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Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study.

Identifieur interne : 001688 ( PubMed/Curation ); précédent : 001687; suivant : 001689

Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study.

Auteurs : Patrick Manckoundia [France] ; France Mourey ; Pierre Pfitzenmeyer ; Jacques Van Hoecke ; Dominic Pérennou

Source :

RBID : pubmed:17314062

English descriptors

Abstract

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.

DOI: 10.1016/j.clinph.2006.11.274
PubMed: 17314062

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pubmed:17314062

Le document en format XML

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<title xml:lang="en">Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study.</title>
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<name sortKey="Manckoundia, Patrick" sort="Manckoundia, Patrick" uniqKey="Manckoundia P" first="Patrick" last="Manckoundia">Patrick Manckoundia</name>
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<nlm:affiliation>INSERM/ERIT-M 0207 Motricité-Plasticité, Université de Bourgogne, Dijon, France. patrick.manckoundia@chu-dijon.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>INSERM/ERIT-M 0207 Motricité-Plasticité, Université de Bourgogne, Dijon</wicri:regionArea>
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<name sortKey="Mourey, France" sort="Mourey, France" uniqKey="Mourey F" first="France" last="Mourey">France Mourey</name>
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<name sortKey="Pfitzenmeyer, Pierre" sort="Pfitzenmeyer, Pierre" uniqKey="Pfitzenmeyer P" first="Pierre" last="Pfitzenmeyer">Pierre Pfitzenmeyer</name>
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<name sortKey="Van Hoecke, Jacques" sort="Van Hoecke, Jacques" uniqKey="Van Hoecke J" first="Jacques" last="Van Hoecke">Jacques Van Hoecke</name>
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<name sortKey="Perennou, Dominic" sort="Perennou, Dominic" uniqKey="Perennou D" first="Dominic" last="Pérennou">Dominic Pérennou</name>
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<title xml:lang="en">Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study.</title>
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<name sortKey="Mourey, France" sort="Mourey, France" uniqKey="Mourey F" first="France" last="Mourey">France Mourey</name>
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<name sortKey="Pfitzenmeyer, Pierre" sort="Pfitzenmeyer, Pierre" uniqKey="Pfitzenmeyer P" first="Pierre" last="Pfitzenmeyer">Pierre Pfitzenmeyer</name>
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<name sortKey="Van Hoecke, Jacques" sort="Van Hoecke, Jacques" uniqKey="Van Hoecke J" first="Jacques" last="Van Hoecke">Jacques Van Hoecke</name>
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<name sortKey="Perennou, Dominic" sort="Perennou, Dominic" uniqKey="Perennou D" first="Dominic" last="Pérennou">Dominic Pérennou</name>
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<title level="j">Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</title>
<idno type="ISSN">1388-2457</idno>
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<term>Accidental Falls</term>
<term>Aged, 80 and over</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Pilot Projects</term>
<term>Postural Balance (physiology)</term>
<term>Posture (physiology)</term>
<term>Severity of Illness Index</term>
<term>Vestibular Diseases (etiology)</term>
<term>Vestibular Function Tests</term>
<term>Visual Perception (physiology)</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Vestibular Diseases</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Postural Balance</term>
<term>Posture</term>
<term>Visual Perception</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Accidental Falls</term>
<term>Aged, 80 and over</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Pilot Projects</term>
<term>Severity of Illness Index</term>
<term>Vestibular Function Tests</term>
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<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
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<DateCreated>
<Year>2007</Year>
<Month>03</Month>
<Day>12</Day>
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<DateCompleted>
<Year>2007</Year>
<Month>05</Month>
<Day>15</Day>
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<DateRevised>
<Year>2008</Year>
<Month>11</Month>
<Day>21</Day>
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<Year>2007</Year>
<Month>Apr</Month>
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<Title>Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology</Title>
<ISOAbbreviation>Clin Neurophysiol</ISOAbbreviation>
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<ArticleTitle>Is backward disequilibrium in the elderly caused by an abnormal perception of verticality? A pilot study.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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 degrees 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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
<AbstractText Label="SIGNIFICANCE" NlmCategory="CONCLUSIONS">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.</AbstractText>
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