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The usefulness of computerized dynamic posturography for the study of equilibrium in patients with Meniere's disease: correlation with clinical and audiologic data.
Hear Res. 2004 Oct; 196(1-2):26-32.HR

Abstract

The use of computerized dynamic posturogaphy (CDP) in the evaluation of patients with balance alterations not only allows quantification of the subject's capacity to maintain a stable centre of gravity, but also analysis of the degree to which the subject is able to use different types of sensory information. The present study investigated the possible use of CDP for clinical staging of vestibular diseases, specifically Meniere's disease (MD). We applied CDP sensory organization tests to 75 patients with definitive MD (AAO-HNS 1995 criteria). A total of 98 CDP sessions were included in the analysis, which focused on four CDP parameters specifically related to vestibular function (condition-5 score, condition-6 score, overall balance score, and VEST, a measure of the relative importance of vestibular information for maintenance of balance). We found a statistically significant relationship between audiometric hearing threshold and CDP scores, especially in patients with audiometrically advanced disease. In addition, CDP scores showed statistically significant variation with time elapsed since the last typical vertigo attack, suggesting that patients can be usefully grouped into three MD activity-level categories: recent post-attack (less than 1 week since last vertigo attack), late post-attack (1 week - 60 days since last attack), and inactive MD (more than 60 days since last attack). On the basis of these results, we propose expected ranges for each of the four CDP parameters in each of the three MD activity-level categories, allowing staging in terms of balance and posture. This staging system complements existing staging systems (based on audiometric criteria, and on subjective assessment of the severity of vertigo attacks and their implications for quality of life).

Authors+Show Affiliations

Department of Otolaryngology, Clinical Hospital and School of Medicine, Santiago de Compostela, Spain. ciandsot@usc.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15464298

Citation

Soto, A, et al. "The Usefulness of Computerized Dynamic Posturography for the Study of Equilibrium in Patients With Meniere's Disease: Correlation With Clinical and Audiologic Data." Hearing Research, vol. 196, no. 1-2, 2004, pp. 26-32.
Soto A, Labella T, Santos S, et al. The usefulness of computerized dynamic posturography for the study of equilibrium in patients with Meniere's disease: correlation with clinical and audiologic data. Hear Res. 2004;196(1-2):26-32.
Soto, A., Labella, T., Santos, S., Río, M. D., Lirola, A., Cabanas, E., & Elhendi, W. (2004). The usefulness of computerized dynamic posturography for the study of equilibrium in patients with Meniere's disease: correlation with clinical and audiologic data. Hearing Research, 196(1-2), 26-32.
Soto A, et al. The Usefulness of Computerized Dynamic Posturography for the Study of Equilibrium in Patients With Meniere's Disease: Correlation With Clinical and Audiologic Data. Hear Res. 2004;196(1-2):26-32. PubMed PMID: 15464298.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The usefulness of computerized dynamic posturography for the study of equilibrium in patients with Meniere's disease: correlation with clinical and audiologic data. AU - Soto,A, AU - Labella,T, AU - Santos,S, AU - Río,M Del, AU - Lirola,A, AU - Cabanas,E, AU - Elhendi,W, PY - 2004/03/11/received PY - 2004/04/30/accepted PY - 2004/10/7/pubmed PY - 2005/1/11/medline PY - 2004/10/7/entrez SP - 26 EP - 32 JF - Hearing research JO - Hear Res VL - 196 IS - 1-2 N2 - The use of computerized dynamic posturogaphy (CDP) in the evaluation of patients with balance alterations not only allows quantification of the subject's capacity to maintain a stable centre of gravity, but also analysis of the degree to which the subject is able to use different types of sensory information. The present study investigated the possible use of CDP for clinical staging of vestibular diseases, specifically Meniere's disease (MD). We applied CDP sensory organization tests to 75 patients with definitive MD (AAO-HNS 1995 criteria). A total of 98 CDP sessions were included in the analysis, which focused on four CDP parameters specifically related to vestibular function (condition-5 score, condition-6 score, overall balance score, and VEST, a measure of the relative importance of vestibular information for maintenance of balance). We found a statistically significant relationship between audiometric hearing threshold and CDP scores, especially in patients with audiometrically advanced disease. In addition, CDP scores showed statistically significant variation with time elapsed since the last typical vertigo attack, suggesting that patients can be usefully grouped into three MD activity-level categories: recent post-attack (less than 1 week since last vertigo attack), late post-attack (1 week - 60 days since last attack), and inactive MD (more than 60 days since last attack). On the basis of these results, we propose expected ranges for each of the four CDP parameters in each of the three MD activity-level categories, allowing staging in terms of balance and posture. This staging system complements existing staging systems (based on audiometric criteria, and on subjective assessment of the severity of vertigo attacks and their implications for quality of life). SN - 0378-5955 UR - https://www.unboundmedicine.com/medline/citation/15464298/The_usefulness_of_computerized_dynamic_posturography_for_the_study_of_equilibrium_in_patients_with_Meniere's_disease:_correlation_with_clinical_and_audiologic_data_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0378-5955(04)00218-7 DB - PRIME DP - Unbound Medicine ER -