Relation between head impulse tests, rotating chair tests, and stance and gait posturography after an acute unilateral peripheral vestibular deficit.
Identifieur interne : 000A36 ( Main/Exploration ); précédent : 000A35; suivant : 000A37Relation between head impulse tests, rotating chair tests, and stance and gait posturography after an acute unilateral peripheral vestibular deficit.
Auteurs : John H J. Allum [Suisse] ; Flurin HoneggerSource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2013.
Descripteurs français
- KwdFr :
- Accélération (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Canaux semicirculaires osseux (physiopathologie), Démarche (physiologie), Femelle (MeSH), Humains (MeSH), Imagerie par résonance magnétique (MeSH), Jeune adulte (MeSH), Maladies vestibulaires (diagnostic), Maladies vestibulaires (physiopathologie), Mâle (MeSH), Nystagmus physiologique (physiologie), Névrite vestibulaire (diagnostic), Névrite vestibulaire (physiopathologie), Rotation (MeSH), Récupération fonctionnelle (MeSH), Réflexe vestibulo-oculaire (physiologie), Stimulation physique (MeSH), Sujet âgé (MeSH), Test d'impulsion rotatoire de la tête (méthodes), Épreuves vestibulaires (méthodes), Épreuves vestibulaires caloriques (MeSH), Équilibre postural (physiologie).
- MESH :
- diagnostic : Maladies vestibulaires, Névrite vestibulaire.
- méthodes : Test d'impulsion rotatoire de la tête, Épreuves vestibulaires.
- physiologie : Démarche, Nystagmus physiologique, Réflexe vestibulo-oculaire, Équilibre postural.
- physiopathologie : Canaux semicirculaires osseux, Maladies vestibulaires, Névrite vestibulaire.
- Accélération, Adulte, Adulte d'âge moyen, Femelle, Humains, Imagerie par résonance magnétique, Jeune adulte, Mâle, Rotation, Récupération fonctionnelle, Stimulation physique, Sujet âgé, Épreuves vestibulaires caloriques.
English descriptors
- KwdEn :
- Acceleration (MeSH), Adult (MeSH), Aged (MeSH), Caloric Tests (MeSH), Female (MeSH), Gait (physiology), Head Impulse Test (methods), Humans (MeSH), Magnetic Resonance Imaging (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Physiologic (physiology), Physical Stimulation (MeSH), Postural Balance (physiology), Recovery of Function (MeSH), Reflex, Vestibulo-Ocular (physiology), Rotation (MeSH), Semicircular Canals (physiopathology), Vestibular Diseases (diagnosis), Vestibular Diseases (physiopathology), Vestibular Function Tests (methods), Vestibular Neuronitis (diagnosis), Vestibular Neuronitis (physiopathology), Young Adult (MeSH).
- MESH :
- diagnosis : Vestibular Diseases, Vestibular Neuronitis.
- methods : Head Impulse Test, Vestibular Function Tests.
- physiology : Gait, Nystagmus, Physiologic, Postural Balance, Reflex, Vestibulo-Ocular.
- physiopathology : Semicircular Canals, Vestibular Diseases, Vestibular Neuronitis.
- Acceleration, Adult, Aged, Caloric Tests, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Physical Stimulation, Recovery of Function, Rotation, Young Adult.
Abstract
BACKGROUND
Vestibulo-ocular reflex (VOR) deficits and balance instability during stance and gait are typical for an acute unilateral peripheral vestibular deficit (AUPVD). The relation between different VOR measures with recovery is unknown, as is the relation of VOR measures to balance control. To answer these questions, we examined changes over time in caloric canal paresis (CP), head impulse tests (HIT), whole body rotation (ROT) tests of the horizontal VOR, and changes in trunk sway during stance and gait tests, for cases of presumed vestibular neuritis.
METHODS
HIT was performed with short ca. 200 degrees per second head turns, ROT with triangular 24-second velocity profiles (peak 120 degrees per second, acceleration 20 degrees per second squared). To measure balance control, body-worn gyroscopes measured pitch (anterior-posterior) and roll (lateral) sway angles and angular velocities at lumbar 1 to 3.
RESULTS
Changes during recover in ROT and HIT responses to the deficit side were equally well related (R = 0.8, p < 0.001) to changes in caloric CP values. ROT but not HIT responses to the normal side were also related to CP responses (R = 0.53, p = 0.02). Spontaneous nystagmus levels were related to changes instance balance control (R = 0.52, p = 0.001). Balance during gait improved over time but was not well correlated with changes in VOR measures (R = 0.26 max., p > 0.05).
CONCLUSION
Both HIT and ROT track VOR recovery on the deficit side due to central compensation and peripheral recovery. However, only ROT track changes in the central compensation of normal side responses. The weak correlations between VOR and stance and gait tests suggest that the latter should also be tested to judge the effect of an AUPVD on balance control.
