Computerized dynamic posturography in the objective assessment of balance in patients with intermittent claudication.
Identifieur interne : 000C96 ( Main/Corpus ); précédent : 000C95; suivant : 000C97Computerized dynamic posturography in the objective assessment of balance in patients with intermittent claudication.
Auteurs : Katherine A. Mockford ; Fayyaz A K. Mazari ; Alastair R. Jordan ; Natalie Vanicek ; Ian C. Chetter ; Patrick A. CoughlinSource :
- Annals of vascular surgery [ 1615-5947 ] ; 2011.
English descriptors
- KwdEn :
- Accidental Falls (MeSH), Aged (MeSH), Case-Control Studies (MeSH), Chi-Square Distribution (MeSH), Cues (MeSH), Diagnosis, Computer-Assisted (MeSH), England (MeSH), Fear (MeSH), Female (MeSH), Humans (MeSH), Intermittent Claudication (complications), Intermittent Claudication (diagnosis), Intermittent Claudication (physiopathology), Intermittent Claudication (psychology), Male (MeSH), Motor Activity (MeSH), Neuropsychological Tests (MeSH), Postural Balance (MeSH), Predictive Value of Tests (MeSH), Reaction Time (MeSH), Retrospective Studies (MeSH), Risk Assessment (MeSH), Risk Factors (MeSH), Vestibule, Labyrinth (physiopathology), Vision Tests (MeSH), Vision, Ocular (MeSH).
- MESH :
- geographic : England.
- complications : Intermittent Claudication.
- diagnosis : Intermittent Claudication.
- physiopathology : Intermittent Claudication, Vestibule, Labyrinth.
- psychology : Intermittent Claudication.
- Accidental Falls, Aged, Case-Control Studies, Chi-Square Distribution, Cues, Diagnosis, Computer-Assisted, Fear, Female, Humans, Male, Motor Activity, Neuropsychological Tests, Postural Balance, Predictive Value of Tests, Reaction Time, Retrospective Studies, Risk Assessment, Risk Factors, Vision Tests, Vision, Ocular.
Abstract
One-third of all elderly patients fall each year and impaired balance has been recognized as a specific risk factor. Intermittent claudication is common among the elderly population, affecting approximately 5% of the population over the age of 50. The aim of this proof-of-concept study was to assess the prevalence of impaired balance among elderly claudicants and to assess each patient's insight into their own risk of falling. A total of 58 claudicants (45 men), median age of 70 (interquartile range = 65-73) years, underwent objective balance assessment by using computerized dynamic posturography. As compared with 195 (5%) historic controls, 24 (41%) of the claudicants demonstrated abnormal balance when the Sensory Organization Test (SOT) was used. Vestibular dysfunction occurred in 52% of the claudicants. Abnormalities including somatosensory (22%), visual function (17%), and preferential reliance on inaccurate visual cues (17%) occurred less often. Prolonged Motor Control Test latency times were uncommon (n = 13) and were in most cases evenly distributed between those with normal (n = 7) and abnormal (n = 6) composite SOT scores. There was a significant difference in history of falling between claudicants with abnormal and normal SOT scores (p = 0.003), with a higher number of patients with abnormal SOT having experienced falling in the past year. However, no correlation between fear of falling and composite SOT score was found (Spearman rank correlation, r = 0.124; p = 0.381). Impaired balance, particularly secondary to vestibular problems, is very common among claudicants and may predispose to a high incidence of falls. Claudicants with abnormal balance are more likely to have a history of falls but not a fear of falling, thus potentially rendering these patients to be at a greater risk.
