Serveur d'exploration sur le test Dix-Hallpike

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Screening people in the waiting room for vestibular impairments.

Identifieur interne : 000179 ( Main/Exploration ); précédent : 000178; suivant : 000180

Screening people in the waiting room for vestibular impairments.

Auteurs : Helen S. Cohen [États-Unis] ; Ajitkumar P. Mulavara [États-Unis] ; Haleh Sangi-Haghpeykar [États-Unis] ; Brian T. Peters [États-Unis] ; Jacob J. Bloomberg [États-Unis] ; Valory N. Pavlik [États-Unis]

Source :

RBID : pubmed:25188617

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Primary care physicians need good screening tests of the vestibular system to help them determine whether patients who complain of dizziness should be evaluated for vestibular disorders. The goal of this study was to determine whether current, widely used screening tests of the vestibular system predict subsequent performance on objective diagnostic tests of the vestibular system (ENG).

METHODS

Of 300 subjects who were recruited from the waiting room of a primary care clinic and were screened there, 69 subjects subsequently volunteered for ENGs in the otolaryngology department. The screening study included age, history of vertigo, head impulse tests, Dix-Hallpike maneuvers, and the Clinical Test of Sensory Integration and Balance with the head still and the head pitching at 0.33 Hz. The ENG included Dix-Hallpike maneuvers, vestibular-evoked myogenic potentials, bithermal water caloric tests, and low-frequency sinusoids in the rotatory chair in darkness.

RESULTS

The scores on the screening were related to the total ENG, but odds ratios were not significant for some variables, probably because of the small sample size.

CONCLUSIONS

A larger sample may have yielded stronger results, but in general the high odds ratios suggest a relation between the ENG score and Dix-Hallpike responses and between the ENG scores and some Clinical Test of Sensory Integration and Balance responses.


DOI: 10.14423/SMJ.000000000000017
PubMed: 25188617
PubMed Central: PMC4156111


Affiliations:


