Measurements of Trunk Sway for Stance and Gait Tasks 2 Years after Vestibular Neurectomy.
Identifieur interne : 000389 ( Main/Exploration ); précédent : 000388; suivant : 000390Measurements of Trunk Sway for Stance and Gait Tasks 2 Years after Vestibular Neurectomy.
Auteurs : Dominique Vibert [Suisse] ; John H J. Allum [Suisse] ; Martin Kompis [Suisse] ; Simona Wiedmer [Suisse] ; Christof Stieger [Suisse] ; Rudolf H Usler [Suisse] ; Marco Caversaccio [Suisse]Source :
- Audiology & neuro-otology [ 1421-9700 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- chirurgie : Maladie de Ménière.
- physiologie : Démarche, Équilibre postural.
- physiopathologie : Maladie de Ménière.
- Adulte, Adulte d'âge moyen, Dénervation, Femelle, Humains, Mâle, Sujet âgé, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- physiology : Gait, Postural Balance.
- physiopathology : Meniere Disease.
- surgery : Meniere Disease.
- Adult, Aged, Denervation, Female, Follow-Up Studies, Humans, Male, Middle Aged.
Abstract
The aim of this study was to investigate changes in balance control for stance and gait tasks in patients 2 years before and after vestibular neurectomy (VN) performed to alleviate intractable Meniere's disease. Amplitudes of trunk sway in roll and pitch directions were measured for stance and gait tasks in 19 patients using gyroscopes mounted at the lower-back. Measurements before VN and 2 years later were compared to those of healthy age-matched controls (HC). We also examined if changes in trunk sway amplitudes were correlated with patients' subjective assessment of disability using the AAO-HNS scale. For patients with low AAO-HNS scores 0-2 (n = 14), trunk roll and pitch sway velocities, standing eyes closed on foam, increased 2 years post VN compared to HC values (p < 0.01). Trunk sway amplitudes remained at levels of HC for simple gait tasks, but task durations were longer and therefore gait slower. For complex gait tasks (stairs), balance control remained impaired at 2 years. In patients with AAO-HNS high scores level 6 (n = 5), balance control remained abnormal, compared to HC, 2 years postoperatively for all stance, several simple and all complex gait tasks. Trunk sway in the pitch and roll directions for stance tasks was correlated with clinical (AAO-HNS) scores (p ≤ 0.05). These results indicate that VN leads to chronic balance problems for stance and complex gait tasks. The problems are greater for patients with high compared to low AAO-HNS scores, thereby explaining the different symptoms reported by these patients. The lack of balance recovery in VN patients to levels of HCs after 2 years contrasts with the 3 months average recovery period for acute vestibular neuritis patients and is indicative of the effects of neurectomy on central compensation processes.
DOI: 10.1159/000494965
PubMed: 30541000
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Allum</name><affiliation wicri:level="1"><nlm:affiliation>Division of Audiology and Neurootology, Department of ORL, University of Basel Hospital, Basel, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Audiology and Neurootology, Department of ORL, University of Basel Hospital, Basel</wicri:regionArea><wicri:noRegion>Basel</wicri:noRegion></affiliation></author><author><name sortKey="Kompis, Martin" sort="Kompis, Martin" uniqKey="Kompis M" first="Martin" last="Kompis">Martin Kompis</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author><author><name sortKey="Wiedmer, Simona" sort="Wiedmer, Simona" uniqKey="Wiedmer S" first="Simona" last="Wiedmer">Simona Wiedmer</name><affiliation wicri:level="4"><nlm:affiliation>ARTORG Center for Artificial Hearing Research, University of Bern, Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>ARTORG Center for Artificial Hearing Research, University of Bern, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName><orgName type="university">Université de Berne</orgName></affiliation></author><author><name sortKey="Stieger, Christof" sort="Stieger, Christof" uniqKey="Stieger C" first="Christof" last="Stieger">Christof Stieger</name><affiliation wicri:level="4"><nlm:affiliation>ARTORG Center for Artificial Hearing Research, University of Bern, Bern, 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Berne</region></placeName></affiliation></author><author><name sortKey="Caversaccio, Marco" sort="Caversaccio, Marco" uniqKey="Caversaccio M" first="Marco" last="Caversaccio">Marco Caversaccio</name><affiliation wicri:level="3"><nlm:affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern</wicri:regionArea><placeName><settlement type="city">Berne</settlement><region