DOI: 10.1016/j.avsg.2010.07.021
PubMed: 20889294
Links to Exploration step
pubmed:20889294Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Computerized dynamic posturography in the objective assessment of balance in patients with intermittent claudication.</title><author><name sortKey="Mockford, Katherine A" sort="Mockford, Katherine A" uniqKey="Mockford K" first="Katherine A" last="Mockford">Katherine A. Mockford</name><affiliation><nlm:affiliation>Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, UK. katherinemockford@hotmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Mazari, Fayyaz A K" sort="Mazari, Fayyaz A K" uniqKey="Mazari F" first="Fayyaz A K" last="Mazari">Fayyaz A K. Mazari</name></author><author><name sortKey="Jordan, Alastair R" sort="Jordan, Alastair R" uniqKey="Jordan A" first="Alastair R" last="Jordan">Alastair R. Jordan</name></author><author><name sortKey="Vanicek, Natalie" sort="Vanicek, Natalie" uniqKey="Vanicek N" first="Natalie" last="Vanicek">Natalie Vanicek</name></author><author><name sortKey="Chetter, Ian C" sort="Chetter, Ian C" uniqKey="Chetter I" first="Ian C" last="Chetter">Ian C. Chetter</name></author><author><name sortKey="Coughlin, Patrick A" sort="Coughlin, Patrick A" uniqKey="Coughlin P" first="Patrick A" last="Coughlin">Patrick A. Coughlin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:20889294</idno><idno type="pmid">20889294</idno><idno type="doi">10.1016/j.avsg.2010.07.021</idno><idno type="wicri:Area/Main/Corpus">000C96</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000C96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Computerized dynamic posturography in the objective assessment of balance in patients with intermittent claudication.</title><author><name sortKey="Mockford, Katherine A" sort="Mockford, Katherine A" uniqKey="Mockford K" first="Katherine A" last="Mockford">Katherine A. Mockford</name><affiliation><nlm:affiliation>Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, UK. katherinemockford@hotmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Mazari, Fayyaz A K" sort="Mazari, Fayyaz A K" uniqKey="Mazari F" first="Fayyaz A K" last="Mazari">Fayyaz A K. Mazari</name></author><author><name sortKey="Jordan, Alastair R" sort="Jordan, Alastair R" uniqKey="Jordan A" first="Alastair R" last="Jordan">Alastair R. Jordan</name></author><author><name sortKey="Vanicek, Natalie" sort="Vanicek, Natalie" uniqKey="Vanicek N" first="Natalie" last="Vanicek">Natalie Vanicek</name></author><author><name sortKey="Chetter, Ian C" sort="Chetter, Ian C" uniqKey="Chetter I" first="Ian C" last="Chetter">Ian C. Chetter</name></author><author><name sortKey="Coughlin, Patrick A" sort="Coughlin, Patrick A" uniqKey="Coughlin P" first="Patrick A" last="Coughlin">Patrick A. Coughlin</name></author></analytic><series><title level="j">Annals of vascular surgery</title><idno type="eISSN">1615-5947</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (MeSH)</term><term>Aged (MeSH)</term><term>Case-Control Studies (MeSH)</term><term>Chi-Square Distribution (MeSH)</term><term>Cues (MeSH)</term><term>Diagnosis, Computer-Assisted (MeSH)</term><term>England (MeSH)</term><term>Fear (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Intermittent Claudication (complications)</term><term>Intermittent Claudication (diagnosis)</term><term>Intermittent Claudication (physiopathology)</term><term>Intermittent Claudication (psychology)</term><term>Male (MeSH)</term><term>Motor Activity (MeSH)</term><term>Neuropsychological Tests (MeSH)</term><term>Postural Balance (MeSH)</term><term>Predictive Value of Tests (MeSH)</term><term>Reaction Time (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk Assessment (MeSH)</term><term>Risk Factors (MeSH)</term><term>Vestibule, Labyrinth (physiopathology)</term><term>Vision Tests (MeSH)</term><term>Vision, Ocular (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>England</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Intermittent Claudication</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Intermittent Claudication</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Intermittent Claudication</term><term>Vestibule, Labyrinth</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Intermittent Claudication</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Aged</term><term>Case-Control Studies</term><term>Chi-Square Distribution</term><term>Cues</term><term>Diagnosis, Computer-Assisted</term><term>Fear</term><term>Female</term><term>Humans</term><term>Male</term><term>Motor Activity</term><term>Neuropsychological Tests</term><term>Postural Balance</term><term>Predictive Value of Tests</term><term>Reaction Time</term><term>Retrospective Studies</term><term>Risk Assessment</term><term>Risk Factors</term><term>Vision Tests</term><term>Vision, Ocular</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">One-third of all elderly patients fall each year and impaired balance has been recognized as a specific risk factor. Intermittent claudication is common among the elderly population, affecting approximately 5% of the population over the age of 50. The aim of this proof-of-concept study was to assess the prevalence of impaired balance among elderly claudicants and to assess each patient's insight into their own risk of falling. A total of 58 claudicants (45 men), median age of 70 (interquartile range = 65-73) years, underwent objective balance assessment by using computerized dynamic posturography. As compared with 195 (5%) historic controls, 24 (41%) of the claudicants demonstrated abnormal balance when the Sensory Organization Test (SOT) was used. Vestibular dysfunction occurred in 52% of the claudicants. Abnormalities including somatosensory (22%), visual function (17%), and preferential reliance on inaccurate visual cues (17%) occurred less often. Prolonged Motor Control Test latency times were uncommon (n = 13) and were in most cases evenly distributed between those with normal (n = 7) and abnormal (n = 6) composite SOT scores. There was a significant difference in history of falling between claudicants with abnormal and normal SOT scores (p = 0.003), with a higher number of patients with abnormal SOT having experienced falling in the past year. However, no correlation between fear of falling and composite SOT score was found (Spearman rank correlation, r = 0.124; p = 0.381). Impaired balance, particularly secondary to vestibular problems, is very common among claudicants and may predispose to a high incidence of falls. Claudicants with abnormal balance are more likely to have a history of falls but not a fear of falling, thus potentially rendering these patients to be at a greater risk.