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[Normative values of kinetic tests in VNG assessment].

Identifieur interne : 000C03 ( Main/Exploration ); précédent : 000C02; suivant : 000C04

[Normative values of kinetic tests in VNG assessment].

Auteurs : Ewa Zamysłowska-Szmytke [Pologne] ; Mariola Sliwi Ska-Kowalska

Source :

RBID : pubmed:21870414

Descripteurs français

English descriptors

Abstract

BACKGROUND

Balance assessment plays an important role in occupational medicine. The diagnosis of patients with balance disturbances is based on a number of laboratory tests, including rotational chair tests, one of the most important. The normative value of kinetic tests greatly depends on movement parameters and laboratory equipment, which vary between diagnostic centers. The aim of the presented paper was to establish normatives for our laboratory and testing methodology in a group of healthy persons.

MATERIALS AND METHODS

The balance examination included 45 healthy persons (21 women and 24 men) aged 20-63 years (mean 38.5 +/- 14.9). The study population underwent very thorough neuro-otological examination, static posturography and VNG tests. The caloric test result was a crucial criterion for inclusion to the group of healthy persons. Rotational tests included: one "burst" test analyzing vestibulo-ocular reflex (VOR) with and without optokinetic stimulation visual vestibular optokinetic reflex (VVOR) and cervico-ocular reflex (COR); three impulse tests and sinusoidal harmonic rotation tests of 0.04, 0.08, 0.1, 0.16, 0.32, and 0.64 Hz.

RESULTS

The mean values were: VVOR, 0.9 +/- 0.1; VOR, 0.5 +/- 0.1; and COR, 0.2 +/- 0.1. The mean value of rotational and post-rotational nystagmus induced by sudden chair stop (impulse stimulus) was 9 +/- 7 s, the gain values were 0.4 for sinusoidal tests, in the stimulation range of 0.1-0.32 and 0.5 for 0.64 Hz stimulation. There was no significant linear relationship between age and test parameters except for the test using sinusoidal-decreasing stimulation.

CONCLUSIONS

These normative values form the base for a closer incorporation of rotational tests in occupational medicine procedures.


PubMed: 21870414


Affiliations:


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Le document en format XML

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<nlm:affiliation>Instytut Medycyny Pracy im. prof. J. Nofera, Łódź, Klinika Audiologii i Foniatrii, Pracownia Zaburzeń Równowagi. zamysewa@imp.lodz.pl</nlm:affiliation>
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<name sortKey="Sliwi Ska Kowalska, Mariola" sort="Sliwi Ska Kowalska, Mariola" uniqKey="Sliwi Ska Kowalska M" first="Mariola" last="Sliwi Ska-Kowalska">Mariola Sliwi Ska-Kowalska</name>
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<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Movement (MeSH)</term>
<term>Nystagmus, Physiologic (physiology)</term>
<term>Occupational Diseases (diagnosis)</term>
<term>Poland (MeSH)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Reference Values (MeSH)</term>
<term>Reflex, Vestibulo-Ocular (physiology)</term>
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<term>Vestibular Function Tests (methods)</term>
<term>Young Adult (MeSH)</term>
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<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Maladies professionnelles (diagnostic)</term>
<term>Mouvement (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nystagmus physiologique (physiologie)</term>
<term>Pologne (MeSH)</term>
<term>Rotation (MeSH)</term>
<term>Réflexe vestibulo-oculaire (physiologie)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Valeurs de référence (MeSH)</term>
<term>Épreuves vestibulaires (méthodes)</term>
<term>Épreuves vestibulaires caloriques (méthodes)</term>
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<term>Occupational Diseases</term>
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<term>Maladies professionnelles</term>
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<term>Caloric Tests</term>
<term>Vestibular Function Tests</term>
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<term>Épreuves vestibulaires</term>
<term>Épreuves vestibulaires caloriques</term>
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<term>Nystagmus physiologique</term>
<term>Réflexe vestibulo-oculaire</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement</term>
<term>Predictive Value of Tests</term>
<term>Reference Values</term>
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<term>Jeune adulte</term>
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<b>BACKGROUND</b>
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<p>Balance assessment plays an important role in occupational medicine. The diagnosis of patients with balance disturbances is based on a number of laboratory tests, including rotational chair tests, one of the most important. The normative value of kinetic tests greatly depends on movement parameters and laboratory equipment, which vary between diagnostic centers. The aim of the presented paper was to establish normatives for our laboratory and testing methodology in a group of healthy persons.</p>
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<div type="abstract" xml:lang="en">
<p>
<b>MATERIALS AND METHODS</b>
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<p>The balance examination included 45 healthy persons (21 women and 24 men) aged 20-63 years (mean 38.5 +/- 14.9). The study population underwent very thorough neuro-otological examination, static posturography and VNG tests. The caloric test result was a crucial criterion for inclusion to the group of healthy persons. Rotational tests included: one "burst" test analyzing vestibulo-ocular reflex (VOR) with and without optokinetic stimulation visual vestibular optokinetic reflex (VVOR) and cervico-ocular reflex (COR); three impulse tests and sinusoidal harmonic rotation tests of 0.04, 0.08, 0.1, 0.16, 0.32, and 0.64 Hz.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
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<p>The mean values were: VVOR, 0.9 +/- 0.1; VOR, 0.5 +/- 0.1; and COR, 0.2 +/- 0.1. The mean value of rotational and post-rotational nystagmus induced by sudden chair stop (impulse stimulus) was 9 +/- 7 s, the gain values were 0.4 for sinusoidal tests, in the stimulation range of 0.1-0.32 and 0.5 for 0.64 Hz stimulation. There was no significant linear relationship between age and test parameters except for the test using sinusoidal-decreasing stimulation.</p>
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<b>CONCLUSIONS</b>
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<p>These normative values form the base for a closer incorporation of rotational tests in occupational medicine procedures.</p>
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<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The balance examination included 45 healthy persons (21 women and 24 men) aged 20-63 years (mean 38.5 +/- 14.9). The study population underwent very thorough neuro-otological examination, static posturography and VNG tests. The caloric test result was a crucial criterion for inclusion to the group of healthy persons. Rotational tests included: one "burst" test analyzing vestibulo-ocular reflex (VOR) with and without optokinetic stimulation visual vestibular optokinetic reflex (VVOR) and cervico-ocular reflex (COR); three impulse tests and sinusoidal harmonic rotation tests of 0.04, 0.08, 0.1, 0.16, 0.32, and 0.64 Hz.</AbstractText>
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