[Evaluation of balance in neurologic and geriatric disorders].
Identifieur interne : 001645 ( PubMed/Checkpoint ); précédent : 001644; suivant : 001646[Evaluation of balance in neurologic and geriatric disorders].
Auteurs : D. Pérennou [France] ; P. Decavel ; P. Manckoundia ; Y. Penven ; F. Mourey ; F. Launay ; P. Pfitzenmeyer ; J M CasillasSource :
- Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique [ 0168-6054 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- physiology : Postural Balance, Posture.
- physiopathology : Gait Disorders, Neurologic.
- rehabilitation : Gait Disorders, Neurologic.
- Aged, Disability Evaluation, Geriatric Assessment, Humans.
Abstract
To analyse the clinical usefulness and metrological properties of the main techniques and indices used to assess balance disorders.
DOI: 10.1016/j.annrmp.2005.04.009
PubMed: 15932776
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Evaluation of balance in neurologic and geriatric disorders].</title><author><name sortKey="Perennou, D" sort="Perennou, D" uniqKey="Perennou D" first="D" last="Pérennou">D. Pérennou</name><affiliation wicri:level="3"><nlm:affiliation>Pôles rééducation-réadaptation et gériatrie, CHU et Inserm ERM207, 23, rue Gaffarel, BP 77908 F, 21079 Dijon cedex, France. dominic.perennou@chu-dijon.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pôles rééducation-réadaptation et gériatrie, CHU et Inserm ERM207, 23, rue Gaffarel, BP 77908 F, 21079 Dijon cedex</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Decavel, P" sort="Decavel, P" uniqKey="Decavel P" first="P" last="Decavel">P. Decavel</name></author><author><name sortKey="Manckoundia, P" sort="Manckoundia, P" uniqKey="Manckoundia P" first="P" last="Manckoundia">P. Manckoundia</name></author><author><name sortKey="Penven, Y" sort="Penven, Y" uniqKey="Penven Y" first="Y" last="Penven">Y. Penven</name></author><author><name sortKey="Mourey, F" sort="Mourey, F" uniqKey="Mourey F" first="F" last="Mourey">F. Mourey</name></author><author><name sortKey="Launay, F" sort="Launay, F" uniqKey="Launay F" first="F" last="Launay">F. Launay</name></author><author><name sortKey="Pfitzenmeyer, P" sort="Pfitzenmeyer, P" uniqKey="Pfitzenmeyer P" first="P" last="Pfitzenmeyer">P. Pfitzenmeyer</name></author><author><name sortKey="Casillas, J M" sort="Casillas, J M" uniqKey="Casillas J" first="J M" last="Casillas">J M Casillas</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="doi">10.1016/j.annrmp.2005.04.009</idno><idno type="RBID">pubmed:15932776</idno><idno type="pmid">15932776</idno><idno type="wicri:Area/PubMed/Corpus">001929</idno><idno type="wicri:Area/PubMed/Curation">001929</idno><idno type="wicri:Area/PubMed/Checkpoint">001645</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Evaluation of balance in neurologic and geriatric disorders].</title><author><name sortKey="Perennou, D" sort="Perennou, D" uniqKey="Perennou D" first="D" last="Pérennou">D. Pérennou</name><affiliation wicri:level="3"><nlm:affiliation>Pôles rééducation-réadaptation et gériatrie, CHU et Inserm ERM207, 23, rue Gaffarel, BP 77908 F, 21079 Dijon cedex, France. dominic.perennou@chu-dijon.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Pôles rééducation-réadaptation et gériatrie, CHU et Inserm ERM207, 23, rue Gaffarel, BP 77908 F, 21079 Dijon cedex</wicri:regionArea><placeName><region type="region" nuts="2">Bourgogne-Franche-Comté</region><region type="old region" nuts="2">Bourgogne</region><settlement type="city">Dijon</settlement></placeName></affiliation></author><author><name sortKey="Decavel, P" sort="Decavel, P" uniqKey="Decavel P" first="P" last="Decavel">P. Decavel</name></author><author><name sortKey="Manckoundia, P" sort="Manckoundia, P" uniqKey="Manckoundia P" first="P" last="Manckoundia">P. Manckoundia</name></author><author><name sortKey="Penven, Y" sort="Penven, Y" uniqKey="Penven Y" first="Y" last="Penven">Y. Penven</name></author><author><name sortKey="Mourey, F" sort="Mourey, F" uniqKey="Mourey F" first="F" last="Mourey">F. Mourey</name></author><author><name sortKey="Launay, F" sort="Launay, F" uniqKey="Launay F" first="F" last="Launay">F. Launay</name></author><author><name sortKey="Pfitzenmeyer, P" sort="Pfitzenmeyer, P" uniqKey="Pfitzenmeyer P" first="P" last="Pfitzenmeyer">P. Pfitzenmeyer</name></author><author><name sortKey="Casillas, J M" sort="Casillas, J M" uniqKey="Casillas J" first="J M" last="Casillas">J M Casillas</name></author></analytic><series><title level="j">Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique</title><idno type="ISSN">0168-6054</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Disability Evaluation</term><term>Gait Disorders, Neurologic (physiopathology)</term><term>Gait Disorders, Neurologic (rehabilitation)</term><term>Geriatric Assessment</term><term>Humans</term><term>Postural Balance (physiology)</term><term>Posture (physiology)</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Posture</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Disability Evaluation</term><term>Geriatric Assessment</term><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To analyse the clinical usefulness and metrological properties of the main techniques and indices used to assess balance disorders.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">15932776</PMID><DateCreated><Year>2005</Year><Month>06</Month><Day>20</Day></DateCreated><DateCompleted><Year>2005</Year><Month>09</Month><Day>08</Day></DateCompleted><DateRevised><Year>2008</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0168-6054</ISSN><JournalIssue CitedMedium="Print"><Volume>48</Volume><Issue>6</Issue><PubDate><Year>2005</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique</Title><ISOAbbreviation>Ann Readapt Med Phys</ISOAbbreviation></Journal><ArticleTitle>[Evaluation of balance in neurologic and geriatric disorders].</ArticleTitle><Pagination><MedlinePgn>317-35</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To analyse the clinical usefulness and metrological properties of the main techniques and indices used to assess balance disorders.