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


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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Dizziness (diagnosis)</term>
<term>Dizziness (etiology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mass Screening (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Office Visits (MeSH)</term>
<term>Physical Examination (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Predictive Value of Tests (MeSH)</term>
<term>Primary Health Care (MeSH)</term>
<term>Vestibular Diseases (complications)</term>
<term>Vestibular Diseases (diagnosis)</term>
<term>Vestibular Diseases (physiopathology)</term>
<term>Vestibular Evoked Myogenic Potentials (MeSH)</term>
<term>Vestibular Function Tests (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Consultation médicale (MeSH)</term>
<term>Dépistage de masse (MeSH)</term>
<term>Examen physique (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Maladies vestibulaires (complications)</term>
<term>Maladies vestibulaires (diagnostic)</term>
<term>Maladies vestibulaires (physiopathologie)</term>
<term>Mâle (MeSH)</term>
<term>Potentiels évoqués vestibulaires myogéniques (MeSH)</term>
<term>Sensation vertigineuse (diagnostic)</term>
<term>Sensation vertigineuse (étiologie)</term>
<term>Soins de santé primaires (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Valeur prédictive des tests (MeSH)</term>
<term>Épreuves vestibulaires (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Dizziness</term>
<term>Vestibular Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Maladies vestibulaires</term>
<term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Dizziness</term>
</keywords>
<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" qualifier="étiologie" xml:lang="fr">
<term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mass Screening</term>
<term>Middle Aged</term>
<term>Office Visits</term>
<term>Physical Examination</term>
<term>Postural Balance</term>
<term>Predictive Value of Tests</term>
<term>Primary Health Care</term>
<term>Vestibular Evoked Myogenic Potentials</term>
<term>Vestibular Function Tests</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Consultation médicale</term>
<term>Dépistage de masse</term>
<term>Examen physique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Maladies vestibulaires</term>
<term>Mâle</term>
<term>Potentiels évoqués vestibulaires myogéniques</term>
<term>Soins de santé primaires</term>
<term>Sujet âgé</term>
<term>Valeur prédictive des tests</term>
<term>Épreuves vestibulaires</term>
<term>Équilibre postural</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>Primary care physicians need good screening tests of the vestibular system to help them determine whether patients who complain of dizziness should be evaluated for vestibular disorders. The goal of this study was to determine whether current, widely used screening tests of the vestibular system predict subsequent performance on objective diagnostic tests of the vestibular system (ENG).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Of 300 subjects who were recruited from the waiting room of a primary care clinic and were screened there, 69 subjects subsequently volunteered for ENGs in the otolaryngology department. The screening study included age, history of vertigo, head impulse tests, Dix-Hallpike maneuvers, and the Clinical Test of Sensory Integration and Balance with the head still and the head pitching at 0.33 Hz. The ENG included Dix-Hallpike maneuvers, vestibular-evoked myogenic potentials, bithermal water caloric tests, and low-frequency sinusoids in the rotatory chair in darkness.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The scores on the screening were related to the total ENG, but odds ratios were not significant for some variables, probably because of the small sample size.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>A larger sample may have yielded stronger results, but in general the high odds ratios suggest a relation between the ENG score and Dix-Hallpike responses and between the ENG scores and some Clinical Test of Sensory Integration and Balance responses.</p>
</div>
</front>
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<Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
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<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Primary care physicians need good screening tests of the vestibular system to help them determine whether patients who complain of dizziness should be evaluated for vestibular disorders. The goal of this study was to determine whether current, widely used screening tests of the vestibular system predict subsequent performance on objective diagnostic tests of the vestibular system (ENG).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Of 300 subjects who were recruited from the waiting room of a primary care clinic and were screened there, 69 subjects subsequently volunteered for ENGs in the otolaryngology department. The screening study included age, history of vertigo, head impulse tests, Dix-Hallpike maneuvers, and the Clinical Test of Sensory Integration and Balance with the head still and the head pitching at 0.33 Hz. The ENG included Dix-Hallpike maneuvers, vestibular-evoked myogenic potentials, bithermal water caloric tests, and low-frequency sinusoids in the rotatory chair in darkness.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The scores on the screening were related to the total ENG, but odds ratios were not significant for some variables, probably because of the small sample size.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A larger sample may have yielded stronger results, but in general the high odds ratios suggest a relation between the ENG score and Dix-Hallpike responses and between the ENG scores and some Clinical Test of Sensory Integration and Balance responses.</AbstractText>
</Abstract>
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<ForeName>Helen S</ForeName>
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</AffiliationInfo>
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<LastName>Mulavara</LastName>
<ForeName>Ajitkumar P</ForeName>
<Initials>AP</Initials>
<AffiliationInfo>
<Affiliation>From the Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, the Department of Obstetrics and Gynecology, and the Department of Family and Community Medicine, Baylor College of Medicine, Universities Space Research Association, Wyle Science, Technology and Engineering Group, and the Neuroscience Laboratories, NASA/Johnson Space Center, Houston, Texas.</Affiliation>
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<LastName>Sangi-Haghpeykar</LastName>
<ForeName>Haleh</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>From the Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, the Department of Obstetrics and Gynecology, and the Department of Family and Community Medicine, Baylor College of Medicine, Universities Space Research Association, Wyle Science, Technology and Engineering Group, and the Neuroscience Laboratories, NASA/Johnson Space Center, Houston, Texas.</Affiliation>
</AffiliationInfo>
</Author>
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<ForeName>Brian T</ForeName>
<Initials>BT</Initials>
<AffiliationInfo>
<Affiliation>From the Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, the Department of Obstetrics and Gynecology, and the Department of Family and Community Medicine, Baylor College of Medicine, Universities Space Research Association, Wyle Science, Technology and Engineering Group, and the Neuroscience Laboratories, NASA/Johnson Space Center, Houston, Texas.</Affiliation>
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