Evaluation of clinical measures of equilibrium.
Identifieur interne : 001425 ( Main/Exploration ); précédent : 001424; suivant : 001426Evaluation of clinical measures of equilibrium.
Auteurs : H K El-Kashlan [États-Unis] ; N T Shepard ; A M Asher ; M. Smith-Wheelock ; S A TelianSource :
- The Laryngoscope [ 0023-852X ] ; 1998.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Maladies vestibulaires (diagnostic), Maladies vestibulaires (physiopathologie), Marche à pied (physiologie), Mâle (MeSH), Posture (physiologie), Sujet âgé (MeSH), Valeurs de référence (MeSH), Épreuves vestibulaires (MeSH), Équilibre postural (MeSH), Études prospectives (MeSH), Études transversales (MeSH).
- MESH :
- diagnostic : Maladies vestibulaires.
- physiologie : Marche à pied, Posture.
- physiopathologie : Maladies vestibulaires.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Mâle, Sujet âgé, Valeurs de référence, Épreuves vestibulaires, Équilibre postural, Études prospectives, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Cross-Sectional Studies (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Postural Balance (MeSH), Posture (physiology), Prospective Studies (MeSH), Reference Values (MeSH), Vestibular Diseases (diagnosis), Vestibular Diseases (physiopathology), Vestibular Function Tests (MeSH), Walking (physiology).
- MESH :
- diagnosis : Vestibular Diseases.
- physiology : Posture, Walking.
- physiopathology : Vestibular Diseases.
- Adult, Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Postural Balance, Prospective Studies, Reference Values, Vestibular Function Tests.
Abstract
OBJECTIVE
Evaluate the clinical utility of several simple measures of static and dynamic equilibrium in human subjects. In particular, one proposed clinical measure, the Clinical Test of Sensory Integration and Balance (CTSIB) was compared with dynamic posturography for the measurement of postural control capabilities.
STUDY DESIGN
Cross-sectional study of normal subjects and prospective observational study of the same performance measures in vestibular disorder patients.
SETTING
Academic tertiary care referral center.
PARTICIPANTS
Data were collected for all test measures from a group of normal subjects (ages, 20 to 79 years), as well as for a group of patients undergoing treatment for vestibular dysfunction.
RESULTS
Data suggest that several semiquantitative clinical tests of static and dynamic equilibrium can be helpful in evaluating and monitoring patients with chronic vestibular dysfunction. The CTSIB results seem to correlate well with dynamic posturography, suggesting that this measure may be useful in identifying patients with abnormal postural control. Formal dynamic posturography testing appears to be more sensitive in detecting abnormal postural control and more exact in defining the specific pattern of dysfunction.
CONCLUSION
Simple clinical measures of static and dynamic equilibrium can reliably distinguish vestibular disorder patients from normal subjects. Dynamic posturography continues to play an important role in the functional evaluation and management of vestibular disorder patients.
DOI: 10.1097/00005537-199803000-00002
PubMed: 9504600
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="El Kashlan, H K" sort="El Kashlan, H K" uniqKey="El Kashlan H" first="H K" last="El-Kashlan">H K El-Kashlan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, University of Michigan, Ann Arbor 48109-0312, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Otolaryngology, University of Michigan, Ann Arbor 48109-0312</wicri:regionArea>
<wicri:noRegion>Ann Arbor 48109-0312</wicri:noRegion>
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<author><name sortKey="Shepard, N T" sort="Shepard, N T" uniqKey="Shepard N" first="N T" last="Shepard">N T Shepard</name>
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<author><name sortKey="Asher, A M" sort="Asher, A M" uniqKey="Asher A" first="A M" last="Asher">A M Asher</name>
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<author><name sortKey="Smith Wheelock, M" sort="Smith Wheelock, M" uniqKey="Smith Wheelock M" first="M" last="Smith-Wheelock">M. Smith-Wheelock</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Evaluation of clinical measures of equilibrium.</title>
<author><name sortKey="El Kashlan, H K" sort="El Kashlan, H K" uniqKey="El Kashlan H" first="H K" last="El-Kashlan">H K El-Kashlan</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, University of Michigan, Ann Arbor 48109-0312, USA.</nlm:affiliation>
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<author><name sortKey="Asher, A M" sort="Asher, A M" uniqKey="Asher A" first="A M" last="Asher">A M Asher</name>
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<series><title level="j">The Laryngoscope</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Cross-Sectional Studies (MeSH)</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 (physiology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Reference Values (MeSH)</term>
<term>Vestibular Diseases (diagnosis)</term>
<term>Vestibular Diseases (physiopathology)</term>
<term>Vestibular Function Tests (MeSH)</term>
<term>Walking (physiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladies vestibulaires (diagnostic)</term>
<term>Maladies vestibulaires (physiopathologie)</term>
<term>Marche à pied (physiologie)</term>
<term>Mâle (MeSH)</term>
<term>Posture (physiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Valeurs de référence (MeSH)</term>
<term>Épreuves vestibulaires (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
<term>Études prospectives (MeSH)</term>
<term>Études transversales (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies vestibulaires</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Marche à pied</term>
<term>Posture</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Posture</term>
<term>Walking</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladies vestibulaires</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postural Balance</term>
<term>Prospective Studies</term>
<term>Reference Values</term>
<term>Vestibular Function Tests</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Valeurs de référence</term>
<term>Épreuves vestibulaires</term>
<term>Équilibre postural</term>
<term>Études prospectives</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Evaluate the clinical utility of several simple measures of static and dynamic equilibrium in human subjects. In particular, one proposed clinical measure, the Clinical Test of Sensory Integration and Balance (CTSIB) was compared with dynamic posturography for the measurement of postural control capabilities.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b>
</p>
<p>Cross-sectional study of normal subjects and prospective observational study of the same performance measures in vestibular disorder patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Academic tertiary care referral center.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b>
</p>
<p>Data were collected for all test measures from a group of normal subjects (ages, 20 to 79 years), as well as for a group of patients undergoing treatment for vestibular dysfunction.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Data suggest that several semiquantitative clinical tests of static and dynamic equilibrium can be helpful in evaluating and monitoring patients with chronic vestibular dysfunction. The CTSIB results seem to correlate well with dynamic posturography, suggesting that this measure may be useful in identifying patients with abnormal postural control. Formal dynamic posturography testing appears to be more sensitive in detecting abnormal postural control and more exact in defining the specific pattern of dysfunction.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Simple clinical measures of static and dynamic equilibrium can reliably distinguish vestibular disorder patients from normal subjects. Dynamic posturography continues to play an important role in the functional evaluation and management of vestibular disorder patients.</p>
</div>
</front>
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<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Cross-sectional study of normal subjects and prospective observational study of the same performance measures in vestibular disorder patients.</AbstractText>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data suggest that several semiquantitative clinical tests of static and dynamic equilibrium can be helpful in evaluating and monitoring patients with chronic vestibular dysfunction. The CTSIB results seem to correlate well with dynamic posturography, suggesting that this measure may be useful in identifying patients with abnormal postural control. Formal dynamic posturography testing appears to be more sensitive in detecting abnormal postural control and more exact in defining the specific pattern of dysfunction.</AbstractText>
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