Abstract
To explore the possible subtypes and clinical characteristics of persistent
postural-perceptual dizziness(PPPD). Methods: A total of 106 patients diagnosed with PPPD were selected
from the Shanxi People’s Hospital between May 2023 and December 2023. General and clinical data of the
patients were collected; upon admission, questionnaires including the Niigata PPPD Questionnaire(NPQ),
Dizziness Handicap Inventory(DHI), Hospital Anxiety and Depression Scale(HADS), and State-Trait Anxiety
Inventory(STAI) were administered. Factor analysis was conducted on the scale items, followed by cluster
analysis based on the results of the factor analysis, with characteristic analysis performed for each patient group.
Results: Factor analysis revealed three factors, named active motor factor(32.82% ), visual stimulation
factor(14.80% ), and upright position factor(10.97% ). Cluster analysis identified three subtypes: visual
stimulation-dominant subtype(n=25), posture control-dominant subtype(n=24), and active motor-dominant
subtype(n=57). There were statistically significant differences in age, occupation, and family history of
headaches among the three subtypes(P<0.05). The visual stimulation-dominant subtype patients had younger
ages, with a notable family history of headache, and worked primarily as bank/supermarket clerks; the posture
control-dominant subtype mainly consisted of civil servants, teachers; while the active motor-dominant subtype
included predominantly workers, farmers. No statistically significant differences were found in other clinical
data(P>0.05). Conclusion: The most common exacerbating factor for PPPD is active movement; it can be
divided into three subtypes, each with significant characteristics in terms of age, occupation, and family history
of headaches.
Key words
persistent postural-perceptual dizziness /
subtypes /
factor analysis /
cluster analysis
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Subtypes and Clinical Features of Persistent Postural-Perceptual Dizziness[J]. Neural Injury and Functional Reconstruction. 0
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