Oculographic, Clinical Test of Sensory Integration and Balance and Computerized Dynamic Posturography Findings in Patients With Psoriatic Arthritis.
Identifieur interne : 000591 ( Main/Corpus ); précédent : 000590; suivant : 000592Oculographic, Clinical Test of Sensory Integration and Balance and Computerized Dynamic Posturography Findings in Patients With Psoriatic Arthritis.
Auteurs : Juan Carlos Amor-Dorado ; Maria P. Barreira-Fernandez ; Javier Llorca ; Miguel A. Gonzalez-GaySource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- complications : Arthritis, Psoriatic.
- diagnosis : Sensation Disorders.
- etiology : Sensation Disorders.
- methods : Vestibular Function Tests.
- physiology : Postural Balance.
- Adult, Aged, Female, Humans, Male, Middle Aged.
Abstract
OBJECTIVE
To assess the frequency and characteristics of the oculographic findings and the usefulness of the clinical test of sensory integration and balance (CTSIB) for the evaluation of balance in patients with psoriatic arthritis (PsA) by comparing this test with the computerized dynamic posturography (CDP).
STUDY DESIGN
A series of consecutive patients that fulfilled the Moll and Wright criteria for PsA and matched controls were studied.
SETTING
The study was performed at the Otolaryngology Division of a tertiary reference center.
INTERVENTION
Vestibular evaluation including CTSIB followed by CDP was performed to all patients and age, sex, and ethnically frequency-matched controls.
MAIN OUTCOME MEASURE
Patterns of CTSIB and CDP (gold standard) were assessed and compared.
PATIENTS
Sixty PsA patients (63.3% women) and 60 matched controls.
RESULTS
PsA patients had higher frequency of abnormal oculocephalic response (13.3%) and abnormal caloric test (26.7%) than controls (0% in both cases) (p = 0.006 and p < 0.001, respectively). Benign paroxysmal positional vertigo (BPPV) was diagnosed in two (3.4%) patients and none of the controls (p = 1). Significantly increased frequency of abnormal CTSIB test with vestibular loss pattern (33.3%) in patients compared with controls (6%) was observed (p = 0.002). Significantly increased frequency of abnormal CDP was also observed in PsA patients (14 [23.3%] versus 0 [0%] of controls) (p < 0.001). CTSIB yielded 100% sensitivity, 73% specificity, 48% positive predictive value, and 100% negative predictive value.
CONCLUSIONS
This study indicates that oculographic findings are common in PsA. CTSIB is useful for assessing balance disorder screening in the routine clinical practice in these patients.
DOI: 10.1097/MAO.0000000000001296
PubMed: 27918366
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oculographic, Clinical Test of Sensory Integration and Balance and Computerized Dynamic Posturography Findings in Patients With Psoriatic Arthritis.</title><author><name sortKey="Amor Dorado, Juan Carlos" sort="Amor Dorado, Juan Carlos" uniqKey="Amor Dorado J" first="Juan Carlos" last="Amor-Dorado">Juan Carlos Amor-Dorado</name><affiliation><nlm:affiliation>*Otolaryngology Division of Can Misses and Formentera Hospital, Balearic Islands †Otolaryngology Division, Hospital Universitario Lucus Augusti, Lugo ‡Division of Epidemiology and Computational Biology, School of Medicine, University of Cantabria, Santander, CIBER Epidemiología y Salud Pública (CIBERESP) §School of Medicine, University of Cantabria, Santander ||Rheumatology Division, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Barreira Fernandez, Maria P" sort="Barreira Fernandez, Maria P" uniqKey="Barreira Fernandez M" first="Maria P" last="Barreira-Fernandez">Maria P. Barreira-Fernandez</name></author><author><name sortKey="Llorca, Javier" sort="Llorca, Javier" uniqKey="Llorca J" first="Javier" last="Llorca">Javier Llorca</name></author><author><name sortKey="Gonzalez Gay, Miguel A" sort="Gonzalez Gay, Miguel A" uniqKey="Gonzalez Gay M" first="Miguel A" last="Gonzalez-Gay">Miguel A. Gonzalez-Gay</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27918366</idno><idno type="pmid">27918366</idno><idno type="doi">10.1097/MAO.0000000000001296</idno><idno type="wicri:Area/Main/Corpus">000591</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000591</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Oculographic, Clinical Test of Sensory Integration and Balance and Computerized Dynamic Posturography Findings in Patients With Psoriatic Arthritis.</title><author><name sortKey="Amor Dorado, Juan Carlos" sort="Amor Dorado, Juan Carlos" uniqKey="Amor Dorado J" first="Juan Carlos" last="Amor-Dorado">Juan Carlos Amor-Dorado</name><affiliation><nlm:affiliation>*Otolaryngology Division of Can Misses and Formentera Hospital, Balearic Islands †Otolaryngology Division, Hospital Universitario Lucus Augusti, Lugo ‡Division of Epidemiology and Computational Biology, School of Medicine, University of Cantabria, Santander, CIBER Epidemiología y Salud Pública (CIBERESP) §School of Medicine, University of Cantabria, Santander ||Rheumatology Division, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Barreira Fernandez, Maria P" sort="Barreira Fernandez, Maria P" uniqKey="Barreira Fernandez M" first="Maria P" last="Barreira-Fernandez">Maria P. Barreira-Fernandez</name></author><author><name sortKey="Llorca, Javier" sort="Llorca, Javier" uniqKey="Llorca J" first="Javier" last="Llorca">Javier Llorca</name></author><author><name sortKey="Gonzalez Gay, Miguel A" sort="Gonzalez Gay, Miguel A" uniqKey="Gonzalez Gay M" first="Miguel A" last="Gonzalez-Gay">Miguel A. Gonzalez-Gay</name></author></analytic><series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title><idno type="eISSN">1537-4505</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Arthritis, Psoriatic (complications)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Postural Balance (physiology)</term><term>Sensation Disorders (diagnosis)</term><term>Sensation Disorders (etiology)</term><term>Vestibular Function Tests (methods)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arthritis, Psoriatic</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To assess the frequency and characteristics of the oculographic findings and the usefulness of the clinical test of sensory integration and balance (CTSIB) for the evaluation of balance in patients with psoriatic arthritis (PsA) by comparing this test with the computerized dynamic posturography (CDP).</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>A series of consecutive patients that fulfilled the Moll and Wright criteria for PsA and matched controls were studied.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>The study was performed at the Otolaryngology Division of a tertiary reference center.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>Vestibular evaluation including CTSIB followed by CDP was performed to all patients and age, sex, and ethnically frequency-matched controls.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURE</b></p><p>Patterns of CTSIB and CDP (gold standard) were assessed and compared.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS</b></p><p>Sixty PsA patients (63.3% women) and 60 matched controls.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>PsA patients had higher frequency of abnormal oculocephalic response (13.3%) and abnormal caloric test (26.7%) than controls (0% in both cases) (p = 0.006 and p < 0.001, respectively). Benign paroxysmal positional vertigo (BPPV) was diagnosed in two (3.4%) patients and none of the controls (p = 1). Significantly increased frequency of abnormal CTSIB test with vestibular loss pattern (33.3%) in patients compared with controls (6%) was observed (p = 0.002). Significantly increased frequency of abnormal CDP was also observed in PsA patients (14 [23.3%] versus 0 [0%] of controls) (p < 0.001). CTSIB yielded 100% sensitivity, 73% specificity, 48% positive predictive value, and 100% negative predictive value.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This study indicates that oculographic findings are common in PsA. CTSIB is useful for assessing balance disorder screening in the routine clinical practice in these patients.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">27918366</PMID><DateCompleted><Year>2017</Year><Month>09</Month><Day>20</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>03</Month></PubDate></JournalIssue><Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title><ISOAbbreviation>Otol Neurotol</ISOAbbreviation></Journal><ArticleTitle>Oculographic, Clinical Test of Sensory Integration and Balance and Computerized Dynamic Posturography Findings in Patients With Psoriatic Arthritis.</ArticleTitle><Pagination><MedlinePgn>448-453</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000001296</ELocationID><Abstract><AbstractText Label="OBJECTIVE">To assess the frequency and characteristics of the oculographic findings and the usefulness of the clinical test of sensory integration and balance (CTSIB) for the evaluation of balance in patients with psoriatic arthritis (PsA) by comparing this test with the computerized dynamic posturography (CDP).</AbstractText><AbstractText Label="STUDY DESIGN">A series of consecutive patients that fulfilled the Moll and Wright criteria for PsA and matched controls were studied.</AbstractText><AbstractText Label="SETTING">The study was performed at the Otolaryngology Division of a tertiary reference center.</AbstractText><AbstractText Label="INTERVENTION">Vestibular evaluation including CTSIB followed by CDP was performed to all patients and age, sex, and ethnically frequency-matched controls.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURE">Patterns of CTSIB and CDP (gold standard) were assessed and compared.</AbstractText><AbstractText Label="PATIENTS">Sixty PsA patients (63.3% women) and 60 matched controls.</AbstractText><AbstractText Label="RESULTS">PsA patients had higher frequency of abnormal oculocephalic response (13.3%) and abnormal caloric test (26.7%) than controls (0% in both cases) (p = 0.006 and p < 0.001, respectively). Benign paroxysmal positional vertigo (BPPV) was diagnosed in two (3.4%) patients and none of the controls (p = 1). Significantly increased frequency of abnormal CTSIB test with vestibular loss pattern (33.3%) in patients compared with controls (6%) was observed (p = 0.002). Significantly increased frequency of abnormal CDP was also observed in PsA patients (14 [23.3%] versus 0 [0%] of controls) (p < 0.001). CTSIB yielded 100% sensitivity, 73% specificity, 48% positive predictive value, and 100% negative predictive value.</AbstractText><AbstractText Label="CONCLUSIONS">This study indicates that oculographic findings are common in PsA. CTSIB is useful for assessing balance disorder screening in the routine clinical practice in these patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Amor-Dorado</LastName><ForeName>Juan Carlos</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>*Otolaryngology Division of Can Misses and Formentera Hospital, Balearic Islands †Otolaryngology Division, Hospital Universitario Lucus Augusti, Lugo ‡Division of Epidemiology and Computational Biology, School of Medicine, University of Cantabria, Santander, CIBER Epidemiología y Salud Pública (CIBERESP) §School of Medicine, University of Cantabria, Santander ||Rheumatology Division, Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barreira-Fernandez</LastName><ForeName>Maria P</ForeName><Initials>MP</Initials></Author><Author ValidYN="Y"><LastName>Llorca</LastName><ForeName>Javier</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Gonzalez-Gay</LastName><ForeName>Miguel A</ForeName><Initials>MA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Otol Neurotol</MedlineTA><NlmUniqueID>100961504</NlmUniqueID><ISSNLinking>1531-7129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015535" MajorTopicYN="N">Arthritis, Psoriatic</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>12</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>12</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27918366</ArticleId><ArticleId IdType="doi">10.1097/MAO.0000000000001296</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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