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Clinical utility of lateral head tilt posturography.

Identifieur interne : 001525 ( Main/Exploration ); précédent : 001524; suivant : 001526

Clinical utility of lateral head tilt posturography.

Auteurs : N S Chandra [États-Unis] ; N T Shepard

Source :

The American journal of otology [ 0192-9763 ] ; 1996.

RBID : pubmed:8723960

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Maladies vestibulaires (diagnostic), Mâle (MeSH), Méthode en double aveugle (MeSH), Posture (MeSH), Rotation (MeSH), Sujet âgé (MeSH), Tête (MeSH), Épreuves vestibulaires caloriques (MeSH), Études prospectives (MeSH).
MESH :
- diagnostic : Maladies vestibulaires.
- Adulte, Adulte d'âge moyen, Facteurs âges, Femelle, Humains, Mâle, Méthode en double aveugle, Posture, Rotation, Sujet âgé, Tête, Épreuves vestibulaires caloriques, Études prospectives.

English descriptors

KwdEn :
- Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Caloric Tests (MeSH), Double-Blind Method (MeSH), Female (MeSH), Head (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Posture (MeSH), Prospective Studies (MeSH), Rotation (MeSH), Vestibular Diseases (diagnosis).
MESH :
- diagnosis : Vestibular Diseases.
- Adult, Age Factors, Aged, Caloric Tests, Double-Blind Method, Female, Head, Humans, Male, Middle Aged, Posture, Prospective Studies, Rotation.

Abstract

The Sensory Organization Test (SOT) of dynamic posturography, a functional test of balance, has a low sensitivity for compensated unilateral peripheral vestibular lesions. Tilting the head 45 degrees laterally during SOT [i.e. lateral heat tilt (LHT) SOT] may better detect such lesions. Normal subjects and vestibular clinic patients were studied using SOT and LHT SOT. Caloric, rotational chair, and oculomotor testing were also performed for patients, in either a double-blind or non-double-blind manner. The results for both patient groups were similar and thus were collapsed. Normative LHT SOT performance ranges were established to be slightly lower than corresponding SOT scores, for subjects aged 20-59 years. Subjects in older age groups performed with similar equilibrium scores in both SOT and LHT SOT. Normal subjects aged 20-59 and 60-69 years performed similarly, whereas those aged 70-79 performed significantly worse. Sensitivity of LHT SOT to unilateral peripheral vestibular lesions was poor (24%). Specificity of LHT SOT from patients having balance-system weakness was 90%. The results of this study indicate that LHT posturography does not facilitate significant discrimination of patients with compensated unilateral peripheral weakness from those without such lesions.

PubMed: 8723960

Affiliations:

États-Unis

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Le document en format XML

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<author><name sortKey="Chandra, N S" sort="Chandra, N S" uniqKey="Chandra N" first="N S" last="Chandra">N S Chandra</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, University of Michigan Medical Center, Ann Arbor, USA.</nlm:affiliation>
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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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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Caloric Tests (MeSH)</term>
<term>Double-Blind Method (MeSH)</term>
<term>Female (MeSH)</term>
<term>Head (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Rotation (MeSH)</term>
<term>Vestibular Diseases (diagnosis)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maladies vestibulaires (diagnostic)</term>
<term>Mâle (MeSH)</term>
<term>Méthode en double aveugle (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Rotation (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tête (MeSH)</term>
<term>Épreuves vestibulaires caloriques (MeSH)</term>
<term>Études prospectives (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" xml:lang="en"><term>Adult</term>
<term>Age Factors</term>
<term>Aged</term>
<term>Caloric Tests</term>
<term>Double-Blind Method</term>
<term>Female</term>
<term>Head</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Posture</term>
<term>Prospective Studies</term>
<term>Rotation</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Méthode en double aveugle</term>
<term>Posture</term>
<term>Rotation</term>
<term>Sujet âgé</term>
<term>Tête</term>
<term>Épreuves vestibulaires caloriques</term>
<term>Études prospectives</term>
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<front><div type="abstract" xml:lang="en">The Sensory Organization Test (SOT) of dynamic posturography, a functional test of balance, has a low sensitivity for compensated unilateral peripheral vestibular lesions. Tilting the head 45 degrees laterally during SOT [i.e. lateral heat tilt (LHT) SOT] may better detect such lesions. Normal subjects and vestibular clinic patients were studied using SOT and LHT SOT. Caloric, rotational chair, and oculomotor testing were also performed for patients, in either a double-blind or non-double-blind manner. The results for both patient groups were similar and thus were collapsed. Normative LHT SOT performance ranges were established to be slightly lower than corresponding SOT scores, for subjects aged 20-59 years. Subjects in older age groups performed with similar equilibrium scores in both SOT and LHT SOT. Normal subjects aged 20-59 and 60-69 years performed similarly, whereas those aged 70-79 performed significantly worse. Sensitivity of LHT SOT to unilateral peripheral vestibular lesions was poor (24%). Specificity of LHT SOT from patients having balance-system weakness was 90%. The results of this study indicate that LHT posturography does not facilitate significant discrimination of patients with compensated unilateral peripheral weakness from those without such lesions.</div>
</front>
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<DateCompleted><Year>1996</Year>
<Month>10</Month>
<Day>23</Day>
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<DateRevised><Year>2007</Year>
<Month>11</Month>
<Day>14</Day>
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<Issue>2</Issue>
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<Month>Mar</Month>
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<Title>The American journal of otology</Title>
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<ArticleTitle>Clinical utility of lateral head tilt posturography.</ArticleTitle>
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<Abstract><AbstractText>The Sensory Organization Test (SOT) of dynamic posturography, a functional test of balance, has a low sensitivity for compensated unilateral peripheral vestibular lesions. Tilting the head 45 degrees laterally during SOT [i.e. lateral heat tilt (LHT) SOT] may better detect such lesions. Normal subjects and vestibular clinic patients were studied using SOT and LHT SOT. Caloric, rotational chair, and oculomotor testing were also performed for patients, in either a double-blind or non-double-blind manner. The results for both patient groups were similar and thus were collapsed. Normative LHT SOT performance ranges were established to be slightly lower than corresponding SOT scores, for subjects aged 20-59 years. Subjects in older age groups performed with similar equilibrium scores in both SOT and LHT SOT. Normal subjects aged 20-59 and 60-69 years performed similarly, whereas those aged 70-79 performed significantly worse. Sensitivity of LHT SOT to unilateral peripheral vestibular lesions was poor (24%). Specificity of LHT SOT from patients having balance-system weakness was 90%. The results of this study indicate that LHT posturography does not facilitate significant discrimination of patients with compensated unilateral peripheral weakness from those without such lesions.</AbstractText>
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Clinical utility of lateral head tilt posturography.

Clinical utility of lateral head tilt posturography.

Source :

Descripteurs français

English descriptors

Abstract

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

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki