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Repeatability of static posturography on the follow-up of vestibular rehabilitation.

Identifieur interne : 000A33 ( Main/Exploration ); précédent : 000A32; suivant : 000A34

Repeatability of static posturography on the follow-up of vestibular rehabilitation.

Auteurs : Kathrine Jáuregui-Renaud [Mexique] ; Nora S. Cruz-G Mez ; Laura A. Villanueva-Padr N

Source :

RBID : pubmed:23357098

Descripteurs français

English descriptors

Abstract

BACKGROUND AND AIMS

We undertook this study to estimate the limits of agreement of repeated measures of static posturography on healthy adults and to assess the use of those limits on the interpretation of variations observed during vestibular rehabilitation of patients with chronic, peripheral vestibular disease.

METHODS

Twenty healthy adults and 30 vestibular patients accepted to participate. At baseline and at weeks 4, 6 and 8 of follow-up, posturography was performed with the eyes open or closed, while adding or not a layer of foam rubber to the base of support. The Dizziness Handicap Inventory was administered to patients prior to rehabilitation and at week 8.

RESULTS

At baseline, a difference between groups was observed on the sway area (p < 0.05). Healthy subjects showed no statistical difference among the four recordings (repeatability of measurements from 85-100%). Vestibular patients showed differences among the four recordings on the area and the length/average speed of sway (p <0.05); individual differences from baseline exceeding the limits of agreement were observed on the sway area. A decrease on the Dizziness Handicap Inventory (≥18 points) was observed on 19 patients, from whom 12 (63, 95% CI 53-73%) showed a change on the sway area (eyes closed) that was larger than the limits of agreement.

CONCLUSIONS

In healthy subjects, intra-subject repeated recordings of the area and the length/average speed of sway may be reliable at intervals of 4, 6 and 8 weeks. The sway area (without vision) may be a useful sway component, among others, to follow-up vestibular patients with chronic, peripheral disease during rehabilitation.


DOI: 10.1016/j.arcmed.2012.12.008
PubMed: 23357098


Affiliations:


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Le document en format XML

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<title xml:lang="en">Repeatability of static posturography on the follow-up of vestibular rehabilitation.</title>
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<name sortKey="Jauregui Renaud, Kathrine" sort="Jauregui Renaud, Kathrine" uniqKey="Jauregui Renaud K" first="Kathrine" last="Jáuregui-Renaud">Kathrine Jáuregui-Renaud</name>
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<nlm:affiliation>Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, México, D.F., Mexico. kathrine.jauregui@imss.gob.mx</nlm:affiliation>
<country xml:lang="fr">Mexique</country>
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<name sortKey="Cruz G Mez, Nora S" sort="Cruz G Mez, Nora S" uniqKey="Cruz G Mez N" first="Nora S" last="Cruz-G Mez">Nora S. Cruz-G Mez</name>
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<author>
<name sortKey="Villanueva Padr N, Laura A" sort="Villanueva Padr N, Laura A" uniqKey="Villanueva Padr N L" first="Laura A" last="Villanueva-Padr N">Laura A. Villanueva-Padr N</name>
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<name sortKey="Villanueva Padr N, Laura A" sort="Villanueva Padr N, Laura A" uniqKey="Villanueva Padr N L" first="Laura A" last="Villanueva-Padr N">Laura A. Villanueva-Padr N</name>
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<term>Adult (MeSH)</term>
<term>Dizziness (rehabilitation)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Vestibular Diseases (rehabilitation)</term>
<term>Vestibular Function Tests (MeSH)</term>
<term>Vision, Ocular (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladies vestibulaires (rééducation et réadaptation)</term>
<term>Mâle (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Sensation vertigineuse (rééducation et réadaptation)</term>
<term>Vision (MeSH)</term>
<term>Épreuves vestibulaires (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Dizziness</term>
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Maladies vestibulaires</term>
<term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Postural Balance</term>
<term>Posture</term>
<term>Vestibular Function Tests</term>
<term>Vision, Ocular</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Posture</term>
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<p>
<b>BACKGROUND AND AIMS</b>
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<p>We undertook this study to estimate the limits of agreement of repeated measures of static posturography on healthy adults and to assess the use of those limits on the interpretation of variations observed during vestibular rehabilitation of patients with chronic, peripheral vestibular disease.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Twenty healthy adults and 30 vestibular patients accepted to participate. At baseline and at weeks 4, 6 and 8 of follow-up, posturography was performed with the eyes open or closed, while adding or not a layer of foam rubber to the base of support. The Dizziness Handicap Inventory was administered to patients prior to rehabilitation and at week 8.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>At baseline, a difference between groups was observed on the sway area (p < 0.05). Healthy subjects showed no statistical difference among the four recordings (repeatability of measurements from 85-100%). Vestibular patients showed differences among the four recordings on the area and the length/average speed of sway (p <0.05); individual differences from baseline exceeding the limits of agreement were observed on the sway area. A decrease on the Dizziness Handicap Inventory (≥18 points) was observed on 19 patients, from whom 12 (63, 95% CI 53-73%) showed a change on the sway area (eyes closed) that was larger than the limits of agreement.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>In healthy subjects, intra-subject repeated recordings of the area and the length/average speed of sway may be reliable at intervals of 4, 6 and 8 weeks. The sway area (without vision) may be a useful sway component, among others, to follow-up vestibular patients with chronic, peripheral disease during rehabilitation.</p>
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<AbstractText Label="METHODS" NlmCategory="METHODS">Twenty healthy adults and 30 vestibular patients accepted to participate. At baseline and at weeks 4, 6 and 8 of follow-up, posturography was performed with the eyes open or closed, while adding or not a layer of foam rubber to the base of support. The Dizziness Handicap Inventory was administered to patients prior to rehabilitation and at week 8.</AbstractText>
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