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Factors affecting postural instability in Meniere's disease.
Otolaryngol Head Neck Surg. 2013 Nov; 149(5):759-65.OH

Abstract

OBJECTIVE

To assess the influence of factors that can affect the postural instability of Ménière's disease (MD) patients.

STUDY DESIGN

Case-control study.

SETTING

Outpatient clinic in a university hospital.

SUBJECTS AND METHODS

Fifty-four definite MD patients and 66 controls were included. Two-legged stance tasks were performed in 4 conditions: eyes open with and without foam rubber and eyes closed with and without foam rubber. We examined 6 variables: the velocity of movement of the center of pressure (COP), the envelopment area traced by the movement of the COP, Romberg's ratio of velocity and area, and the foam ratios of velocity and area. For patients, stepwise multiple regression analyses were performed to explore the relationship between the 6 variables and the following independent variables: gender, age, the presence of abnormal caloric and/or cervical vestibular evoked myogenic potential (cVEMP) responses, the time elapsed since the last vertigo attack, and the disease duration.

RESULTS

The presence of MD had a significantly positive relationship with all 6 of the variables (P < .05). The presence of abnormal caloric and/or cVEMP responses had a significantly positive relationship with Romberg's ratio of velocity (P < .05) and area (P < .01). The shorter time interval from last vertigo attack to measurement had a significantly positive relationship with the foam ratio of area (P < .01).

CONCLUSION

MD patients show poor postural performance, which is affected by the existence of their peripheral vestibular function and the shorter time interval from last vertigo attack to measurement.

Authors+Show Affiliations

Department of Otolaryngology, Faculty of Medicine, University of Tokyo, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23980034

Citation

Fujimoto, Chisato, et al. "Factors Affecting Postural Instability in Meniere's Disease." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 149, no. 5, 2013, pp. 759-65.
Fujimoto C, Egami N, Kinoshita M, et al. Factors affecting postural instability in Meniere's disease. Otolaryngol Head Neck Surg. 2013;149(5):759-65.
Fujimoto, C., Egami, N., Kinoshita, M., Sugasawa, K., Yamasoba, T., & Iwasaki, S. (2013). Factors affecting postural instability in Meniere's disease. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 149(5), 759-65. https://doi.org/10.1177/0194599813501625
Fujimoto C, et al. Factors Affecting Postural Instability in Meniere's Disease. Otolaryngol Head Neck Surg. 2013;149(5):759-65. PubMed PMID: 23980034.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors affecting postural instability in Meniere's disease. AU - Fujimoto,Chisato, AU - Egami,Naoya, AU - Kinoshita,Makoto, AU - Sugasawa,Keiko, AU - Yamasoba,Tatsuya, AU - Iwasaki,Shinichi, Y1 - 2013/08/26/ PY - 2013/8/28/entrez PY - 2013/8/28/pubmed PY - 2014/1/8/medline KW - posture KW - vertigo KW - vestibular diseases KW - vestibule SP - 759 EP - 65 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 149 IS - 5 N2 - OBJECTIVE: To assess the influence of factors that can affect the postural instability of Ménière's disease (MD) patients. STUDY DESIGN: Case-control study. SETTING: Outpatient clinic in a university hospital. SUBJECTS AND METHODS: Fifty-four definite MD patients and 66 controls were included. Two-legged stance tasks were performed in 4 conditions: eyes open with and without foam rubber and eyes closed with and without foam rubber. We examined 6 variables: the velocity of movement of the center of pressure (COP), the envelopment area traced by the movement of the COP, Romberg's ratio of velocity and area, and the foam ratios of velocity and area. For patients, stepwise multiple regression analyses were performed to explore the relationship between the 6 variables and the following independent variables: gender, age, the presence of abnormal caloric and/or cervical vestibular evoked myogenic potential (cVEMP) responses, the time elapsed since the last vertigo attack, and the disease duration. RESULTS: The presence of MD had a significantly positive relationship with all 6 of the variables (P < .05). The presence of abnormal caloric and/or cVEMP responses had a significantly positive relationship with Romberg's ratio of velocity (P < .05) and area (P < .01). The shorter time interval from last vertigo attack to measurement had a significantly positive relationship with the foam ratio of area (P < .01). CONCLUSION: MD patients show poor postural performance, which is affected by the existence of their peripheral vestibular function and the shorter time interval from last vertigo attack to measurement. SN - 1097-6817 UR - https://www.unboundmedicine.com/medline/citation/23980034/Factors_affecting_postural_instability_in_Meniere's_disease_ L2 - https://journals.sagepub.com/doi/10.1177/0194599813501625?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -