The relationship between falls history and computerized dynamic posturography in persons with balance and vestibular disorders

被引:90
作者
Whitney, SL
Marchetti, GF
Schade, AI
机构
[1] Univ Pittsburgh, Dept Phys Therapy, Pittsburgh, PA 15260 USA
[2] Univ Pittsburgh, Dept Otolaryngol, Pittsburgh, PA 15260 USA
[3] Univ Pittsburgh, Med Ctr, Ctr Rehab Serv, Pittsburgh, PA 15260 USA
[4] Duquesne Univ, Dept Phys Therapy, Pittsburgh, PA 15219 USA
[5] Univ Spital Zurich, ORL Klin, Zurich, Switzerland
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2006年 / 87卷 / 03期
关键词
accidental falls; balance; electronystagmography; posture; rehabilitation; vestibular diseases;
D O I
10.1016/j.apmr.2005.11.002
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To describe the relationship between Sensory Organization Test (SOT) scores and reported falls in persons with vestibular and balance disorders. Design: Descriptive cross-sectional. Setting: Outpatient tertiary balance and falls clinic. Participants: One hundred physical therapy (PT) charts of people referred to a balance and falls clinic were reviewed. Criteria for inclusion were that the patients had completed the SOT of computerized dynamic posturography (CDP), had a vestibular diagnosis, and had the numbers of falls recorded from patient report within the last 6 months at the initial examination. Rotational chair, caloric testing, oculomotor test, and Activities-Specific Balance Confidence (ABC) results were recorded, if available. Interventions: Not applicable. Main Outcome Measures: The SOT composite and ABC scores as they related to reports of falls in the last 6 months. Results: The overall proportion of persons with vestibular disorders with positive 6-month history for 1 or more falls was 30% and for recurrent falls (>= 2) was 17%. Vestibular laboratory findings, age, sex, and vestibular diagnosis were not related to reported falls status. Patients who reported multiple falls prior to the PT examination had lower SOT composite scores than patients who reported 1 or no falls in the previous 6 months. The receiver operating characteristic curve identified a composite SOT score of less than 38 as demonstrating the highest likelihood ratio for differentiating between those people who reported no falls in the past 6 months and those who reported 2 or more falls. Conclusions: Persons who are recurrent fallers perform worse on SOT than either nonfallers or 1-time fallers. CDP performance can help guide the clinician in the development of a safe exercise program.
引用
收藏
页码:402 / 407
页数:6
相关论文
共 50 条
  • [21] Investigation of the Relationship between Vestibular Disorders and Sleep Disturbance
    Mutlu, Basak
    Topcu, Merve Torun
    INTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGY, 2022, 26 (04) : 688 - 696
  • [22] Functional brain imaging of multi-sensory vestibular processing during computerized dynamic posturography using near-infrared spectroscopy
    Karim, Helmet
    Fuhrman, Susan I.
    Sparto, Patrick
    Furman, Joseph
    Huppert, Theodore
    NEUROIMAGE, 2013, 74 : 318 - 325
  • [23] The relationship between infratentorial lesions, balance deficit and accidental falls in multiple sclerosis
    Prosperini, Luca
    Kouleridou, Anna
    Petsas, Nikolaos
    Leonardi, Laura
    Tona, Francesca
    Pantano, Patrizia
    Pozzilli, Carlo
    JOURNAL OF THE NEUROLOGICAL SCIENCES, 2011, 304 (1-2) : 55 - 60
  • [24] The relationship between innervation density and dynamic balance function
    Rugelj, D
    CELLULAR & MOLECULAR BIOLOGY LETTERS, 2002, 7 (01) : 149 - 150
  • [25] Correlation between the body balance and functional capacity from elderly with chronic vestibular disorders
    de Sousa, Raquel Ferreira
    Gazzola, Juliana Maria
    Gananca, Mauricio Malavasi
    Paulino, Celia Aparecida
    BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY, 2011, 77 (06) : 791 - 798
  • [26] Investigating the Mediating Role of Pain in the Relationship between Ankle Joint Position Sense and Balance Assessed Using Computerized Posturography in Individuals with Unilateral Chronic Ankle Instability: A Cross-Sectional Study
    Alfaya, Fareed F.
    Reddy, Ravi Shankar
    Alshahrani, Mastour Saeed
    Tedla, Jaya Shanker
    Dixit, Snehil
    Gular, Kumar
    Mukherjee, Debjani
    APPLIED SCIENCES-BASEL, 2023, 13 (14):
  • [27] Testing Dynamic Balance in People with Multiple Sclerosis: A Correlational Study between Standard Posturography and Robotic-Assistive Device
    Podda, Jessica
    Marchesi, Giorgia
    Bellosta, Alice
    Squeri, Valentina
    De Luca, Alice
    Pedulla, Ludovico
    Tacchino, Andrea
    Brichetto, Giampaolo
    SENSORS, 2024, 24 (11)
  • [28] Reduced strength, poor balance and concern about falls mediate the relationship between knee pain and fall risk in older people
    Hicks, Cameron
    Levinger, Pazit
    Menant, Jasmine C.
    Lord, Stephen R.
    Sachdev, Perminder S.
    Brodaty, Henry
    Sturnieks, Daina L.
    BMC GERIATRICS, 2020, 20 (01)
  • [29] Correlation between qualitative balance indices, dynamic posturography and structural brain imaging in patients with progressive supranuclear palsy and its subtypes
    Pasha, Shaik Afsar
    Yadav, Ravi
    Ganeshan, Mohan
    Saini, Jitender
    Gupta, Anupam
    Sandhya, M.
    Pal, Pramod Kumar
    NEUROLOGY INDIA, 2016, 64 (04) : 633 - 639
  • [30] Relationship between core stability and dynamic balance in women with postmenopausal osteoporosis
    Ozmen, Tarik
    Gafuroglu, Umit
    Aliyeva, Aygun
    Elverici, Eda
    TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION, 2018, 64 (03) : 239 - 245