Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study
Identifieur interne : 000815 ( PascalFrancis/Checkpoint ); précédent : 000814; suivant : 000816Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study
Auteurs : Patrick Manckoundia [France] ; France Mourey [France] ; Pierre Pfitzenmeyer [France] ; Jacques Van Hoecke [France] ; Dominic Perennou [France]Source :
- Clinical neurophysiology [ 1388-2457 ] ; 2007.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Personne âgée.
English descriptors
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Abstract
Objective: We hypothesised that backward disequilibrium (BD), defined by a posterior position of the centre of mass with respect to the base of support, could be caused by a backward tilt in the perception of verticality. Methods: The relationship between BD, the perception of verticality, and the history of falls in 25 subjects aged 84.5 ± 7.4 years was analysed. An original ordinal scale, the BD scale (BDS), was used to quantify BD. Postural (PV) and haptic verticals (HV) were measured in sagittal plane. Results: BDS scores closely correlated with the number of falls (r = 0.81, p = 10-5). The more the PV was tilted backward, the greater the BDS scores (r = -0.95, p < 10-6), with a huge backward tilt of about 15° in 4 subjects with severe BD. In these subjects, the tilt in perception of verticality was transmodal since a severe backward HV tilt was also found. Conclusions: This transmodality suggested high-order cognitive disruption in the construction of the subjective vertical used in postural control by subjects showing BD, which confirmed our hypothesis. Significance: This study clearly shows that perception and action with respect to gravity are closely related and brings a new insight about fall mechanisms in the elderly.
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first="Dominic" last="Perennou">Dominic Perennou</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>INSERMIERIT-M 0207 Motricité-Plasticité, Université de Bourgogne</s1><s2>Dijon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Service de Rééducation Neurologique, CHU Dijon</s1><s3>FRA</s3><sZ>5 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>CHU Dijon</wicri:noRegion><wicri:noRegion>Service de Rééducation Neurologique, CHU Dijon</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">07-0167345</idno><date when="2007">2007</date><idno type="stanalyst">PASCAL 07-0167345 INIST</idno><idno type="RBID">Pascal:07-0167345</idno><idno type="wicri:Area/PascalFrancis/Corpus">000B76</idno><idno type="wicri:Area/PascalFrancis/Curation">000919</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000815</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study</title><author><name sortKey="Manckoundia, Patrick" sort="Manckoundia, Patrick" uniqKey="Manckoundia P" first="Patrick" last="Manckoundia">Patrick Manckoundia</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>INSERMIERIT-M 0207 Motricité-Plasticité, Université de Bourgogne</s1><s2>Dijon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Service de Médecine Interne Gériatrie CHU Dijon</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Service de Médecine Interne Gériatrie CHU Dijon</wicri:noRegion><wicri:noRegion>Service de Médecine Interne Gériatrie CHU Dijon</wicri:noRegion></affiliation></author><author><name sortKey="Mourey, France" sort="Mourey, France" uniqKey="Mourey F" first="France" last="Mourey">France Mourey</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>INSERMIERIT-M 0207 Motricité-Plasticité, Université de Bourgogne</s1><s2>Dijon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Service de Médecine Interne Gériatrie CHU Dijon</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Service de Médecine Interne Gériatrie CHU Dijon</wicri:noRegion><wicri:noRegion>Service de Médecine Interne Gériatrie CHU Dijon</wicri:noRegion></affiliation></author><author><name sortKey="Pfitzenmeyer, Pierre" sort="Pfitzenmeyer, Pierre" uniqKey="Pfitzenmeyer P" first="Pierre" last="Pfitzenmeyer">Pierre Pfitzenmeyer</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>INSERMIERIT-M 0207 Motricité-Plasticité, Université de Bourgogne</s1><s2>Dijon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Service de Médecine Interne Gériatrie CHU Dijon</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>Service de Médecine Interne Gériatrie CHU Dijon</wicri:noRegion><wicri:noRegion>Service de Médecine Interne Gériatrie CHU Dijon</wicri:noRegion></affiliation></author><author><name sortKey="Van Hoecke, Jacques" sort="Van Hoecke, Jacques" uniqKey="Van Hoecke J" first="Jacques" last="Van Hoecke">Jacques Van