Verticality Perceptions Associate with Postural Control and Functionality in Stroke Patients
Identifieur interne : 000018 ( Main/Exploration ); précédent : 000017; suivant : 000019Verticality Perceptions Associate with Postural Control and Functionality in Stroke Patients
Auteurs : Jussara A. O. Baggio [Brésil] ; Suleimy S. C. Mazin [Brésil] ; Frederico F. Alessio-Alves [Brésil] ; Camila G. C. Barros [Brésil] ; Antonio A. O. Carneiro [Brésil] ; João P. Leite [Brésil] ; Octavio M. Pontes-Neto [Brésil] ; Taiza E. G. Santos-Pontelli [Brésil]Source :
- PLoS ONE [ 1932-6203 ] ; 2016.
Abstract
Deficits of postural control and perceptions of verticality are disabling problems observed in stroke patients that have been recently correlated to each other. However, there is no evidence in the literature confirming this relationship with quantitative posturography analysis. Therefore, the objectives of the present study were to analyze the relationship between Subjective Postural Vertical (SPV) and Haptic Vertical (HV) with posturography and functionality in stroke patients. We included 45 stroke patients. The study protocol was composed by clinical interview, evaluation of SPV and HV in roll and pitch planes and posturography. Posturography was measured in the sitting and standing positions under the conditions: eyes open, stable surface (EOSS); eyes closed, stable surface (ECSS); eyes open, unstable surface (EOUS); and eyes closed, unstable surface (ECUS). The median PV in roll plane was 0.34° (-1.44° to 2.54°) and in pitch plane 0.36° (-2.72° to 2.45°). The median of HV in roll and pitch planes were -0.94° (-5.86° to 3.84°) and 3.56° (-0.68° to 8.36°), respectively. SPV in the roll plane was correlated with all posturagraphy parameters in sitting position in all conditions (r = 0.35 to 0.47; p < 0.006). There were moderate correlations with the verticality perceptions and all the functional scales. Linear regression model showed association between speed and SPV in the roll plane in the condition EOSS (R2 of 0.37; p = 0.005), in the condition ECSS (R2 of 0.13; p = 0.04) and in the condition EOUS (R2 of 0.22; p = 0.03). These results suggest that verticality perception is a relevant component of postural control and should be systematically evaluated, particularly in patients with abnormal postural control.
Url:
DOI: 10.1371/journal.pone.0150754
PubMed: 26954679
PubMed Central: 4783020
Affiliations:
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O." last="Baggio">Jussara A. O. Baggio</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Mazin, Suleimy S C" sort="Mazin, Suleimy S C" uniqKey="Mazin S" first="Suleimy S. C." last="Mazin">Suleimy S. C. Mazin</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Alessio Alves, Frederico F" sort="Alessio Alves, Frederico F" uniqKey="Alessio Alves F" first="Frederico F." last="Alessio-Alves">Frederico F. Alessio-Alves</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Barros, Camila G C" sort="Barros, Camila G C" uniqKey="Barros C" first="Camila G. C." last="Barros">Camila G. C. Barros</name><affiliation wicri:level="4"><nlm:aff id="aff002"><addr-line>Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Carneiro, Antonio A O" sort="Carneiro, Antonio A O" uniqKey="Carneiro A" first="Antonio A. O." last="Carneiro">Antonio A. O. Carneiro</name><affiliation wicri:level="4"><nlm:aff id="aff003"><addr-line>Department of Physics and Mathematics, Ribeirao Preto School of Philosophy, Sciences and Letters, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Physics and Mathematics, Ribeirao Preto School of Philosophy, Sciences and Letters, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Leite, Joao P" sort="Leite, Joao P" uniqKey="Leite J" first="João P." last="Leite">João P. Leite</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Pontes Neto, Octavio M" sort="Pontes Neto, Octavio M" uniqKey="Pontes Neto O" first="Octavio M." last="Pontes-Neto">Octavio M. Pontes-Neto</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Santos Pontelli, Taiza E G" sort="Santos Pontelli, Taiza E G" uniqKey="Santos Pontelli T" first="Taiza E. G." last="Santos-Pontelli">Taiza