Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions

Abstract The aim of our study was to validate the method of head-shake static posturography (HS-posturography) in healthy individuals and to establish the value of this novel method in the diagnostics of patients with unilateral vestibular lesion (UV). The study included 202 participants divided int...

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Autores principales: Magdalena Janc, Mariola Sliwinska-Kowalska, Piotr Politanski, Marek Kaminski, Magdalena Jozefowicz-Korczynska, Ewa Zamyslowska-Szmytke
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/8aecd5ebb0a44fdc8f12edfb9ed59179
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spelling oai:doaj.org-article:8aecd5ebb0a44fdc8f12edfb9ed591792021-12-02T11:39:38ZPosturography with head movements in the assessment of balance in chronic unilateral vestibular lesions10.1038/s41598-021-85745-x2045-2322https://doaj.org/article/8aecd5ebb0a44fdc8f12edfb9ed591792021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85745-xhttps://doaj.org/toc/2045-2322Abstract The aim of our study was to validate the method of head-shake static posturography (HS-posturography) in healthy individuals and to establish the value of this novel method in the diagnostics of patients with unilateral vestibular lesion (UV). The study included 202 participants divided into two groups, one consisting of 133 patients with canal paresis CP > 19% and one of 69 healthy subjects. Participant was tested according to the standard protocol of static posturography (SP), and with head movements of 0.3 Hz (HS 40), 0.6 Hz (HS 70) in random order controlled by a metronome. HS-posturography revealed a similar repeatability and internal consistency as the standard posturography. In patients with UV, 4th condition revealed higher sensitivity (74%) and specificity (71%) in HS 40 than in the standard posturography (67%, 65% respectively) and HS 70 (54%, 70% respectively). Static posturography and HS- posturography revealed a high reliability of the testing method. The head movements added to static posturography improve the sensitivity and specificity of the method in group with vestibular impairment. The most important test for that purpose seems to be the one on unstable surface with the eyes closed, with low frequency of head movements.Magdalena JancMariola Sliwinska-KowalskaPiotr PolitanskiMarek KaminskiMagdalena Jozefowicz-KorczynskaEwa Zamyslowska-SzmytkeNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Magdalena Janc
Mariola Sliwinska-Kowalska
Piotr Politanski
Marek Kaminski
Magdalena Jozefowicz-Korczynska
Ewa Zamyslowska-Szmytke
Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions
description Abstract The aim of our study was to validate the method of head-shake static posturography (HS-posturography) in healthy individuals and to establish the value of this novel method in the diagnostics of patients with unilateral vestibular lesion (UV). The study included 202 participants divided into two groups, one consisting of 133 patients with canal paresis CP > 19% and one of 69 healthy subjects. Participant was tested according to the standard protocol of static posturography (SP), and with head movements of 0.3 Hz (HS 40), 0.6 Hz (HS 70) in random order controlled by a metronome. HS-posturography revealed a similar repeatability and internal consistency as the standard posturography. In patients with UV, 4th condition revealed higher sensitivity (74%) and specificity (71%) in HS 40 than in the standard posturography (67%, 65% respectively) and HS 70 (54%, 70% respectively). Static posturography and HS- posturography revealed a high reliability of the testing method. The head movements added to static posturography improve the sensitivity and specificity of the method in group with vestibular impairment. The most important test for that purpose seems to be the one on unstable surface with the eyes closed, with low frequency of head movements.
format article
author Magdalena Janc
Mariola Sliwinska-Kowalska
Piotr Politanski
Marek Kaminski
Magdalena Jozefowicz-Korczynska
Ewa Zamyslowska-Szmytke
author_facet Magdalena Janc
Mariola Sliwinska-Kowalska
Piotr Politanski
Marek Kaminski
Magdalena Jozefowicz-Korczynska
Ewa Zamyslowska-Szmytke
author_sort Magdalena Janc
title Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions
title_short Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions
title_full Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions
title_fullStr Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions
title_full_unstemmed Posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions
title_sort posturography with head movements in the assessment of balance in chronic unilateral vestibular lesions
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/8aecd5ebb0a44fdc8f12edfb9ed59179
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