Imbalance: Objective measures versus subjective self-report in clinical practice.
Identifieur interne : 005119 ( Ncbi/Merge ); précédent : 005118; suivant : 005120Imbalance: Objective measures versus subjective self-report in clinical practice.
Auteurs : Elodie Chiarovano [Australie] ; Wei Wang [France] ; Pam Reynolds [Australie] ; Hamish G. Macdougall [Australie]Source :
- Gait & posture [ 1879-2219 ] ; 2018.
Abstract
Dizziness and imbalance are very common complaints in clinical practice. One of the challenges is to evaluate the 'real' risk of falls. Two tools are available: the patient's self-report and the measure of the patient's balance. We evaluated the relationship between these methods using the Dizziness Handicap Inventory (DHI) and measures of balance while visual inputs are perturbed with Virtual Reality (VR).
DOI: 10.1016/j.gaitpost.2017.10.019
PubMed: 29080510
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Electronic address: elodie.chiarovano@sydney.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Wang, Wei" sort="Wang, Wei" uniqKey="Wang W" first="Wei" last="Wang">Wei Wang</name><affiliation wicri:level="3"><nlm:affiliation>University of Paris Descartes, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>University of Paris Descartes, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Reynolds, Pam" sort="Reynolds, Pam" uniqKey="Reynolds P" first="Pam" last="Reynolds">Pam Reynolds</name><affiliation wicri:level="3"><nlm:affiliation>On-Balance Physiotherapy, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>On-Balance Physiotherapy, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Macdougall, Hamish G" sort="Macdougall, Hamish G" uniqKey="Macdougall H" first="Hamish G" last="Macdougall">Hamish G. Macdougall</name><affiliation wicri:level="4"><nlm:affiliation>School of Psychology, University of Sydney, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>School of Psychology, University of Sydney, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region><settlement type="city">Sydney</settlement></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author></analytic><series><title level="j">Gait & posture</title><idno type="eISSN">1879-2219</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dizziness and imbalance are very common complaints in clinical practice. One of the challenges is to evaluate the 'real' risk of falls. Two tools are available: the patient's self-report and the measure of the patient's balance. We evaluated the relationship between these methods using the Dizziness Handicap Inventory (DHI) and measures of balance while visual inputs are perturbed with Virtual Reality (VR).</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">29080510</PMID><DateCreated><Year>2017</Year><Month>10</Month><Day>28</Day></DateCreated><DateRevised><Year>2017</Year><Month>11</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-2219</ISSN><JournalIssue CitedMedium="Internet"><Volume>59</Volume><PubDate><Year>2018</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Gait & posture</Title><ISOAbbreviation>Gait Posture</ISOAbbreviation></Journal><ArticleTitle>Imbalance: Objective measures versus subjective self-report in clinical practice.</ArticleTitle><Pagination><MedlinePgn>217-221</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0966-6362(17)30975-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.gaitpost.2017.10.019</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Dizziness and imbalance are very common complaints in clinical practice. One of the challenges is to evaluate the 'real' risk of falls. Two tools are available: the patient's self-report and the measure of the patient's balance. We evaluated the relationship between these methods using the Dizziness Handicap Inventory (DHI) and measures of balance while visual inputs are perturbed with Virtual Reality (VR).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">90 consecutive patients underwent the DHI questionnaire and the balance test. The DHI questionnaire was used to measure the subject's perception of handicap associated with dizziness. The balance test measured the postural sway in several visual conditions: eyes open, eyes closed, and with an unpredictable visual perturbation using VR at several amplitudes of movement.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">No correlation was found between the DHI score and the balance measurement. The visual perturbations allow us to characterize patients into three groups: one group with a high DHI score who did not fall on the balance test (5.5%), one group with a low DHI score who failed eyes closed on a compliant surface (9.0%), and one group of the remaining patients (85.5%). The correlation between the DHI score and the balance performance became significant on the remaining group of patients.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Both subjective self-report and objective measure are important to characterize a patient. The use of VR visual perturbations allowed us to define three important groups of patients. VR visual perturbations provided additional information that helps explain the lack of correlation between DHI and objective test results.</AbstractText><CopyrightInformation>Copyright © 2017 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chiarovano</LastName><ForeName>Elodie</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>School of Psychology, University of Sydney, Sydney, Australia. Electronic address: elodie.chiarovano@sydney.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Wei</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>University of Paris Descartes, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reynolds</LastName><ForeName>Pam</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>On-Balance Physiotherapy, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>MacDougall</LastName><ForeName>Hamish G</ForeName><Initials>HG</Initials><AffiliationInfo><Affiliation>School of Psychology, University of Sydney, Sydney, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>10</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Gait Posture</MedlineTA><NlmUniqueID>9416830</NlmUniqueID><ISSNLinking>0966-6362</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Balance</Keyword><Keyword MajorTopicYN="N">BalanceRite</Keyword><Keyword MajorTopicYN="N">Dizziness handicap inventory (DHI)</Keyword><Keyword MajorTopicYN="N">Posture</Keyword><Keyword MajorTopicYN="N">Virtual reality (VR)</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>04</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>10</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>10</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>10</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29080510</ArticleId><ArticleId IdType="pii">S0966-6362(17)30975-X</ArticleId><ArticleId IdType="doi">10.1016/j.gaitpost.2017.10.019</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Nouvelle-Galles du Sud</li><li>Île-de-France</li></region><settlement><li>Paris</li><li>Sydney</li></settlement><orgName><li>Université de Sydney</li></orgName></list><tree><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Chiarovano, Elodie" sort="Chiarovano, Elodie" uniqKey="Chiarovano E" first="Elodie" last="Chiarovano">Elodie Chiarovano</name></region><name sortKey="Macdougall, Hamish G" sort="Macdougall, Hamish G" uniqKey="Macdougall H" first="Hamish G" last="Macdougall">Hamish G. Macdougall</name><name sortKey="Reynolds, Pam" sort="Reynolds, Pam" uniqKey="Reynolds P" first="Pam" last="Reynolds">Pam Reynolds</name></country><country name="France"><region name="Île-de-France"><name sortKey="Wang, Wei" sort="Wang, Wei" uniqKey="Wang W" first="Wei" last="Wang">Wei Wang</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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