Impairments in Postural Control and Retest Reliability of Dynamic Posturographic Measures After Lung Transplantation.
Identifieur interne : 000311 ( Main/Curation ); précédent : 000310; suivant : 000312Impairments in Postural Control and Retest Reliability of Dynamic Posturographic Measures After Lung Transplantation.
Auteurs : Gerold Ebenbichler ; Stephan Doblhammer ; Melanie Pachner ; Richard Habenicht ; Thomas Kienbacher ; Patrick Mair ; Erika Zemková ; Zuzana Hirjaková ; Peter Jaksch ; Walter KlepetkoSource :
- American journal of physical medicine & rehabilitation [ 1537-7385 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Examen neurologique (méthodes), Examen physique (méthodes), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Posture (MeSH), Transplantation pulmonaire (effets indésirables), Transplantation pulmonaire (rééducation et réadaptation), Troubles somatosensoriels (rééducation et réadaptation), Troubles somatosensoriels (étiologie), Équilibre postural (MeSH), Études de suivi (MeSH), Études prospectives (MeSH).
- MESH :
- effets indésirables : Transplantation pulmonaire.
- méthodes : Examen neurologique, Examen physique.
- rééducation et réadaptation : Transplantation pulmonaire, Troubles somatosensoriels.
- étiologie : Troubles somatosensoriels.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Posture, Équilibre postural, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Lung Transplantation (adverse effects), Lung Transplantation (rehabilitation), Male (MeSH), Middle Aged (MeSH), Neurologic Examination (methods), Physical Examination (methods), Postural Balance (MeSH), Posture (MeSH), Prospective Studies (MeSH), Somatosensory Disorders (etiology), Somatosensory Disorders (rehabilitation).
- MESH :
- adverse effects : Lung Transplantation.
- etiology : Somatosensory Disorders.
- methods : Neurologic Examination, Physical Examination.
- rehabilitation : Lung Transplantation, Somatosensory Disorders.
- Female, Follow-Up Studies, Humans, Male, Middle Aged, Postural Balance, Posture, Prospective Studies.
Abstract
OBJECTIVES
The aims of the study were to classify impairments in postural control using computerized posturography in lung transplant recipients undergoing subacute rehabilitation and to examine the retest reliability of these measures.
METHODS
In a prospective repeated-measures study, 50 lung transplant recipients underwent clinical and quantitative posturographic testing (SMART EquiTest), which included the sensory organization test, motor control test, and limits of stability test. Testing was repeated after 1 to 2 days and upon completion of rehabilitation, 2 mos later. Main outcome measures were the following: sensory organization test-composite score, motor control test-latency and amplitude scaling, limits of stability test-movement velocity, and endpoint excursion/maximum excursion.
RESULTS
At the beginning of rehabilitation, the mean sensory organization test-composite score and limits of stability test, but not the motor control test scores, were below normative reference values and and did not return to normal after rehabilitation. Intraclass correlation coefficients(2,1) yielded excellent relative reliability for all posturographic tests. The smallest detectable differences observed for the sensory organization test and limits of stability test exceeded the mean changes observed upon completion of rehabilitation.
CONCLUSIONS
Impairments in sensory and anticipatory postural control were insufficiently restored after subacute lung transplantation rehabilitation. The little sensitivity of the sensory organization test-composite score or limits of stability test scores to detect a minimal change in performance due to rehabilitation limits the clinical applicability of these tests as objective outcome measures in lung transplantation rehabilitation.
DOI: 10.1097/PHM.0000000000001095
PubMed: 30422827
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Gerold Ebenbichler<affiliation><nlm:affiliation>From the Department of Physical Medicine, Rehabilitation and Occupational Medicine, Vienna Medical University, Vienna, Austria (GE, SD, MP); Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria (RH, TK); Department of Psychology, Harvard University, Cambridge, Massachusetts (PM); Department of Sports Kinanthropology, Faculty of Physical Education and Sport, Comenius University in Bratislava, Slovakia (EZ); Institute of Normal and Pathological Physiology, Centre of Experimental Medicine, Slovak Academy of Sciences, Bratislava, Slovakia (ZH); and Department of Thoracic Surgery, Vienna Medical University, Vienna, Austria (PJ, WK).</nlm:affiliation><wicri:noCountry code="subField">WK)</wicri:noCountry></affiliation>Le document en format XML
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Medical University, Vienna, Austria (PJ, WK).</nlm:affiliation><wicri:noCountry code="subField">WK)</wicri:noCountry></affiliation></author><author><name sortKey="Doblhammer, Stephan" sort="Doblhammer, Stephan" uniqKey="Doblhammer S" first="Stephan" last="Doblhammer">Stephan Doblhammer</name></author><author><name sortKey="Pachner, Melanie" sort="Pachner, Melanie" uniqKey="Pachner M" first="Melanie" last="Pachner">Melanie Pachner</name></author><author><name sortKey="Habenicht, Richard" sort="Habenicht, Richard" uniqKey="Habenicht R" first="Richard" last="Habenicht">Richard Habenicht</name></author><author><name sortKey="Kienbacher, Thomas" sort="Kienbacher, Thomas" uniqKey="Kienbacher T" first="Thomas" last="Kienbacher">Thomas Kienbacher</name></author><author><name sortKey="Mair, Patrick" sort="Mair, Patrick" uniqKey="Mair P" first="Patrick" last="Mair">Patrick Mair</name></author><author><name sortKey="Zemkova, Erika" sort="Zemkova, Erika" uniqKey="Zemkova E" first="Erika" 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wicri:step="Curation">000311</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Impairments in Postural Control and Retest Reliability of Dynamic Posturographic Measures After Lung Transplantation.