type="région" nuts="3">Canton de Berne</region></placeName></affiliation></author></analytic><series><title level="j">Audiology & neuro-otology</title><idno type="eISSN">1421-9700</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Denervation (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Gait (physiology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Meniere Disease (physiopathology)</term><term>Meniere Disease (surgery)</term><term>Middle Aged (MeSH)</term><term>Postural Balance (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Démarche (physiologie)</term><term>Dénervation (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladie de Ménière (chirurgie)</term><term>Maladie de Ménière (physiopathologie)</term><term>Mâle (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Équilibre postural (physiologie)</term><term>Études de suivi (MeSH)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Maladie de Ménière</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Démarche</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Gait</term><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladie de Ménière</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Meniere Disease</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Meniere Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Denervation</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dénervation</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this study was to investigate changes in balance control for stance and gait tasks in patients 2 years before and after vestibular neurectomy (VN) performed to alleviate intractable Meniere's disease. Amplitudes of trunk sway in roll and pitch directions were measured for stance and gait tasks in 19 patients using gyroscopes mounted at the lower-back. Measurements before VN and 2 years later were compared to those of healthy age-matched controls (HC). We also examined if changes in trunk sway amplitudes were correlated with patients' subjective assessment of disability using the AAO-HNS scale. For patients with low AAO-HNS scores 0-2 (n = 14), trunk roll and pitch sway velocities, standing eyes closed on foam, increased 2 years post VN compared to HC values (p < 0.01). Trunk sway amplitudes remained at levels of HC for simple gait tasks, but task durations were longer and therefore gait slower. For complex gait tasks (stairs), balance control remained impaired at 2 years. In patients with AAO-HNS high scores level 6 (n = 5), balance control remained abnormal, compared to HC, 2 years postoperatively for all stance, several simple and all complex gait tasks. Trunk sway in the pitch and roll directions for stance tasks was correlated with clinical (AAO-HNS) scores (p ≤ 0.05). These results indicate that VN leads to chronic balance problems for stance and complex gait tasks. The problems are greater for patients with high compared to low AAO-HNS scores, thereby explaining the different symptoms reported by these patients. The lack of balance recovery in VN patients to levels of HCs after 2 years contrasts with the 3 months average recovery period for acute vestibular neuritis patients and is indicative of the effects of neurectomy on central compensation processes.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30541000</PMID><DateCompleted><Year>2019</Year><Month>09</Month><Day>09</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1421-9700</ISSN><JournalIssue CitedMedium="Internet"><Volume>23</Volume><Issue>5</Issue><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Audiology & neuro-otology</Title><ISOAbbreviation>Audiol Neurootol</ISOAbbreviation></Journal><ArticleTitle>Measurements of Trunk Sway for Stance and Gait Tasks 2 Years after Vestibular Neurectomy.</ArticleTitle><Pagination><MedlinePgn>298-308</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1159/000494965</ELocationID><Abstract><AbstractText>The aim of this study was to investigate changes in balance control for stance and gait tasks in patients 2 years before and after vestibular neurectomy (VN) performed to alleviate intractable Meniere's disease. Amplitudes of trunk sway in roll and pitch directions were measured for stance and gait tasks in 19 patients using gyroscopes mounted at the lower-back. Measurements before VN and 2 years later were compared to those of healthy age-matched controls (HC). We also examined if changes in trunk sway amplitudes were correlated with patients' subjective assessment of disability using the AAO-HNS scale. For patients with low AAO-HNS scores 0-2 (n = 14), trunk roll and pitch sway velocities, standing eyes closed on foam, increased 2 years