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">More than 4000 abstracts referenced in MEDLINE and dealing with postural control and postural disorders (wide screening) were reviewed to determine the main postural techniques and indices used in a clinical context. We retained abstracts with a high citation frequency and those with interesting findings. Corresponding key words were identified for a specific search of articles that we analysed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Postural assessment tools can be classified as scales of ordinal items, tests based on metric or chronometric measurement, posturography, and verticality perception. These techniques are complementary, and their association is recommended in a clinical context. Regarding generic tools, the Falls-related Efficacy Scale (FES) and the Activities-specific Balance Confidence scale (ABC scale) would be enhanced if comparatively analysed and reworked to allow for a feasible and reliable assessment of the fear of falling. Despite a wide diffusion in numerous postural fields worldwide, the Berg Balance Scale (BBS) and the Functional Reach Test (FRT) do not have the required criteria to remain the gold standards they were in the 1990s. Static posturography should be normalised and yield more reliable indices. The clinical relevance of the subjective assessment of visual, haptic, and postural verticals are questionable, especially to explain postural disability. Regarding specific tools, the Tinetti test (TT) and the Time Up and Go test (TUG) are the most suited to assess postural capacities in very elderly people, in whom the predictive validity of the postural assessment of falls is still modest. In stroke patients, the Postural Assessment Scale for Stroke (PASS), posturography, lateropulsion assessment, and vertically perception are interesting and complementary techniques. Postural assessment relies mainly upon the 5 postural items of the Unified Parkinson Disease Rating Scale (UPDRS) in people with Parkinson disease and upon the Romberg test and posturography in patients with cerebellar or proprioceptive ataxia. Some novel postural scales for patients with multiple sclerosis or spinal cord injury are also emerging.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Among numerous tools that contribute to the assessment of postural disorders, only the most recent ones (developed in the last 10 years) have undergone complete validation. It is now crucial to compare these tools, not only in terms of reproducibility and internal consistency, but also overall, in terms of feasibility, responsiveness, and predictive validity for a given population.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pérennou</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Pôles rééducation-réadaptation et gériatrie, CHU et Inserm ERM207, 23, rue Gaffarel, BP 77908 F, 21079 Dijon cedex, France. dominic.perennou@chu-dijon.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Decavel</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Manckoundia</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Penven</LastName><ForeName>Y</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Mourey</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Launay</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Pfitzenmeyer</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Casillas</LastName><ForeName>J M</ForeName><Initials>JM</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><VernacularTitle>Evaluation de l'équilibre en pathologie neurologique et gériatrique.</VernacularTitle></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Ann Readapt Med Phys</MedlineTA><NlmUniqueID>8701687</NlmUniqueID><ISSNLinking>0168-6054</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D004185">Disability Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020233">Gait Disorders, Neurologic</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000503">physiopathology</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000534">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D015577">Geriatric Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004856">Postural Balance</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D011187">Posture</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading></MeshHeadingList><NumberOfReferences>166</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2005</Year><Month>4</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2005</Year><Month>4</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>6</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>9</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>6</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">S0168-6054(05)00101-7</ArticleId><ArticleId IdType="doi">10.1016/j.annrmp.2005.04.009</ArticleId><ArticleId IdType="pubmed">15932776</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Bourgogne</li><li>Bourgogne-Franche-Comté</li></region><settlement><li>Dijon</li></settlement></list><tree><noCountry><name sortKey="Casillas, J M" sort="Casillas, J M" uniqKey="Casillas J" first="J M" last="Casillas">J M Casillas</name><name sortKey="Decavel, P" sort="Decavel, P" uniqKey="Decavel P" first="P" last="Decavel">P. Decavel</name><name sortKey="Launay, F" sort="Launay, F" uniqKey="Launay F" first="F" last="Launay">F. Launay</name><name sortKey="Manckoundia, P" sort="Manckoundia, P" uniqKey="Manckoundia P" first="P" last="Manckoundia">P. Manckoundia</name><name sortKey="Mourey, F" sort="Mourey, F" uniqKey="Mourey F" first="F" last="Mourey">F. Mourey</name><name sortKey="Penven, Y" sort="Penven, Y" uniqKey="Penven Y" first="Y" last="Penven">Y. Penven</name><name sortKey="Pfitzenmeyer, P" sort="Pfitzenmeyer, P" uniqKey="Pfitzenmeyer P" first="P" last="Pfitzenmeyer">P. Pfitzenmeyer</name></noCountry><country name="France"><region name="Bourgogne-Franche-Comté"><name sortKey="Perennou, D" sort="Perennou, D" uniqKey="Perennou D" first="D" last="Pérennou">D. Pérennou</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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