</title><author><name sortKey="Ebenbichler, Gerold" sort="Ebenbichler, Gerold" uniqKey="Ebenbichler G" first="Gerold" last="Ebenbichler">Gerold Ebenbichler</name><affiliation><nlm:affiliation>From the Department of Physical Medicine, Rehabilitation and Occupational Medicine, Vienna Medical University, Vienna, Austria (GE, SD, MP); Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria (RH, TK); Department of Psychology, Harvard University, Cambridge, Massachusetts (PM); Department of Sports Kinanthropology, Faculty of Physical Education and Sport, Comenius University in Bratislava, Slovakia (EZ); Institute of Normal and Pathological Physiology, Centre of Experimental Medicine, Slovak Academy of Sciences, Bratislava, Slovakia (ZH); and Department of Thoracic Surgery, Vienna Medical University, Vienna, Austria (PJ, WK).</nlm:affiliation><wicri:noCountry code="subField">WK)</wicri:noCountry></affiliation></author><author><name sortKey="Doblhammer, Stephan" sort="Doblhammer, Stephan" uniqKey="Doblhammer S" first="Stephan" last="Doblhammer">Stephan Doblhammer</name></author><author><name sortKey="Pachner, Melanie" sort="Pachner, Melanie" uniqKey="Pachner M" first="Melanie" last="Pachner">Melanie Pachner</name></author><author><name sortKey="Habenicht, Richard" sort="Habenicht, Richard" uniqKey="Habenicht R" first="Richard" last="Habenicht">Richard Habenicht</name></author><author><name sortKey="Kienbacher, Thomas" sort="Kienbacher, Thomas" uniqKey="Kienbacher T" first="Thomas" last="Kienbacher">Thomas Kienbacher</name></author><author><name sortKey="Mair, Patrick" sort="Mair, Patrick" uniqKey="Mair P" first="Patrick" last="Mair">Patrick Mair</name></author><author><name sortKey="Zemkova, Erika" sort="Zemkova, Erika" uniqKey="Zemkova E" first="Erika" last="Zemková">Erika Zemková</name></author><author><name sortKey="Hirjakova, Zuzana" sort="Hirjakova, Zuzana" uniqKey="Hirjakova Z" first="Zuzana" last="Hirjaková">Zuzana Hirjaková</name></author><author><name sortKey="Jaksch, Peter" sort="Jaksch, Peter" uniqKey="Jaksch P" first="Peter" last="Jaksch">Peter Jaksch</name></author><author><name sortKey="Klepetko, Walter" sort="Klepetko, Walter" uniqKey="Klepetko W" first="Walter" last="Klepetko">Walter Klepetko</name></author></analytic><series><title level="j">American journal of physical medicine & rehabilitation</title><idno type="eISSN">1537-7385</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Lung Transplantation (adverse effects)</term><term>Lung Transplantation (rehabilitation)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Neurologic Examination (methods)</term><term>Physical Examination (methods)</term><term>Postural Balance (MeSH)</term><term>Posture (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Somatosensory Disorders (etiology)</term><term>Somatosensory Disorders (rehabilitation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Examen neurologique (méthodes)</term><term>Examen physique (méthodes)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mâle (MeSH)</term><term>Posture (MeSH)</term><term>Transplantation pulmonaire (effets indésirables)</term><term>Transplantation pulmonaire (rééducation et réadaptation)</term><term>Troubles somatosensoriels (rééducation et réadaptation)</term><term>Troubles somatosensoriels (étiologie)</term><term>Équilibre postural (MeSH)</term><term>Études de suivi (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lung Transplantation</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Transplantation pulmonaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Somatosensory Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neurologic Examination</term><term>Physical Examination</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Examen neurologique</term><term>Examen physique</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Lung Transplantation</term><term>Somatosensory Disorders</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Transplantation pulmonaire</term><term>Troubles somatosensoriels</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Troubles somatosensoriels</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Postural Balance</term><term>Posture</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Posture</term><term>Équilibre postural</term><term>Études de suivi</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>The aims of the study were to classify impairments in postural control using computerized posturography in lung transplant recipients undergoing subacute rehabilitation and to examine the retest reliability of these measures.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>In a prospective repeated-measures study, 50 lung transplant recipients underwent clinical and quantitative posturographic testing (SMART EquiTest), which included the sensory organization test, motor control test, and limits of stability test. Testing was repeated after 1 to 2 days and upon completion of rehabilitation, 2 mos later. Main outcome measures were the following: sensory organization test-composite score, motor control test-latency and amplitude scaling, limits of stability test-movement velocity, and endpoint excursion/maximum excursion.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>At the beginning of rehabilitation, the mean sensory organization test-composite score and limits of stability test, but not the motor control test scores, were below normative reference values and and did not return to normal after rehabilitation. Intraclass correlation coefficients(2,1) yielded excellent relative reliability for all posturographic tests. The smallest detectable differences observed for the sensory organization test and limits of stability test exceeded the mean changes observed upon completion of rehabilitation.