Original study. The clinical value of foam posturography in assessing patients with peripheral vestibular dysfunction – our experience

Open access

Abstract

BACKGROUND. Computerized dynamic posturography is the most important battery test designed to assess the ability to use visual, vestibular and proprioceptive cues in the maintenance of posture. Foam posturography reduces the availability of proprioceptive inputs, which makes more difficult the balance control.

OBJECTIVE. The objective of the study was to assess the clinical use of foam posturography in evaluating peripheral vestibular dysfunction.

MATERIAL AND METHODS. We evaluated 41 patients with vestibular disorders and 41 normal patients by using the sensory organization test in eyes opened, eyes closed and mislead vision conditions with and without the foam. We measured several parameters: the position of the center of pressure, the displacement in the center of pressure in anteroposterior and mediolateral planes and Romberg’s ratio on static and foam rubber.

RESULTS. The values of all parameters were significantly higher in patients with peripheral vestibular disorders than in the control group (p<0.05). Also. comparing the Romberg test results, the foam surface used by the patient was larger than the static one.

CONCLUSION. Foam posturography can be a reliable test in assessing patients with peripheral vestibulopathy, being also able to identify the visual and proprioceptive dependence levels.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • 1. El-Kashlan H.K. Handelsman J.A. - Computerized vestibular testing. In: Weber P.C. (ed.) - Vertigo and disequilibrium: a practical guide to diagnosis and management. Thieme New York 2008;p.4-14.

  • 2. McPherson D.L. Whitaker S.R. Wrobel B.B. - DDX: Disequilibrium of Aging. In: Goebel J.A. (ed.) - Practical management of the dizzy patient 2nd edn. Lippincott Williams & Wilkins Philadelphia 2008;p.297-343.

  • 3. Massion J. Woollacott M.H. - Posture and equilibrium. In: Bronstein A.M. Brandt T. Woollacott M.H. Nutt J.G. (eds.) - Clinical disorders of balance posture and gait. London Arnold 2004;p.1-19.

  • 4. Fujimoto C. Murofushi T. Chihara Y. Ushio M. Sugasawa K. Yamaguchi T. Yamasoba T. Iwasaki S. - Assessment of diagnostic accuracy of foam posturography for peripheral vestibular disorders: Analysis of parameters related to visual and somatosensory dependence. Clin Neurophysiol. 2009;120(7):1408-1414. doi:

    • Crossref
    • Export Citation
  • 5. Nashner L.M. - Computerized dynamic posturography. In: Goebel J.A. (ed.) - Practical management of the dizzy patient 2nd edn. Lippincott Williams & Wilkins Philadelphia 2008;p.153-182.

  • 6. Furman J.M.R. Baloh R.W. Barin K. Hain T.C. Herdman S. Horst R.K. et al. - Assessment posturography. Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 1993;43(6):1261-1264.

  • 7. Kuo A.D. Speers R.A. Peterka R.J. Horak F.B. - Effect of altered sensory conditions on multivariate descriptors of human postural sway. Exp Brain Res. 1998;122(2):185-195.

  • 8. Peterka R.J. - Sensorimotor integration in human postural control. J Neurophysiol. 2002;88(3):1097-1118.

  • 9. Visser J.E. Carpenter M.G. van der Kooij H. Bloem B.R. - The clinical utility of posturography. Clin Neurophysiol. 2008;119(11):2424-2436.

  • 10. Di Fabio R.P. - Sensitivity and Specificity of Platform Posturography for Identifying Patients with Vestibular Dysfunction. Phys Ther. 1995;75:290-305.

  • 11. Allum J.H. Adkin A.L. Carpenter M.G. Held-Ziolkowska M. Honegger F. Pierchala K. - Trunk sway measures of postural stability during clinical balance tests: effects of a unilateral vestibular deficit. Gait Posture 2001;14:227-237.

  • 12. Baloh R.W. Jacobson K.M. Beykirch K. Honrubia V. - Static and dynamic posturography in patients with vestibular and cerebellar lesions. Arch Neurol. 1998;55:649-654.

  • 13. Black F.O. Wall C. Nashner L.M. - Effects of visual and support surface orientation references upon postural control in vestibular deficient subjects. Acta Otolaryngol. 1983;95:199-210.

  • 14. Celebisoy N. Karapolat H. Gulluoglu H. Celebisoy M. Kose T. - Foam posturography: a cheaper way to analyze postural stability in peripheral vestibular disorders. Int Adv Otol. 2013;9(1):89-95.

  • 15. Fujimoto C. Murofushi T. Sugasawa K. Chihara Y. Ushio M. Yamasoba T. Iwasaki S. -Assessment of postural stability using foam posturography at the chronic stage after acute unilateral peripheral vestibular dysfunction. Otol Neurotol. 2012;33(3):432-436. doi:

    • Crossref
    • Export Citation
  • 16. Di Fabio R.P. - Meta-analysis of sensitivity and specificity of platform posturography. Arch Otolaryngol Head Neck Surg. 1996;122:150-156.

  • 17. Norre M.E. Forrez G. Beckers A. - Posturographic findings in two common peripheral vestibular disorders. J Otolaryngol. 1987;16:340-344.

  • 18. Stockwell C.W. - Vestibular function testing: 4-year update. In: Cummings C. (ed.) - Otolaryngology Head and Neck Surgery: Update II. Mosby- Yearbook Chicago Ill 1990;p.39-53.

  • 19. Voorhees R.L. - The role of dynamic posturography in neurotologic diagnosis. Laryngoscope 1989;99:995-1001.

  • 20. Hamid M.A. Hughes G.B. Kinney S.E. - Specificity and sensitivity of dynamic posturography: A retrospective analysis. Acta Otolaryngol Suppl (Stockh) 1991;481:596-600.

  • 21. Asai M. Watanabe Y. Ohashi N. Mizukoshi K. - Evaluation of vestibular function by dynamic posturography and other equilibrium examinations. Acta Otolaryngol Suppl (Stockh) 1993;504:120-124.

  • 22. Keim R.J. - Clinical comparisons of posturography and electronystagmography. Laryngoscope 1993;103:713-716.

  • 23. Parker S.W. - Vestibular evaluation: Electronystagmography rotational testing and posturography. Clin Electroencephalogr. 1993;24:151-159.

Search
Journal information
Metrics
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 201 103 14
PDF Downloads 98 54 7