Disturbances of dynamic balance in phasic cervical dystonia.
Identifieur interne : 001391 ( Main/Exploration ); précédent : 001390; suivant : 001392Disturbances of dynamic balance in phasic cervical dystonia.
Auteurs : J. Müller [Autriche] ; G. Ebersbach ; J. Wissel ; C. Brenneis ; L. Badry ; Werner Poewe [Autriche]Source :
- Journal of neurology, neurosurgery, and psychiatry [ 0022-3050 ] ; 1999.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Dystonie (complications), Dystonie (diagnostic), Dystonie (physiopathologie), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Mâle (MeSH), Posture (MeSH), Sujet âgé (MeSH), Troubles sensitifs (complications), Troubles sensitifs (diagnostic), Vertèbres cervicales (physiopathologie), Équilibre postural (MeSH).
- MESH :
- diagnostic : Dystonie, Troubles sensitifs.
- physiopathologie : Dystonie, Vertèbres cervicales.
- complications : Adulte, Adulte d'âge moyen, Dystonie, Femelle, Humains, Indice de gravité de la maladie, Mâle, Posture, Sujet âgé, Troubles sensitifs, Équilibre postural.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Cervical Vertebrae (physiopathology), Dystonia (complications), Dystonia (diagnosis), Dystonia (physiopathology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Postural Balance (MeSH), Posture (MeSH), Sensation Disorders (complications), Sensation Disorders (diagnosis), Severity of Illness Index (MeSH).
- MESH :
- complications : Dystonia, Sensation Disorders.
- diagnosis : Dystonia, Sensation Disorders.
- physiopathology : Cervical Vertebrae, Dystonia.
- Adult, Aged, Female, Humans, Male, Middle Aged, Postural Balance, Posture, Severity of Illness Index.
Abstract
OBJECTIVE
To quantitatively assess control of balance under static and dynamic conditions in patients with tonic and phasic cervical dystonia.
METHODS
Ten patients with purely tonic cervical dystonia with fixed postural deviation and 20 patients with cervical dystonia with phasic head movements were investigated at least 3 months after botulinum toxin injections. Seventeen age matched volunteers served as controls. Static posturography was performed on a force platform; dynamic equilibrium was studied on a stabilometer, which requires the subject to continuously adapt upright posture to an unstable tilting surface. Measurements of maximum amplitude and linear displacement of the pivot were taken with open and closed eyes.
RESULTS
Sway path values in static posturography were not significantly different between patients with cervical dystonia and controls. On dynamic posturography, patients with phasic cervical dystonia showed significantly higher platform measures (maximum amplitude and linear displacement of the pivot) with eyes open and closed By contrast, none of the dynamic platform measures differed significantly between patients with tonic cervical dystonia and controls.
CONCLUSIONS
Normal measures of dynamic equilibrium in tonic cervical dystonia argue against a primary abnormality of balance control in cervical dystonia. Impaired dynamic equilibrium in phasic cervical dystonia is likely to reflect a disruption of vestibular input due to repetitive, involuntary head oscillations.
DOI: 10.1136/jnnp.67.6.807
PubMed: 10567505
PubMed Central: PMC1736666
Affiliations:
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Brenneis</name></author><author><name sortKey="Badry, L" sort="Badry, L" uniqKey="Badry L" first="L" last="Badry">L. Badry</name></author><author><name sortKey="Poewe, W" sort="Poewe, W" uniqKey="Poewe W" first="W" last="Poewe">Werner Poewe</name><affiliation><country>Autriche</country><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol (Land)</region></placeName><orgName type="university">Université de médecine d'Innsbruck</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1999">1999</date><idno type="RBID">pubmed:10567505</idno><idno type="pmid">10567505</idno><idno type="pmc">PMC1736666</idno><idno type="doi">10.1136/jnnp.67.6.807</idno><idno type="wicri:Area/Main/Corpus">001370</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001370</idno><idno type="wicri:Area/Main/Curation">001370</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001370</idno><idno type="wicri:Area/Main/Exploration">001370</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Disturbances of dynamic balance in phasic cervical dystonia.</title><author><name sortKey="Muller, J" sort="Muller, J" uniqKey="Muller J" first="J" last="Müller">J. Müller</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of Innsbruck, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology, University of Innsbruck</wicri:regionArea><wicri:noRegion>University of Innsbruck</wicri:noRegion></affiliation></author><author><name sortKey="Ebersbach, G" sort="Ebersbach, G" uniqKey="Ebersbach G" first="G" last="Ebersbach">G. Ebersbach</name></author><author><name sortKey="Wissel, J" sort="Wissel, J" uniqKey="Wissel J" first="J" last="Wissel">J. Wissel</name></author><author><name sortKey="Brenneis, C" sort="Brenneis, C" uniqKey="Brenneis C" first="C" last="Brenneis">C. Brenneis</name></author><author><name sortKey="Badry, L" sort="Badry, L" uniqKey="Badry L" first="L" last="Badry">L. Badry</name></author><author><name sortKey="Poewe, W" sort="Poewe, W" uniqKey="Poewe W" first="W" last="Poewe">Werner Poewe</name><affiliation><country>Autriche</country><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol (Land)</region></placeName><orgName type="university">Université de médecine d'Innsbruck</orgName></affiliation></author></analytic><series><title level="j">Journal of neurology, neurosurgery, and psychiatry</title><idno type="ISSN">0022-3050</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Cervical Vertebrae (physiopathology)</term><term>Dystonia (complications)</term><term>Dystonia (diagnosis)</term><term>Dystonia (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Postural Balance (MeSH)</term><term>Posture (MeSH)</term><term>Sensation Disorders (complications)</term><term>Sensation Disorders (diagnosis)</term><term>Severity of Illness Index (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Dystonie (complications)</term><term>Dystonie (diagnostic)</term><term>Dystonie (physiopathologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Mâle (MeSH)</term><term>Posture (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Troubles sensitifs (complications)</term><term>Troubles sensitifs (diagnostic)</term><term>Vertèbres cervicales (physiopathologie)</term><term>Équilibre postural (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Dystonia</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term><term>Sensation Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dystonie</term><term>Troubles sensitifs</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Dystonie</term><term>Vertèbres cervicales</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cervical Vertebrae</term><term>Dystonia</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Postural Balance</term><term>Posture</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Dystonie</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Mâle</term><term>Posture</term><term>Sujet âgé</term><term>Troubles sensitifs</term><term>Équilibre postural</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To quantitatively assess control of balance under static and dynamic conditions in patients with tonic and phasic cervical dystonia.