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20889294</PMID><DateCompleted><Year>2011</Year><Month>06</Month><Day>07</Day></DateCompleted><DateRevised><Year>2011</Year><Month>02</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1615-5947</ISSN><JournalIssue CitedMedium="Internet"><Volume>25</Volume><Issue>2</Issue><PubDate><Year>2011</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Annals of vascular surgery</Title><ISOAbbreviation>Ann Vasc Surg</ISOAbbreviation></Journal><ArticleTitle>Computerized dynamic posturography in the objective assessment of balance in patients with intermittent claudication.</ArticleTitle><Pagination><MedlinePgn>182-90</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.avsg.2010.07.021</ELocationID><Abstract><AbstractText>One-third of all elderly patients fall each year and impaired balance has been recognized as a specific risk factor. Intermittent claudication is common among the elderly population, affecting approximately 5% of the population over the age of 50. The aim of this proof-of-concept study was to assess the prevalence of impaired balance among elderly claudicants and to assess each patient's insight into their own risk of falling. A total of 58 claudicants (45 men), median age of 70 (interquartile range = 65-73) years, underwent objective balance assessment by using computerized dynamic posturography. As compared with 195 (5%) historic controls, 24 (41%) of the claudicants demonstrated abnormal balance when the Sensory Organization Test (SOT) was used. Vestibular dysfunction occurred in 52% of the claudicants. Abnormalities including somatosensory (22%), visual function (17%), and preferential reliance on inaccurate visual cues (17%) occurred less often. Prolonged Motor Control Test latency times were uncommon (n = 13) and were in most cases evenly distributed between those with normal (n = 7) and abnormal (n = 6) composite SOT scores. There was a significant difference in history of falling between claudicants with abnormal and normal SOT scores (p = 0.003), with a higher number of patients with abnormal SOT having experienced falling in the past year. However, no correlation between fear of falling and composite SOT score was found (Spearman rank correlation, r = 0.124; p = 0.381). Impaired balance, particularly secondary to vestibular problems, is very common among claudicants and may predispose to a high incidence of falls. Claudicants with abnormal balance are more likely to have a history of falls but not a fear of falling, thus potentially rendering these patients to be at a greater risk.</AbstractText><CopyrightInformation>Copyright © 2011. Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mockford</LastName><ForeName>Katherine A</ForeName><Initials>KA</Initials><AffiliationInfo><Affiliation>Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, UK. katherinemockford@hotmail.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazari</LastName><ForeName>Fayyaz A K</ForeName><Initials>FA</Initials></Author><Author ValidYN="Y"><LastName>Jordan</LastName><ForeName>Alastair R</ForeName><Initials>AR</Initials></Author><Author ValidYN="Y"><LastName>Vanicek</LastName><ForeName>Natalie</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Chetter</LastName><ForeName>Ian C</ForeName><Initials>IC</Initials></Author><Author ValidYN="Y"><LastName>Coughlin</LastName><ForeName>Patrick A</ForeName><Initials>PA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Ann Vasc Surg</MedlineTA><NlmUniqueID>8703941</NlmUniqueID><ISSNLinking>0890-5096</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="Y">Accidental Falls</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003463" MajorTopicYN="N">Cues</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003936" MajorTopicYN="Y">Diagnosis, Computer-Assisted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004739" MajorTopicYN="N" Type="Geographic">England</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005239" MajorTopicYN="N">Fear</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007383" MajorTopicYN="N">Intermittent Claudication</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009043" MajorTopicYN="N">Motor Activity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009483" MajorTopicYN="N">Neuropsychological Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011930" MajorTopicYN="N">Reaction Time</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014722" MajorTopicYN="N">Vestibule, Labyrinth</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014787" MajorTopicYN="N">Vision Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014785" MajorTopicYN="N">Vision, Ocular</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2009</Year><Month>05</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2010</Year><Month>05</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>07</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>10</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>10</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>6</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20889294</ArticleId><ArticleId IdType="pii">S0890-5096(10)00355-9</ArticleId><ArticleId IdType="doi">10.1016/j.avsg.2010.07.021</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/PosturoV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000C96 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000C96 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= PosturoV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:20889294
|texte= Computerized dynamic posturography in the objective assessment of balance in patients with intermittent claudication.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:20889294" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a PosturoV1
| This area was generated with Dilib version V0.6.37. |  |