DOI: 10.1097/MAO.0b013e31829ce5ec
PubMed: 23820798
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 Hospital of Basel, Switzerland. jallum@uhbs.ch</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Audiology and Neurootology, Department of ORL, University Hospital of Basel</wicri:regionArea><wicri:noRegion>University Hospital of Basel</wicri:noRegion></affiliation></author><author><name sortKey="Honegger, Flurin" sort="Honegger, Flurin" uniqKey="Honegger F" first="Flurin" last="Honegger">Flurin Honegger</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23820798</idno><idno type="pmid">23820798</idno><idno type="doi">10.1097/MAO.0b013e31829ce5ec</idno><idno type="wicri:Area/Main/Corpus">000A26</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A26</idno><idno type="wicri:Area/Main/Curation">000A26</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000A26</idno><idno type="wicri:Area/Main/Exploration">000A26</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Relation between head impulse tests, rotating chair tests, and stance and gait posturography after an acute unilateral peripheral vestibular deficit.</title><author><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><affiliation wicri:level="1"><nlm:affiliation>Division of Audiology and Neurootology, Department of ORL, University Hospital of Basel, Switzerland. jallum@uhbs.ch</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Division of Audiology and Neurootology, Department of ORL, University Hospital of Basel</wicri:regionArea><wicri:noRegion>University Hospital of Basel</wicri:noRegion></affiliation></author><author><name sortKey="Honegger, Flurin" sort="Honegger, Flurin" uniqKey="Honegger F" first="Flurin" last="Honegger">Flurin Honegger</name></author></analytic><series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title><idno type="eISSN">1537-4505</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acceleration (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Caloric Tests (MeSH)</term><term>Female (MeSH)</term><term>Gait (physiology)</term><term>Head Impulse Test (methods)</term><term>Humans (MeSH)</term><term>Magnetic Resonance Imaging (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Nystagmus, Physiologic (physiology)</term><term>Physical Stimulation (MeSH)</term><term>Postural Balance (physiology)</term><term>Recovery of Function (MeSH)</term><term>Reflex, Vestibulo-Ocular (physiology)</term><term>Rotation (MeSH)</term><term>Semicircular Canals (physiopathology)</term><term>Vestibular Diseases (diagnosis)</term><term>Vestibular Diseases (physiopathology)</term><term>Vestibular Function Tests (methods)</term><term>Vestibular Neuronitis (diagnosis)</term><term>Vestibular Neuronitis (physiopathology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accélération (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Canaux semicirculaires osseux (physiopathologie)</term><term>Démarche (physiologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie par résonance magnétique (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Maladies vestibulaires (diagnostic)</term><term>Maladies vestibulaires (physiopathologie)</term><term>Mâle (MeSH)</term><term>Nystagmus physiologique (physiologie)</term><term>Névrite vestibulaire (diagnostic)</term><term>Névrite vestibulaire (physiopathologie)</term><term>Rotation (MeSH)</term><term>Récupération fonctionnelle (MeSH)</term><term>Réflexe vestibulo-oculaire (physiologie)</term><term>Stimulation physique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Test d'impulsion rotatoire de la tête (méthodes)</term><term>Épreuves vestibulaires (méthodes)</term><term>Épreuves vestibulaires caloriques (MeSH)</term><term>Équilibre postural (physiologie)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Vestibular Diseases</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies vestibulaires</term><term>Névrite vestibulaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Head Impulse Test</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Test d'impulsion rotatoire de la tête</term><term>Épreuves vestibulaires</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Démarche</term><term>Nystagmus physiologique</term><term>Réflexe vestibulo-oculaire</term><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Gait</term><term>Nystagmus, Physiologic</term><term>Postural Balance</term><term>Reflex, Vestibulo-Ocular</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term><term>Maladies vestibulaires</term><term>Névrite vestibulaire</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Semicircular Canals</term><term>Vestibular Diseases</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acceleration</term><term>Adult</term><term>Aged</term><term>Caloric Tests</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Physical Stimulation</term><term>Recovery of Function</term><term>Rotation</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accélération</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Imagerie par résonance magnétique</term><term>Jeune adulte</term><term>Mâle</term><term>Rotation</term><term>Récupération fonctionnelle</term><term>Stimulation physique</term><term>Sujet âgé</term><term>Épreuves vestibulaires caloriques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Vestibulo-ocular reflex (VOR) deficits and balance instability during stance and gait are typical for an acute unilateral peripheral vestibular deficit (AUPVD). The relation between different VOR measures with recovery is unknown, as is the relation of VOR measures to balance control. To answer these questions, we examined changes over time in caloric canal paresis (CP), head impulse tests (HIT), whole body rotation (ROT) tests of the horizontal VOR, and changes in trunk sway during stance and gait tests, for cases of presumed vestibular neuritis.