post VN compared to HC values (p < 0.01). Trunk sway amplitudes remained at levels of HC for simple gait tasks, but task durations were longer and therefore gait slower. For complex gait tasks (stairs), balance control remained impaired at 2 years. In patients with AAO-HNS high scores level 6 (n = 5), balance control remained abnormal, compared to HC, 2 years postoperatively for all stance, several simple and all complex gait tasks. Trunk sway in the pitch and roll directions for stance tasks was correlated with clinical (AAO-HNS) scores (p ≤ 0.05). These results indicate that VN leads to chronic balance problems for stance and complex gait tasks. The problems are greater for patients with high compared to low AAO-HNS scores, thereby explaining the different symptoms reported by these patients. The lack of balance recovery in VN patients to levels of HCs after 2 years contrasts with the 3 months average recovery period for acute vestibular neuritis patients and is indicative of the effects of neurectomy on central compensation processes.</AbstractText><CopyrightInformation>© 2018 S. Karger AG, Basel.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vibert</LastName><ForeName>Dominique</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland, dominique.vibert@insel.ch.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Allum</LastName><ForeName>John H J</ForeName><Initials>JHJ</Initials><AffiliationInfo><Affiliation>Division of Audiology and Neurootology, Department of ORL, University of Basel Hospital, Basel, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kompis</LastName><ForeName>Martin</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wiedmer</LastName><ForeName>Simona</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>ARTORG Center for Artificial Hearing Research, University of Bern, Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stieger</LastName><ForeName>Christof</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>ARTORG Center for Artificial Hearing Research, University of Bern, Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Häusler</LastName><ForeName>Rudolf</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Caversaccio</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>12</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Audiol Neurootol</MedlineTA><NlmUniqueID>9606930</NlmUniqueID><ISSNLinking>1420-3030</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="D003714" MajorTopicYN="Y">Denervation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="N">Gait</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008575" MajorTopicYN="N">Meniere Disease</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">AAO functional score</Keyword><Keyword MajorTopicYN="Y">Balance control</Keyword><Keyword MajorTopicYN="Y">Dynamic posturography</Keyword><Keyword MajorTopicYN="Y">Menière’s disease</Keyword><Keyword MajorTopicYN="Y">Trunk sway</Keyword><Keyword MajorTopicYN="Y">Vestibular neurectomy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>10</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>10</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>12</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>9</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>12</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30541000</ArticleId><ArticleId IdType="pii">000494965</ArticleId><ArticleId IdType="doi">10.1159/000494965</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Berne</li></region><settlement><li>Berne</li></settlement><orgName><li>Université de Berne</li></orgName></list><tree><country name="Suisse"><noRegion><name sortKey="Vibert, Dominique" sort="Vibert, Dominique" uniqKey="Vibert D" first="Dominique" last="Vibert">Dominique Vibert</name></noRegion><name sortKey="Allum, John H J" sort="Allum, John H J" uniqKey="Allum J" first="John H J" last="Allum">John H J. Allum</name><name sortKey="Caversaccio, Marco" sort="Caversaccio, Marco" uniqKey="Caversaccio M" first="Marco" last="Caversaccio">Marco Caversaccio</name><name sortKey="H Usler, Rudolf" sort="H Usler, Rudolf" uniqKey="H Usler R" first="Rudolf" last="H Usler">Rudolf H Usler</name><name sortKey="Kompis, Martin" sort="Kompis, Martin" uniqKey="Kompis M" first="Martin" last="Kompis">Martin Kompis</name><name sortKey="Stieger, Christof" sort="Stieger, Christof" uniqKey="Stieger C" first="Christof" last="Stieger">Christof Stieger</name><name sortKey="Wiedmer, Simona" sort="Wiedmer, Simona" uniqKey="Wiedmer S" first="Simona" last="Wiedmer">Simona Wiedmer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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