Stocktaking on the development of posturography for clinical use.
Identifieur interne : 000C42 ( Main/Corpus ); précédent : 000C41; suivant : 000C43Stocktaking on the development of posturography for clinical use.
Auteurs : Herman Kingma ; Gérome C. Gauchard ; Catherine De Waele ; Christian Van Nechel ; Alexandre Bisdorff ; Alain Yelnik ; Mans Magnusson ; Philippe P. PerrinSource :
- Journal of vestibular research : equilibrium & orientation [ 1878-6464 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
Abstract
This report identifies fundamental problems to be addressed in order to build relevant clinical tests of human balance while standing. The stated purpose of these tests is identification of lesion site and/or definition of functional balance deficits in a specific patient. During a recent consensus meeting (ESCEBD), 60 researchers and experienced clinical users of posturography (14 European countries, 9 different disciplines) inventoried and critically analyzed the various methodologies of posturography currently used for clinical evaluation. To complement posturography, alternative methods of assessment of balance control were considered. The indications for the clinical use of posturography were defined as well as recommendations regarding measurement parameters, type of perturbations and signal analysis techniques to improve assessment of balance control. Consensus was reached that a force platform cannot be considered as a technique which is sufficient on its own to perform a clinically relevant test for the assessment of neuro-otological and musculo-skeletal conditions, evaluation of compensation or treatment (rehabilitation) or prediction of falls. It should be supported by complementary methods, such as segment motion analysis, body-fixed 2D or 3D accelerometer-gyroscope or electromyography. At present, no generally applicable posturography test is available with reasonable sensitivity and specificity for the diagnosis of balance disorders. Perturbation techniques are most likely needed to enhance the diagnostic yield of posturography.
DOI: 10.3233/VES-2011-0397
PubMed: 21558637
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pubmed:21558637Le document en format XML
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Gauchard</name></author><author><name sortKey="De Waele, Catherine" sort="De Waele, Catherine" uniqKey="De Waele C" first="Catherine" last="De Waele">Catherine De Waele</name></author><author><name sortKey="Van Nechel, Christian" sort="Van Nechel, Christian" uniqKey="Van Nechel C" first="Christian" last="Van Nechel">Christian Van Nechel</name></author><author><name sortKey="Bisdorff, Alexandre" sort="Bisdorff, Alexandre" uniqKey="Bisdorff A" first="Alexandre" last="Bisdorff">Alexandre Bisdorff</name></author><author><name sortKey="Yelnik, Alain" sort="Yelnik, Alain" uniqKey="Yelnik A" first="Alain" last="Yelnik">Alain Yelnik</name></author><author><name sortKey="Magnusson, Mans" sort="Magnusson, Mans" uniqKey="Magnusson M" first="Mans" last="Magnusson">Mans Magnusson</name></author><author><name sortKey="Perrin, Philippe P" sort="Perrin, Philippe P" uniqKey="Perrin P" first="Philippe P" last="Perrin">Philippe P. 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Gauchard</name></author><author><name sortKey="De Waele, Catherine" sort="De Waele, Catherine" uniqKey="De Waele C" first="Catherine" last="De Waele">Catherine De Waele</name></author><author><name sortKey="Van Nechel, Christian" sort="Van Nechel, Christian" uniqKey="Van Nechel C" first="Christian" last="Van Nechel">Christian Van Nechel</name></author><author><name sortKey="Bisdorff, Alexandre" sort="Bisdorff, Alexandre" uniqKey="Bisdorff A" first="Alexandre" last="Bisdorff">Alexandre Bisdorff</name></author><author><name sortKey="Yelnik, Alain" sort="Yelnik, Alain" uniqKey="Yelnik A" first="Alain" last="Yelnik">Alain Yelnik</name></author><author><name sortKey="Magnusson, Mans" sort="Magnusson, Mans" uniqKey="Magnusson M" first="Mans" last="Magnusson">Mans Magnusson</name></author><author><name sortKey="Perrin, Philippe P" sort="Perrin, Philippe P" uniqKey="Perrin P" first="Philippe P" last="Perrin">Philippe P. Perrin</name></author></analytic><series><title level="j">Journal of vestibular research : equilibrium & orientation</title><idno type="eISSN">1878-6464</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Electromyography (MeSH)</term><term>Humans (MeSH)</term><term>Postural Balance (MeSH)</term><term>Posture (MeSH)</term><term>Sensitivity and Specificity (MeSH)</term><term>Vestibular Function Tests (methods)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Electromyography</term><term>Humans</term><term>Postural Balance</term><term>Posture</term><term>Sensitivity and Specificity</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This report identifies fundamental problems to be addressed in order to build relevant clinical tests of human balance while standing. The stated purpose of these tests is identification of lesion site and/or definition of functional balance deficits in a specific patient. During a recent consensus meeting (ESCEBD), 60 researchers and experienced clinical users of posturography (14 European countries, 9 different