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Ten patients with purely tonic cervical dystonia with fixed postural deviation and 20 patients with cervical dystonia with phasic head movements were investigated at least 3 months after botulinum toxin injections. Seventeen age matched volunteers served as controls. Static posturography was performed on a force platform; dynamic equilibrium was studied on a stabilometer, which requires the subject to continuously adapt upright posture to an unstable tilting surface. Measurements of maximum amplitude and linear displacement of the pivot were taken with open and closed eyes.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Sway path values in static posturography were not significantly different between patients with cervical dystonia and controls. On dynamic posturography, patients with phasic cervical dystonia showed significantly higher platform measures (maximum amplitude and linear displacement of the pivot) with eyes open and closed By contrast, none of the dynamic platform measures differed significantly between patients with tonic cervical dystonia and controls.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Normal measures of dynamic equilibrium in tonic cervical dystonia argue against a primary abnormality of balance control in cervical dystonia. Impaired dynamic equilibrium in phasic cervical dystonia is likely to reflect a disruption of vestibular input due to repetitive, involuntary head oscillations.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10567505</PMID><DateCompleted><Year>1999</Year><Month>12</Month><Day>29</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-3050</ISSN><JournalIssue CitedMedium="Print"><Volume>67</Volume><Issue>6</Issue><PubDate><Year>1999</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of neurology, neurosurgery, and psychiatry</Title><ISOAbbreviation>J Neurol Neurosurg Psychiatry</ISOAbbreviation></Journal><ArticleTitle>Disturbances of dynamic balance in phasic cervical dystonia.</ArticleTitle><Pagination><MedlinePgn>807-10</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To quantitatively assess control of balance under static and dynamic conditions in patients with tonic and phasic cervical dystonia.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Ten patients with purely tonic cervical dystonia with fixed postural deviation and 20 patients with cervical dystonia with phasic head movements were investigated at least 3 months after botulinum toxin injections. Seventeen age matched volunteers served as controls. Static posturography was performed on a force platform; dynamic equilibrium was studied on a stabilometer, which requires the subject to continuously adapt upright posture to an unstable tilting surface. Measurements of maximum amplitude and linear displacement of the pivot were taken with open and closed eyes.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Sway path values in static posturography were not significantly different between patients with cervical dystonia and controls. On dynamic posturography, patients with phasic cervical dystonia showed significantly higher platform measures (maximum amplitude and linear displacement of the pivot) with eyes open and closed By contrast, none of the dynamic platform measures differed significantly between patients with tonic cervical dystonia and controls.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Normal measures of dynamic equilibrium in tonic cervical dystonia argue against a primary abnormality of balance control in cervical dystonia. Impaired dynamic equilibrium in phasic cervical dystonia is likely to reflect a disruption of vestibular input due to repetitive, involuntary head oscillations.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Müller</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Neurology, University of Innsbruck, Austria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ebersbach</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Wissel</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Brenneis</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Badry</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Poewe</LastName><ForeName>W</ForeName><Initials>W</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Neurol Neurosurg Psychiatry</MedlineTA><NlmUniqueID>2985191R</NlmUniqueID><ISSNLinking>0022-3050</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="D002574" MajorTopicYN="N">Cervical Vertebrae</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004421" MajorTopicYN="N">Dystonia</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></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="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012678" MajorTopicYN="N">Sensation Disorders</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>11</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>11</Month><Day>24</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>11</Month><Day>24</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10567505</ArticleId><ArticleId IdType="pmc">PMC1736666</ArticleId><ArticleId IdType="doi">10.1136/jnnp.67.6.807</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Autriche</li></country><region><li>Tyrol (Land)</li></region><settlement><li>Innsbruck</li></settlement><orgName><li>Université de médecine d'Innsbruck</li></orgName></list><tree><noCountry><name sortKey="Badry, L" sort="Badry, L" uniqKey="Badry L" first="L" last="Badry">L. Badry</name><name sortKey="Brenneis, C" sort="Brenneis, C" uniqKey="Brenneis C" first="C" last="Brenneis">C. Brenneis</name><name sortKey="Ebersbach, G" sort="Ebersbach, G" uniqKey="Ebersbach G" first="G" last="Ebersbach">G. Ebersbach</name><name sortKey="Wissel, J" sort="Wissel, J" uniqKey="Wissel J" first="J" last="Wissel">J. Wissel</name></noCountry><country name="Autriche"><noRegion><name sortKey="Muller, J" sort="Muller, J" uniqKey="Muller J" first="J" last="Müller">J. Müller</name></noRegion><name sortKey="Poewe, W" sort="Poewe, W" uniqKey="Poewe W" first="W" last="Poewe">Werner Poewe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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