Caloric test as a predictor tool of postural control in CI users.
Identifieur interne : 000862 ( Main/Exploration ); précédent : 000861; suivant : 000863Caloric test as a predictor tool of postural control in CI users.
Auteurs : Patricia A. Abramides [Brésil] ; Roseli S M. Bittar ; Robinson K. Tsuji ; Ricardo F. BentoSource :
- Acta oto-laryngologica [ 1651-2251 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- chirurgie : Surdité.
- physiopathologie : Surdité.
- Adulte, Femelle, Humains, Implantation cochléaire, Implants cochléaires, Mâle, Sensation vertigineuse, Épreuves vestibulaires caloriques, Équilibre postural, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Deafness.
- surgery : Deafness.
- Adult, Caloric Tests, Cochlear Implantation, Cochlear Implants, Dizziness, Female, Humans, Male, Postural Balance, Prospective Studies.
Abstract
CONCLUSIONS
Balance was improved at 365 days after CI in all patients. Caloric test findings were important determinants of balance outcomes over a year after CI. Pre-operative vestibular assessment findings should be documented because postural recovery over time depends on this information.
OBJECTIVE
To verify the importance of the caloric test as a pre-operative predictor tool of postural control after CI surgery.
METHODS
Prospective observational study made with 24 post-lingual deafness patients who underwent unilateral CI surgery. Vestibular assessments: questionnaire assessing vertigo, caloric tests, rotary chair (RC) testing, and computerized dynamic posturography (CDP), were sequentially performed for all patients before and 60, 120, 180, and 365 days after CI.
RESULTS
Thirteen patients (54.2%) reported dizziness before CI. At the end of the study, dizziness remained unchanged in one (7.7%) patient, ameliorated in 11 (84.6%), and worsened in one (7.7%). Baseline caloric tests identified 29.2% patients with normal reflexes, 33.3% with unilateral areflexia or hyporeflexia, 12.5% with bilateral hyporeflexia, and 25% with bilateral vestibular loss (BVL). Most patients exhibited objective improvements in postural stability. At 365 days, the CDP condition (particularly C5) and CS were higher for caloric tests responders at baseline than for those with BVL at baseline.
DOI: 10.3109/00016489.2015.1020395
PubMed: 25812584
Affiliations:
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Tsuji</name></author><author><name sortKey="Bento, Ricardo F" sort="Bento, Ricardo F" uniqKey="Bento R" first="Ricardo F" last="Bento">Ricardo F. Bento</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25812584</idno><idno type="pmid">25812584</idno><idno type="doi">10.3109/00016489.2015.1020395</idno><idno type="wicri:Area/Main/Corpus">000831</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000831</idno><idno type="wicri:Area/Main/Curation">000831</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000831</idno><idno type="wicri:Area/Main/Exploration">000831</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Caloric test as a predictor tool of postural control in CI users.</title><author><name sortKey="Abramides, Patricia A" sort="Abramides, Patricia A" uniqKey="Abramides P" first="Patricia A" last="Abramides">Patricia A. Abramides</name><affiliation wicri:level="1"><nlm:affiliation>ENT Department, Hospital das Clínicas, University of São Paulo School of Medicine , São Paulo , Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>ENT Department, Hospital das Clínicas, University of São Paulo School of Medicine , São Paulo </wicri:regionArea><wicri:noRegion>São Paulo </wicri:noRegion></affiliation></author><author><name sortKey="Bittar, Roseli S M" sort="Bittar, Roseli S M" uniqKey="Bittar R" first="Roseli S M" last="Bittar">Roseli S M. Bittar</name></author><author><name sortKey="Tsuji, Robinson K" sort="Tsuji, Robinson K" uniqKey="Tsuji R" first="Robinson K" last="Tsuji">Robinson K. Tsuji</name></author><author><name sortKey="Bento, Ricardo F" sort="Bento, Ricardo F" uniqKey="Bento R" first="Ricardo F" last="Bento">Ricardo F. Bento</name></author></analytic><series><title level="j">Acta oto-laryngologica</title><idno type="eISSN">1651-2251</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Caloric Tests (MeSH)</term><term>Cochlear Implantation (MeSH)</term><term>Cochlear Implants (MeSH)</term><term>Deafness (physiopathology)</term><term>Deafness (surgery)</term><term>Dizziness (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Postural Balance (MeSH)</term><term>Prospective Studies (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Implantation cochléaire (MeSH)</term><term>Implants cochléaires (MeSH)</term><term>Mâle (MeSH)</term><term>Sensation vertigineuse (MeSH)</term><term>Surdité (chirurgie)</term><term>Surdité (physiopathologie)</term><term>Épreuves vestibulaires caloriques (MeSH)</term><term>Équilibre postural (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Surdité</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Surdité</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Deafness</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Deafness</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Caloric Tests</term><term>Cochlear Implantation</term><term>Cochlear Implants</term><term>Dizziness</term><term>Female</term><term>Humans</term><term>Male</term><term>Postural Balance</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Implantation cochléaire</term><term>Implants cochléaires</term><term>Mâle</term><term>Sensation vertigineuse</term><term>Épreuves vestibulaires caloriques</term><term>Équilibre postural</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Balance was improved at 365 days after CI in all patients. Caloric test findings were important determinants of balance outcomes over a year after CI. Pre-operative vestibular assessment findings should be documented because postural recovery over time depends on this information.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To verify the importance of the caloric test as a pre-operative predictor tool of postural control after CI surgery.