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>HIT was performed with short ca. 200 degrees per second head turns, ROT with triangular 24-second velocity profiles (peak 120 degrees per second, acceleration 20 degrees per second squared). To measure balance control, body-worn gyroscopes measured pitch (anterior-posterior) and roll (lateral) sway angles and angular velocities at lumbar 1 to 3.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Changes during recover in ROT and HIT responses to the deficit side were equally well related (R = 0.8, p < 0.001) to changes in caloric CP values. ROT but not HIT responses to the normal side were also related to CP responses (R = 0.53, p = 0.02). Spontaneous nystagmus levels were related to changes instance balance control (R = 0.52, p = 0.001). Balance during gait improved over time but was not well correlated with changes in VOR measures (R = 0.26 max., p > 0.05).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Both HIT and ROT track VOR recovery on the deficit side due to central compensation and peripheral recovery. However, only ROT track changes in the central compensation of normal side responses. The weak correlations between VOR and stance and gait tests suggest that the latter should also be tested to judge the effect of an AUPVD on balance control.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23820798</PMID><DateCompleted><Year>2014</Year><Month>02</Month><Day>13</Day></DateCompleted><DateRevised><Year>2013</Year><Month>07</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN><JournalIssue CitedMedium="Internet"><Volume>34</Volume><Issue>6</Issue><PubDate><Year>2013</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title><ISOAbbreviation>Otol Neurotol</ISOAbbreviation></Journal><ArticleTitle>Relation between head impulse tests, rotating chair tests, and stance and gait posturography after an acute unilateral peripheral vestibular deficit.</ArticleTitle><Pagination><MedlinePgn>980-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0b013e31829ce5ec</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Vestibulo-ocular reflex (VOR) deficits and balance instability during stance and gait are typical for an acute unilateral peripheral vestibular deficit (AUPVD). The relation between different VOR measures with recovery is unknown, as is the relation of VOR measures to balance control. To answer these questions, we examined changes over time in caloric canal paresis (CP), head impulse tests (HIT), whole body rotation (ROT) tests of the horizontal VOR, and changes in trunk sway during stance and gait tests, for cases of presumed vestibular neuritis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">HIT was performed with short ca. 200 degrees per second head turns, ROT with triangular 24-second velocity profiles (peak 120 degrees per second, acceleration 20 degrees per second squared). To measure balance control, body-worn gyroscopes measured pitch (anterior-posterior) and roll (lateral) sway angles and angular velocities at lumbar 1 to 3.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Changes during recover in ROT and HIT responses to the deficit side were equally well related (R = 0.8, p < 0.001) to changes in caloric CP values. ROT but not HIT responses to the normal side were also related to CP responses (R = 0.53, p = 0.02). Spontaneous nystagmus levels were related to changes instance balance control (R = 0.52, p = 0.001). Balance during gait improved over time but was not well correlated with changes in VOR measures (R = 0.26 max., p > 0.05).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Both HIT and ROT track VOR recovery on the deficit side due to central compensation and peripheral recovery. However, only ROT track changes in the central compensation of normal side responses. The weak correlations between VOR and stance and gait tests suggest that the latter should also be tested to judge the effect of an AUPVD on balance control.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Allum</LastName><ForeName>John H J</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Division of Audiology and Neurootology, Department of ORL, University Hospital of Basel, Switzerland. jallum@uhbs.ch</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Honegger</LastName><ForeName>Flurin</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Otol Neurotol</MedlineTA><NlmUniqueID>100961504</NlmUniqueID><ISSNLinking>1531-7129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000054" MajorTopicYN="N">Acceleration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002150" MajorTopicYN="N">Caloric Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="N">Gait</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D064087" MajorTopicYN="N">Head Impulse Test</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009760" MajorTopicYN="N">Nystagmus, Physiologic</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010812" MajorTopicYN="N">Physical Stimulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020127" MajorTopicYN="N">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012027" MajorTopicYN="N">Reflex, Vestibulo-Ocular</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012399" MajorTopicYN="N">Rotation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020338" MajorTopicYN="N">Vestibular Neuronitis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>7</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23820798</ArticleId><ArticleId IdType="doi">10.1097/MAO.0b013e31829ce5ec</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suisse</li></country></list><tree><noCountry><name sortKey="Honegger, Flurin" sort="Honegger, Flurin" uniqKey="Honegger F" first="Flurin" last="Honegger">Flurin Honegger</name></noCountry><country name="Suisse"><noRegion><name sortKey="Allum, John H J" sort="Allum, John H J" uniqKey="Allum J" first="John H J" last="Allum">John H J. 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