Yes, Virginia. Dizziness and Vertigo are costly I had a Parkinson’s pt that came in this morning and had fatigue (more than usual) related to a recent onset of dizziness. He was trying to figure out why and It got me to thinking about the metabolic costs of disequilibrium. A quick pub med search found me having to try multiple search terms and all I was able to turn up was a few papers on the topic. I found that surprising, considering the prevalence of fatigue complaints with dizziness and vertigo. It makes sense to think of as proprioception is impaired (or altered), it would have a greater energy cost to get normal tasks done. I was able to turn up a few full text papers (below), and yes, the short answer is it does cost more to have impairment.  Gait Posture. 2015 Feb;41(2):646-51. doi: 10.1016/j.gaitpost.2015.01.015. Epub 2015 Jan 24.Metabolic cost of lateral stabilization during walking in people with incomplete spinal cord injury.Matsubara JH1, Wu M2, Gordon KE3. Arch Phys Med Rehabil. 2013 Nov;94(11):2255-61. doi: 10.1016/j.apmr.2013.04.022. Epub 2013 May 20.Effect of balance support on the energy cost of walking after stroke.Ijmker T1, Houdijk H, Lamoth CJ, Jarbandhan AV, Rijntjes D, Beek PJ, van der Woude LH.

Yes, Virginia. Dizziness and Vertigo are costly

I had a Parkinson’s pt that came in this morning and had fatigue (more than usual) related to a recent onset of dizziness. He was trying to figure out why and It got me to thinking about the metabolic costs of disequilibrium.

A quick pub med search found me having to try multiple search terms and all I was able to turn up was a few papers on the topic. I found that surprising, considering the prevalence of fatigue complaints with dizziness and vertigo.
It makes sense to think of as proprioception is impaired (or altered), it would have a greater energy cost to get normal tasks done. I was able to turn up a few full text papers (below), and yes, the short answer is it does cost more to have impairment. 


Gait Posture. 2015 Feb;41(2):646-51. doi: 10.1016/j.gaitpost.2015.01.015. Epub 2015 Jan 24.Metabolic cost of lateral stabilization during walking in people with incomplete spinal cord injury.Matsubara JH1, Wu M2, Gordon KE3.


Arch Phys Med Rehabil. 2013 Nov;94(11):2255-61. doi: 10.1016/j.apmr.2013.04.022. Epub 2013 May 20.Effect of balance support on the energy cost of walking after stroke.Ijmker T1, Houdijk H, Lamoth CJ, Jarbandhan AV, Rijntjes D, Beek PJ, van der Woude LH.