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Evaluation of uncompensated unilateral vestibulopathy using the modified clinical test for sensory interaction and balance.

Identifieur interne : 000A65 ( Main/Exploration ); précédent : 000A64; suivant : 000A66

Evaluation of uncompensated unilateral vestibulopathy using the modified clinical test for sensory interaction and balance.

Auteurs : Moo Kyun Park [Corée du Sud] ; Kyoung-Min Kim ; Jiwoong Jung ; Naree Lee ; Sun Jin Hwang ; Sung Won Chae

Source :

RBID : pubmed:23250384

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To compare the results of the Modified Clinical Test for Sensory Interaction and Balance (mCTSIB) and the Sensory Organization Test (SOT) of computerized dynamic posturography (CDP) to better understand the role and limitations of the mCTSIB in the diagnosis and rehabilitation of patients with uncompensated unilateral vestibulopathy.

STUDY DESIGN

Prospective blind study.

SETTING

Tertiary referral center.

INTERVENTIONS

Ninety-eight patients with uncompensated unilateral vestibulopathy were enrolled. After diagnosis was established through ocular motor studies, head roll and Dix-Hallpike tests, caloric testing, and pure tone audiometry, the mCTSIB and SOT were administered simultaneously.

MAIN OUTCOME MEASURE

Composite or comprehensive scores and equilibrium scores.

RESULTS

When composite or comprehensive scores were used to classify subjects as normal or abnormal, the mCTSIB and SOT showed significant agreement (p > 0.256). SOT condition 2 (eyes closed on a firm surface) showed a greater degree of correlation than did other conditions; the foam-surface or eyes-open conditions yielded poor correlation coefficients.

CONCLUSION

The mCTSIB can be used instead of the SOT in screening to distinguish normality from abnormality in dizzy patients with unilateral vestibulopathy. However, the degree of dizziness assessed by SOT condition was poorly correlated with mCTSIB results, especially in conditions with the eyes open and those using a foam surface.


DOI: 10.1097/MAO.0b013e31827c9dae
PubMed: 23250384


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Lee, Naree" sort="Lee, Naree" uniqKey="Lee N" first="Naree" last="Lee">Naree Lee</name>
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<name sortKey="Hwang, Sun Jin" sort="Hwang, Sun Jin" uniqKey="Hwang S" first="Sun Jin" last="Hwang">Sun Jin Hwang</name>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Data Interpretation, Statistical (MeSH)</term>
<term>Dizziness (diagnosis)</term>
<term>Dizziness (etiology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Meniere Disease (diagnosis)</term>
<term>Middle Aged (MeSH)</term>
<term>Postural Balance (physiology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Sample Size (MeSH)</term>
<term>Sensation (physiology)</term>
<term>Vestibular Diseases (diagnosis)</term>
<term>Vestibular Function Tests (instrumentation)</term>
<term>Vestibular Function Tests (methods)</term>
<term>Vestibular Neuronitis (diagnosis)</term>
<term>Young Adult (MeSH)</term>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Interprétation statistique de données (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Maladie de Ménière (diagnostic)</term>
<term>Maladies vestibulaires (diagnostic)</term>
<term>Mâle (MeSH)</term>
<term>Névrite vestibulaire (diagnostic)</term>
<term>Sensation (physiologie)</term>
<term>Sensation vertigineuse (diagnostic)</term>
<term>Sensation vertigineuse (étiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Taille de l'échantillon (MeSH)</term>
<term>Épreuves vestibulaires (instrumentation)</term>
<term>Épreuves vestibulaires (méthodes)</term>
<term>Équilibre postural (physiologie)</term>
<term>Études prospectives (MeSH)</term>
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<term>Dizziness</term>
<term>Meniere Disease</term>
<term>Vestibular Diseases</term>
<term>Vestibular Neuronitis</term>
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<term>Maladie de Ménière</term>
<term>Maladies vestibulaires</term>
<term>Névrite vestibulaire</term>
<term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Dizziness</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Vestibular Function Tests</term>
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<term>Vestibular Function Tests</term>
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<term>Épreuves vestibulaires</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Sensation</term>
<term>Équilibre postural</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Postural Balance</term>
<term>Sensation</term>
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<term>Sensation vertigineuse</term>
<term>Épreuves vestibulaires</term>
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<term>Adult</term>
<term>Aged</term>
<term>Data Interpretation, Statistical</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
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<term>Prospective Studies</term>
<term>Sample Size</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
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<term>Humains</term>
<term>Interprétation statistique de données</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Taille de l'échantillon</term>
<term>Études prospectives</term>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To compare the results of the Modified Clinical Test for Sensory Interaction and Balance (mCTSIB) and the Sensory Organization Test (SOT) of computerized dynamic posturography (CDP) to better understand the role and limitations of the mCTSIB in the diagnosis and rehabilitation of patients with uncompensated unilateral vestibulopathy.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>STUDY DESIGN</b>
</p>
<p>Prospective blind study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Tertiary referral center.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>Ninety-eight patients with uncompensated unilateral vestibulopathy were enrolled. After diagnosis was established through ocular motor studies, head roll and Dix-Hallpike tests, caloric testing, and pure tone audiometry, the mCTSIB and SOT were administered simultaneously.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURE</b>
</p>
<p>Composite or comprehensive scores and equilibrium scores.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>When composite or comprehensive scores were used to classify subjects as normal or abnormal, the mCTSIB and SOT showed significant agreement (p > 0.256). SOT condition 2 (eyes closed on a firm surface) showed a greater degree of correlation than did other conditions; the foam-surface or eyes-open conditions yielded poor correlation coefficients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>The mCTSIB can be used instead of the SOT in screening to distinguish normality from abnormality in dizzy patients with unilateral vestibulopathy. However, the degree of dizziness assessed by SOT condition was poorly correlated with mCTSIB results, especially in conditions with the eyes open and those using a foam surface.</p>
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