Posturographic pattern of patients with chronic subjective dizziness before and after vestibular rehabilitation.

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Version: Author's accepted manuscript
Serval ID
serval:BIB_1157E75885E0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Posturographic pattern of patients with chronic subjective dizziness before and after vestibular rehabilitation.
Journal
Journal of vestibular research
Author(s)
Morisod B., Mermod M., Maire R.
ISSN
1878-6464 (Electronic)
ISSN-L
0957-4271
Publication state
Published
Issued date
2018
Peer-reviewed
Oui
Volume
27
Number
5-6
Pages
305-311
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Chronic subjective dizziness (CSD) is frequently encountered in neurotology clinics. This diagnosis is mainly clinical, but computerized dynamic posturography (CDP) could be a helpful instrumental tool in the identification of these patients and validation of the treatment. This study was aimed to look for a specific posturographic pattern among patients diagnosed with CSD, and to eventually visualize improvement after vestibular rehabilitation.
Single center, retrospective review from 2009 to 2014. We included patients diagnosed with CSD who underwent CDP in their neurotologic assessment. For those patients who benefited from vestibular rehabilitation, we compared their pre- and post-rehabilitation posturographies.
We included 114 patients, of whom 74% had known anxiety disorders and 33% a history of past vestibular disorder. 62% of the assessment posturographies were abnormal. The most affected sub-items were limit of stability, composite score of sensory organization tests and condition 5 in respectively 34%, 23% and 20% of the cases. In univariate analysis, only pathologic videonystagmography and history of unilateral vestibular dysfunction were significantly related to abnormal posturography. In the 42 patients who had vestibular rehabilitation and a post rehabilitation posturography, the proportion of abnormal posturography significantly dropped from 79% to 33% (p < 0.001). When it was assessed, 79% of the patients reported a subjective improvement.
Patients with CSD have a high rate of abnormal posturography, but without a specific pattern. Vestibular rehabilitation is an effective tool in the therapeutic armamentarium.
Keywords
Adult, Aged, Chronic Disease, Dizziness/diagnosis, Dizziness/physiopathology, Female, Humans, Male, Middle Aged, Postural Balance/physiology, Retrospective Studies, Vestibular Diseases/physiopathology, Vestibular Diseases/rehabilitation, Vestibular Function Tests/methods, Chronic subjective dizziness, posturography, vestibular rehabilitation
Pubmed
Web of science
Open Access
Yes
Create date
22/11/2017 9:15
Last modification date
20/08/2019 12:38
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