Hoecke</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>INSERMIERIT-M 0207 Motricité-Plasticité, Université de Bourgogne</s1><s2>Dijon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName></affiliation></author><author><name sortKey="Perennou, Dominic" sort="Perennou, Dominic" uniqKey="Perennou D" first="Dominic" last="Perennou">Dominic Perennou</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>INSERMIERIT-M 0207 Motricité-Plasticité, Université de Bourgogne</s1><s2>Dijon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>France</country><placeName><settlement type="city">Dijon</settlement></placeName><orgName type="university">Université de Bourgogne</orgName><placeName><settlement type="city">Dijon</settlement><region type="region" nuts="2">Région Bourgogne</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Service de Rééducation Neurologique, CHU Dijon</s1><s3>FRA</s3><sZ>5 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>CHU Dijon</wicri:noRegion><wicri:noRegion>Service de Rééducation Neurologique, CHU Dijon</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Clinical neurophysiology</title><title level="j" type="abbreviated">Clin. neurophysiol.</title><idno type="ISSN">1388-2457</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Clinical neurophysiology</title><title level="j" type="abbreviated">Clin. neurophysiol.</title><idno type="ISSN">1388-2457</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Center of mass</term><term>Elderly</term><term>Electrodiagnosis</term><term>Gravity</term><term>Haptic perception</term><term>Posture</term><term>Tilt</term><term>Verticality</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Verticalité</term><term>Centre gravité</term><term>Inclinaison</term><term>Posture</term><term>Gravité</term><term>Electrodiagnostic</term><term>Personne âgée</term><term>Perception haptique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: We hypothesised that backward disequilibrium (BD), defined by a posterior position of the centre of mass with respect to the base of support, could be caused by a backward tilt in the perception of verticality. Methods: The relationship between BD, the perception of verticality, and the history of falls in 25 subjects aged 84.5 ± 7.4 years was analysed. An original ordinal scale, the BD scale (BDS), was used to quantify BD. Postural (PV) and haptic verticals (HV) were measured in sagittal plane. Results: BDS scores closely correlated with the number of falls (r = 0.81, p = 10<sup>-5</sup>). The more the PV was tilted backward, the greater the BDS scores (r = -0.95, p < 10<sup>-6</sup>), with a huge backward tilt of about 15° in 4 subjects with severe BD. In these subjects, the tilt in perception of verticality was transmodal since a severe backward HV tilt was also found. Conclusions: This transmodality suggested high-order cognitive disruption in the construction of the subjective vertical used in postural control by subjects showing BD, which confirmed our hypothesis. Significance: This study clearly shows that perception and action with respect to gravity are closely related and brings a new insight about fall mechanisms in the elderly.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>1388-2457</s0></fA01><fA03 i2="1"><s0>Clin. neurophysiol.</s0></fA03><fA05><s2>118</s2></fA05><fA06><s2>4</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study</s1></fA08><fA11 i1="01" i2="1"><s1>MANCKOUNDIA (Patrick)</s1></fA11><fA11 i1="02" i2="1"><s1>MOUREY (France)</s1></fA11><fA11 i1="03" i2="1"><s1>PFITZENMEYER (Pierre)</s1></fA11><fA11 i1="04" i2="1"><s1>VAN HOECKE (Jacques)</s1></fA11><fA11 i1="05" i2="1"><s1>PERENNOU (Dominic)</s1></fA11><fA14 i1="01"><s1>INSERMIERIT-M 0207 Motricité-Plasticité, Université de Bourgogne</s1><s2>Dijon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></fA14><fA14 i1="02"><s1>Service de Médecine Interne Gériatrie CHU Dijon</s1><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="03"><s1>Service de Rééducation Neurologique, CHU Dijon</s1><s3>FRA</s3><sZ>5 aut.