E. G. Santos-Pontelli</name><affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo, Brazil</addr-line></nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Neuroscience and Behavior Sciences, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirão Preto, São Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Deficits of postural control and perceptions of verticality are disabling problems observed in stroke patients that have been recently correlated to each other. However, there is no evidence in the literature confirming this relationship with quantitative posturography analysis. Therefore, the objectives of the present study were to analyze the relationship between Subjective Postural Vertical (SPV) and Haptic Vertical (HV) with posturography and functionality in stroke patients. We included 45 stroke patients. The study protocol was composed by clinical interview, evaluation of SPV and HV in roll and pitch planes and posturography. Posturography was measured in the sitting and standing positions under the conditions: eyes open, stable surface (EOSS); eyes closed, stable surface (ECSS); eyes open, unstable surface (EOUS); and eyes closed, unstable surface (ECUS). The median PV in roll plane was 0.34° (-1.44° to 2.54°) and in pitch plane 0.36° (-2.72° to 2.45°). The median of HV in roll and pitch planes were -0.94° (-5.86° to 3.84°) and 3.56° (-0.68° to 8.36°), respectively. SPV in the roll plane was correlated with all posturagraphy parameters in sitting position in all conditions (r = 0.35 to 0.47; p < 0.006). There were moderate correlations with the verticality perceptions and all the functional scales. Linear regression model showed association between speed and SPV in the roll plane in the condition EOSS (R2 of 0.37; p = 0.005), in the condition ECSS (R2 of 0.13; p = 0.04) and in the condition EOUS (R2 of 0.22; p = 0.03). These results suggest that verticality perception is a relevant component of postural control and should be systematically evaluated, particularly in patients with abnormal postural control.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Perennou, D" uniqKey="Perennou D">D Pérennou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schmid, Aa" uniqKey="Schmid A">AA Schmid</name></author><author><name sortKey="Van Puymbroeck, M" uniqKey="Van Puymbroeck M">M Van Puymbroeck</name></author><author><name sortKey="Altenburger, Pa" uniqKey="Altenburger P">PA Altenburger</name></author><author><name sortKey="Miller, Kk" uniqKey="Miller K">KK Miller</name></author><author><name sortKey="Combs, Sa" uniqKey="Combs S">SA Combs</name></author><author><name sortKey="Page, Sj" uniqKey="Page S">SJ Page</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Babyar, Sr" uniqKey="Babyar 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de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Baggio, Jussara A O" sort="Baggio, Jussara A O" uniqKey="Baggio J" first="Jussara A. O." last="Baggio">Jussara A. O. Baggio</name></region><name sortKey="Alessio Alves, Frederico F" sort="Alessio Alves, Frederico F" uniqKey="Alessio Alves F" first="Frederico F." last="Alessio-Alves">Frederico F. Alessio-Alves</name><name sortKey="Barros, Camila G C" sort="Barros, Camila G C" uniqKey="Barros C" first="Camila G. C." last="Barros">Camila G. C. Barros</name><name sortKey="Carneiro, Antonio A O" sort="Carneiro, Antonio A O" uniqKey="Carneiro A" first="Antonio A. O." last="Carneiro">Antonio A. O. Carneiro</name><name sortKey="Leite, Joao P" sort="Leite, Joao P" uniqKey="Leite J" first="João P." last="Leite">João P. Leite</name><name sortKey="Mazin, Suleimy S C" sort="Mazin, Suleimy S C" uniqKey="Mazin S" first="Suleimy S. C." last="Mazin">Suleimy S. C. Mazin</name><name sortKey="Pontes Neto, Octavio M" sort="Pontes Neto, Octavio M" uniqKey="Pontes Neto O" first="Octavio M." last="Pontes-Neto">Octavio M. Pontes-Neto</name><name sortKey="Santos Pontelli, Taiza E G" sort="Santos Pontelli, Taiza E G" uniqKey="Santos Pontelli T" first="Taiza E. G." last="Santos-Pontelli">Taiza E. G. Santos-Pontelli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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