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

Détails

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Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_1157E75885E0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Posturographic pattern of patients with chronic subjective dizziness before and after vestibular rehabilitation.
Périodique
Journal of vestibular research
Auteur(s)
Morisod B., Mermod M., Maire R.
ISSN
1878-6464 (Electronic)
ISSN-L
0957-4271
Statut éditorial
Publié
Date de publication
2018
Peer-reviewed
Oui
Volume
27
Numéro
5-6
Pages
305-311
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
22/11/2017 10:15
Dernière modification de la notice
20/08/2019 13:38
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