</sZ></fA14><fA20><s1>786-793</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>5626E</s2><s5>354000147167900100</s5></fA43><fA44><s0>0000</s0><s1>© 2007 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>1 p.1/4</s0></fA45><fA47 i1="01" i2="1"><s0>07-0167345</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Clinical neurophysiology</s0></fA64><fA66 i1="01"><s0>IRL</s0></fA66><fC01 i1="01" l="ENG"><s0>Objective: We hypothesised that backward disequilibrium (BD), defined by a posterior position of the centre of mass with respect to the base of support, could be caused by a backward tilt in the perception of verticality. Methods: The relationship between BD, the perception of verticality, and the history of falls in 25 subjects aged 84.5 ± 7.4 years was analysed. An original ordinal scale, the BD scale (BDS), was used to quantify BD. Postural (PV) and haptic verticals (HV) were measured in sagittal plane. Results: BDS scores closely correlated with the number of falls (r = 0.81, p = 10<sup>-5</sup>). The more the PV was tilted backward, the greater the BDS scores (r = -0.95, p < 10<sup>-6</sup>), with a huge backward tilt of about 15° in 4 subjects with severe BD. In these subjects, the tilt in perception of verticality was transmodal since a severe backward HV tilt was also found. Conclusions: This transmodality suggested high-order cognitive disruption in the construction of the subjective vertical used in postural control by subjects showing BD, which confirmed our hypothesis. Significance: This study clearly shows that perception and action with respect to gravity are closely related and brings a new insight about fall mechanisms in the elderly.</s0></fC01><fC02 i1="01" i2="X"><s0>002B24D02</s0></fC02><fC02 i1="02" i2="X"><s0>002B23B</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Verticalité</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Verticality</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Verticalidad</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Centre gravité</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Center of mass</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Centro gravitacional</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Inclinaison</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Tilt</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Inclinación</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Posture</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Posture</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Postura</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Gravité</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Gravity</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Gravedad</s0><s5>05</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Electrodiagnostic</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Electrodiagnosis</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Electrodiagnóstico</s0><s5>06</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Personne âgée</s0><s5>54</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Elderly</s0><s5>54</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Anciano</s0><s5>54</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Perception haptique</s0><s4>CD</s4><s5>96</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Haptic perception</s0><s4>CD</s4><s5>96</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Homme</s0></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Human</s0></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0></fC07><fN21><s1>106</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>France</li></country><region><li>Région Bourgogne</li></region><settlement><li>Dijon</li></settlement><orgName><li>Université de Bourgogne</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Manckoundia, Patrick" sort="Manckoundia, Patrick" uniqKey="Manckoundia P" first="Patrick" last="Manckoundia">Patrick Manckoundia</name></noRegion><name sortKey="Manckoundia, Patrick" sort="Manckoundia, Patrick" uniqKey="Manckoundia P" first="Patrick" last="Manckoundia">Patrick Manckoundia</name><name sortKey="Mourey, France" sort="Mourey, France" uniqKey="Mourey F" first="France" last="Mourey">France Mourey</name><name sortKey="Mourey, France" sort="Mourey, France" uniqKey="Mourey F" first="France" last="Mourey">France Mourey</name><name sortKey="Perennou, Dominic" sort="Perennou, Dominic" uniqKey="Perennou D" first="Dominic" last="Perennou">Dominic Perennou</name><name sortKey="Perennou, Dominic" sort="Perennou, Dominic" uniqKey="Perennou D" first="Dominic" last="Perennou">Dominic Perennou</name><name sortKey="Pfitzenmeyer, Pierre" sort="Pfitzenmeyer, Pierre" uniqKey="Pfitzenmeyer P" first="Pierre" last="Pfitzenmeyer">Pierre Pfitzenmeyer</name><name sortKey="Pfitzenmeyer, Pierre" sort="Pfitzenmeyer, Pierre" uniqKey="Pfitzenmeyer P" first="Pierre" last="Pfitzenmeyer">Pierre Pfitzenmeyer</name><name sortKey="Van Hoecke, Jacques" sort="Van Hoecke, Jacques" uniqKey="Van Hoecke J" first="Jacques" last="Van Hoecke">Jacques Van Hoecke</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|area= HapticV1
|flux= PascalFrancis
|étape= Checkpoint
|type= RBID
|clé= Pascal:07-0167345
|texte= Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study
}}
| This area was generated with Dilib version V0.6.23. |  |