Defining Clinical-Posturographic and Intra-Posturographic Discordances: What Do These Two Concepts Mean?

Details

Serval ID
serval:BIB_45436E27CE11
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Defining Clinical-Posturographic and Intra-Posturographic Discordances: What Do These Two Concepts Mean?
Journal
The journal of international advanced otology
Author(s)
Perrin P., Mallinson A., Van Nechel C., Peultier-Celli L., Petersen H., Magnusson M., Kingma H., Maire R.
ISSN
1308-7649 (Print)
ISSN-L
1308-7649
Publication state
Published
Issued date
04/2018
Peer-reviewed
Oui
Volume
14
Number
1
Pages
127-129
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
The European Society for Clinical Evaluation of Balance Disorders - ESCEBD - Executive Committee meets yearly to identify and address clinical equilibrium problems that are not yet well understood. This particular discussion addressed "discordances" (defined as "lack of agreement") in clinical assessment. Sometimes there is disagreement between a clinical assessment and measured abnormality (ies); sometimes the results within the assessment do not agree. This is sometimes thought of as "malingering" or an attempt to exaggerate what is wrong, but this is not always the case. The Committee discussed the clinical significance of unexpected findings in a patient's assessment. For example intraposturographic discordances sometimes exhibit findings (eg performance on more difficult trials may sometimes be better than on simpler trials). This can be suggestive of malingering, but in some situations can be a legitimate finding. The extreme malingerer and the genuine patient are at opposite ends of a spectrum but there are many variations along this spectrum and clinicians need to be cautious, as a posturography assessment may or may not be diagnostically helpful. Sometimes there is poor correlation between symptom severity and test results. Interpretation of posturography performance can at times be difficult and a patient's results must be correlated with clinical findings without stereotyping the patient. It is only in this situation that assessment in a diagnostic setting can be carried out in an accurate and unbiased manner.
Keywords
Humans, Postural Balance/physiology, Posture/physiology, Vertigo/diagnosis, Vertigo/etiology, Vestibular Function Tests/methods, Vestibule, Labyrinth/injuries, Vestibule, Labyrinth/physiopathology
Pubmed
Web of science
Open Access
Yes
Create date
01/03/2018 19:16
Last modification date
14/10/2019 5:09
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