Turkish Journal of Physical Medicine and Rehabilitation, 67, ss.399 - 408, 2021. 10.5606/tftrd.2021.7983
ISNAD	VURAL, Meltem vd. "Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study". Turkish Journal of Physical Medicine and Rehabilitation 67/4 (2021), 399-408. https://doi.org/10.5606/tftrd.2021.7983