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Prospective observational study made with 24 post-lingual deafness patients who underwent unilateral CI surgery. Vestibular assessments: questionnaire assessing vertigo, caloric tests, rotary chair (RC) testing, and computerized dynamic posturography (CDP), were sequentially performed for all patients before and 60, 120, 180, and 365 days after CI.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Thirteen patients (54.2%) reported dizziness before CI. At the end of the study, dizziness remained unchanged in one (7.7%) patient, ameliorated in 11 (84.6%), and worsened in one (7.7%). Baseline caloric tests identified 29.2% patients with normal reflexes, 33.3% with unilateral areflexia or hyporeflexia, 12.5% with bilateral hyporeflexia, and 25% with bilateral vestibular loss (BVL). Most patients exhibited objective improvements in postural stability. At 365 days, the CDP condition (particularly C5) and CS were higher for caloric tests responders at baseline than for those with BVL at baseline.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25812584</PMID><DateCompleted><Year>2016</Year><Month>02</Month><Day>11</Day></DateCompleted><DateRevised><Year>2015</Year><Month>05</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1651-2251</ISSN><JournalIssue CitedMedium="Internet"><Volume>135</Volume><Issue>7</Issue><PubDate><Year>2015</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Acta oto-laryngologica</Title><ISOAbbreviation>Acta Otolaryngol</ISOAbbreviation></Journal><ArticleTitle>Caloric test as a predictor tool of postural control in CI users.</ArticleTitle><Pagination><MedlinePgn>685-91</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3109/00016489.2015.1020395</ELocationID><Abstract><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Balance was improved at 365 days after CI in all patients. Caloric test findings were important determinants of balance outcomes over a year after CI. Pre-operative vestibular assessment findings should be documented because postural recovery over time depends on this information.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To verify the importance of the caloric test as a pre-operative predictor tool of postural control after CI surgery.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Prospective observational study made with 24 post-lingual deafness patients who underwent unilateral CI surgery. Vestibular assessments: questionnaire assessing vertigo, caloric tests, rotary chair (RC) testing, and computerized dynamic posturography (CDP), were sequentially performed for all patients before and 60, 120, 180, and 365 days after CI.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirteen patients (54.2%) reported dizziness before CI. At the end of the study, dizziness remained unchanged in one (7.7%) patient, ameliorated in 11 (84.6%), and worsened in one (7.7%). Baseline caloric tests identified 29.2% patients with normal reflexes, 33.3% with unilateral areflexia or hyporeflexia, 12.5% with bilateral hyporeflexia, and 25% with bilateral vestibular loss (BVL). Most patients exhibited objective improvements in postural stability. At 365 days, the CDP condition (particularly C5) and CS were higher for caloric tests responders at baseline than for those with BVL at baseline.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Abramides</LastName><ForeName>Patricia A</ForeName><Initials>PA</Initials><AffiliationInfo><Affiliation>ENT Department, Hospital das Clínicas, University of São Paulo School of Medicine , São Paulo , Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bittar</LastName><ForeName>Roseli S M</ForeName><Initials>RS</Initials></Author><Author ValidYN="Y"><LastName>Tsuji</LastName><ForeName>Robinson K</ForeName><Initials>RK</Initials></Author><Author ValidYN="Y"><LastName>Bento</LastName><ForeName>Ricardo F</ForeName><Initials>RF</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>03</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Acta Otolaryngol</MedlineTA><NlmUniqueID>0370354</NlmUniqueID><ISSNLinking>0001-6489</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002150" MajorTopicYN="Y">Caloric Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019929" MajorTopicYN="N">Cochlear Implantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003054" MajorTopicYN="Y">Cochlear Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003638" MajorTopicYN="N">Deafness</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName></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="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">caloric test</Keyword><Keyword MajorTopicYN="N">cochlear implant</Keyword><Keyword MajorTopicYN="N">computerized dynamic posturography</Keyword><Keyword MajorTopicYN="N">post-lingual deafness</Keyword><Keyword MajorTopicYN="N">rotary chair</Keyword><Keyword MajorTopicYN="N">vertigo</Keyword><Keyword MajorTopicYN="N">vestibular dysfunction</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>3</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>2</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25812584</ArticleId><ArticleId IdType="doi">10.3109/00016489.2015.1020395</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country></list><tree><noCountry><name sortKey="Bento, Ricardo F" sort="Bento, Ricardo F" uniqKey="Bento R" first="Ricardo F" last="Bento">Ricardo F. Bento</name><name sortKey="Bittar, Roseli S M" sort="Bittar, Roseli S M" uniqKey="Bittar R" first="Roseli S M" last="Bittar">Roseli S M. Bittar</name><name sortKey="Tsuji, Robinson K" sort="Tsuji, Robinson K" uniqKey="Tsuji R" first="Robinson K" last="Tsuji">Robinson K. Tsuji</name></noCountry><country name="Brésil"><noRegion><name sortKey="Abramides, Patricia A" sort="Abramides, Patricia A" uniqKey="Abramides P" first="Patricia A" last="Abramides">Patricia A. Abramides</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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