disciplines) inventoried and critically analyzed the various methodologies of posturography currently used for clinical evaluation. To complement posturography, alternative methods of assessment of balance control were considered. The indications for the clinical use of posturography were defined as well as recommendations regarding measurement parameters, type of perturbations and signal analysis techniques to improve assessment of balance control. Consensus was reached that a force platform cannot be considered as a technique which is sufficient on its own to perform a clinically relevant test for the assessment of neuro-otological and musculo-skeletal conditions, evaluation of compensation or treatment (rehabilitation) or prediction of falls. It should be supported by complementary methods, such as segment motion analysis, body-fixed 2D or 3D accelerometer-gyroscope or electromyography. At present, no generally applicable posturography test is available with reasonable sensitivity and specificity for the diagnosis of balance disorders. Perturbation techniques are most likely needed to enhance the diagnostic yield of posturography.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21558637</PMID><DateCompleted><Year>2011</Year><Month>08</Month><Day>22</Day></DateCompleted><DateRevised><Year>2011</Year><Month>05</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1878-6464</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>3</Issue><PubDate><Year>2011</Year></PubDate></JournalIssue><Title>Journal of vestibular research : equilibrium & orientation</Title><ISOAbbreviation>J Vestib Res</ISOAbbreviation></Journal><ArticleTitle>Stocktaking on the development of posturography for clinical use.</ArticleTitle><Pagination><MedlinePgn>117-25</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3233/VES-2011-0397</ELocationID><Abstract><AbstractText>This report identifies fundamental problems to be addressed in order to build relevant clinical tests of human balance while standing. The stated purpose of these tests is identification of lesion site and/or definition of functional balance deficits in a specific patient. During a recent consensus meeting (ESCEBD), 60 researchers and experienced clinical users of posturography (14 European countries, 9 different disciplines) inventoried and critically analyzed the various methodologies of posturography currently used for clinical evaluation. To complement posturography, alternative methods of assessment of balance control were considered. The indications for the clinical use of posturography were defined as well as recommendations regarding measurement parameters, type of perturbations and signal analysis techniques to improve assessment of balance control. Consensus was reached that a force platform cannot be considered as a technique which is sufficient on its own to perform a clinically relevant test for the assessment of neuro-otological and musculo-skeletal conditions, evaluation of compensation or treatment (rehabilitation) or prediction of falls. It should be supported by complementary methods, such as segment motion analysis, body-fixed 2D or 3D accelerometer-gyroscope or electromyography. At present, no generally applicable posturography test is available with reasonable sensitivity and specificity for the diagnosis of balance disorders. Perturbation techniques are most likely needed to enhance the diagnostic yield of posturography.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kingma</LastName><ForeName>Herman</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Oto-Rhino-Laryngology and Head and Neck Surgery, Maastricht University Medical Centre, Maastricht, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gauchard</LastName><ForeName>Gérome C</ForeName><Initials>GC</Initials></Author><Author ValidYN="Y"><LastName>de Waele</LastName><ForeName>Catherine</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>van Nechel</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Bisdorff</LastName><ForeName>Alexandre</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Yelnik</LastName><ForeName>Alain</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Magnusson</LastName><ForeName>Mans</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Perrin</LastName><ForeName>Philippe P</ForeName><Initials>PP</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016446">Consensus Development Conference</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Vestib Res</MedlineTA><NlmUniqueID>9104163</NlmUniqueID><ISSNLinking>0957-4271</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>S</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D004576" MajorTopicYN="N">Electromyography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="Y">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName></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="entrez"><Year>2011</Year><Month>5</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>5</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21558637</ArticleId><ArticleId IdType="pii">QK43367419G0438V</ArticleId><ArticleId IdType="doi">10.3233/VES-2011-0397</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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