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Impairments in sensory and anticipatory postural control were insufficiently restored after subacute lung transplantation rehabilitation. The little sensitivity of the sensory organization test-composite score or limits of stability test scores to detect a minimal change in performance due to rehabilitation limits the clinical applicability of these tests as objective outcome measures in lung transplantation rehabilitation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30422827</PMID><DateCompleted><Year>2020</Year><Month>02</Month><Day>10</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-7385</ISSN><JournalIssue CitedMedium="Internet"><Volume>98</Volume><Issue>5</Issue><PubDate><Year>2019</Year><Month>05</Month></PubDate></JournalIssue><Title>American journal of physical medicine & rehabilitation</Title><ISOAbbreviation>Am J Phys Med Rehabil</ISOAbbreviation></Journal><ArticleTitle>Impairments in Postural Control and Retest Reliability of Dynamic Posturographic Measures After Lung Transplantation.</ArticleTitle><Pagination><MedlinePgn>353-359</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/PHM.0000000000001095</ELocationID><Abstract><AbstractText Label="OBJECTIVES">The aims of the study were to classify impairments in postural control using computerized posturography in lung transplant recipients undergoing subacute rehabilitation and to examine the retest reliability of these measures.</AbstractText><AbstractText Label="METHODS">In a prospective repeated-measures study, 50 lung transplant recipients underwent clinical and quantitative posturographic testing (SMART EquiTest), which included the sensory organization test, motor control test, and limits of stability test. Testing was repeated after 1 to 2 days and upon completion of rehabilitation, 2 mos later. Main outcome measures were the following: sensory organization test-composite score, motor control test-latency and amplitude scaling, limits of stability test-movement velocity, and endpoint excursion/maximum excursion.</AbstractText><AbstractText Label="RESULTS">At the beginning of rehabilitation, the mean sensory organization test-composite score and limits of stability test, but not the motor control test scores, were below normative reference values and and did not return to normal after rehabilitation. Intraclass correlation coefficients(2,1) yielded excellent relative reliability for all posturographic tests. The smallest detectable differences observed for the sensory organization test and limits of stability test exceeded the mean changes observed upon completion of rehabilitation.</AbstractText><AbstractText Label="CONCLUSIONS">Impairments in sensory and anticipatory postural control were insufficiently restored after subacute lung transplantation rehabilitation. The little sensitivity of the sensory organization test-composite score or limits of stability test scores to detect a minimal change in performance due to rehabilitation limits the clinical applicability of these tests as objective outcome measures in lung transplantation rehabilitation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ebenbichler</LastName><ForeName>Gerold</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>From the Department of Physical Medicine, Rehabilitation and Occupational Medicine, Vienna Medical University, Vienna, Austria (GE, SD, MP); Karl Landsteiner Institute of Outpatient Rehabilitation Research, Vienna, Austria (RH, TK); Department of Psychology, Harvard University, Cambridge, Massachusetts (PM); Department of Sports Kinanthropology, Faculty of Physical Education and Sport, Comenius University in Bratislava, Slovakia (EZ); Institute of Normal and Pathological Physiology, Centre of Experimental Medicine, Slovak Academy of Sciences, Bratislava, Slovakia (ZH); and Department of Thoracic Surgery, Vienna Medical University, Vienna, Austria (PJ, WK).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Doblhammer</LastName><ForeName>Stephan</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Pachner</LastName><ForeName>Melanie</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Habenicht</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Kienbacher</LastName><ForeName>Thomas</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Mair</LastName><ForeName>Patrick</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Zemková</LastName><ForeName>Erika</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Hirjaková</LastName><ForeName>Zuzana</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Jaksch</LastName><ForeName>Peter</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Klepetko</LastName><ForeName>Walter</ForeName><Initials>W</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>United States</Country><MedlineTA>Am J Phys Med Rehabil</MedlineTA><NlmUniqueID>8803677</NlmUniqueID><ISSNLinking>0894-9115</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016040" MajorTopicYN="N">Lung Transplantation</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009460" MajorTopicYN="N">Neurologic Examination</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010808" MajorTopicYN="N">Physical Examination</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020886" MajorTopicYN="N">Somatosensory Disorders</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>11</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>2</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>11</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30422827</ArticleId><ArticleId IdType="doi">10.1097/PHM.0000000000001095</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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