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Stability limits in different posturography patterns. Cohort study.

https://doi.org/10.14201/orl.28981

Abstract

Introduction and objective: The development of computerized dynamometric platforms has meant a transcendental evolution in the measurement of balance in static standing. The main objective of our study is to determine the relationship between stability limits and the type of information used by these patients to maintain balance. Method: Retrospective cohort study of a sample of 70 patients based on the analysis of the results obtained in computerized dynamic posturography (CDP) performed in the Otoneurology Unit of the Otorhinolaryngology and Head and Neck Surgery Service of the University Assistance Complex of Salamanca. . Results: There is no type of deficit in 28 of the 70 patients who underwent DTCA. The mean of the stability limits in patients with a pathological compound value is lower than in patients with a normal compound, this relationship being statistically significant (p<0.05). The patients with greater involvement of the limits of stability are those who do not make good use of vestibular and visual information. Conclusions: It is important to analyze what type of information (vestibular, visual and/or somatosensory) patients use to maintain balance, highlighting that if the patient does not correctly use vestibular information to maintain balance, rehabilitation strategies can be promoted to reduce the risk of falls.

 

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Bartual Pastor J. Anatomía y fisiología del sistema vestibular periférico. En: Bartual J, Pérez N, editores. El sistema vestibular y sus alteraciones. Barcelona: Masson; 1998. p. 21-52.

Guyton AC, Hall JE. Cortical and Brain Stem Control of Motor Function. En: Guyton AC, Hall JE, editores. Textbook of medical physiology. 11ª Ed. Filadelfia: Elsevier; 2006. p. 685-697.

Baloh RW, Honrubia V. The central vestibular system. En: Baloh RW, Honrubia V, editores. Clinical neurophysiology of the vestibular system. 3ª Ed. Nueva York: Oxford University Press; 2001. p. 53-107.

Brodal A. The cranial nerves. En: Brodal A, editor. Neurological anatomy in relation to clinical medicine. 3ª Ed. Nueva York: Oxford Press; 1981. p. 448-577.

Gurfinkel VS, Osevets M. Dynamics of the vertical posture in man. Biophysics 1972; 17:496-506.

Nashner LM. Analysis of stance posture in humans. En: Towe AL, Luschei ES, editores.Handbook of Behavioral Neurobiology. Vol 5. Nueva York: Plenum Press; 1981. p. 527-565.

Duncal PW, Weiner DK, Chandler, Studenski S. Functional reach: a new clinical measure of balance. J Gerentol 1990; 45: 192-197.

Nashner LM, Schupert CL, Horak FB, Black FO. Organization of posture controls: an analysis of sensory and mechanical constraints. Prog Brain Res 1989; 80: 411-418.

NeuroCom International Inc. Smart balance master system operator’s manual. Clackamas. Oregon 2006.

Sanz Fernández R. Posturografía dinámica. En: Ramírez R, editor. Trastornos del equilibrio.Madrid: McGraw Hill; 2003. p. 49-57.

Faraldo García A, Santos Pérez S, Crujeiras R et al. Postural changues associated with ageing on the sensory organization test and the limits of stability in healthy subjects. Auris nasus Larynx. 2016; 43: 149-154.

Viswanathan A, Sudarsky L. Balance and gait problems in the elderly. Handb Clin Neurol. 2012; 103: 623-634.

Johansson J, Jarocka E, Westling G, Nordström A, Nordström P. Predicting incident falls: relatioship between postural sway and limits of stability in older adults. Hum Mov Sci. 2019; 66: 117-123.

Cuevas Trisan R. Balance problems and fall risks in the elderly. Phys Med Rehabil clin N Am. 2017; 28: 727-737.

Alvarez-Otero R, Perez-Fernandez N. The limits of stability in patients with unilateral vestibulopathy. Acta otolaryngol. 2017; 137: 1051-1056.

Sprenger A, Wojak JF, Jandl NM, Helmchen C. Postural Control in Bilateral Vestibular Failure: Its Relation to Visual, Proprioceptive, Vestibular, and Cognitive Input. Front Neurol. 2017; 8: 444.

Lapteva ES, Tsutsunava MR, Podoprigora GM, Diachkova-Gertseva DS. Falls in the elderly and senior age prevention perspectives. Adv Gerontol. 2019; 32: 469-476.

Rossi-Izquierdo M, Gayoso-Diz P, Santos-Pérez S, Del-Río-Valeiras M, Faraldo-García A, Vaamonde-Sánchez-Andrade I, Lirola-Delgado A, Soto-Varela A. Prognostic factors that modify outcomes of vestibular rehabilitation in elderly patients with falls. Aging Clin Exp Res. 2019 (ahead of print).

Rossi-Izquierdo M, Gayoso-Diz P, Santos-Pérez S, Del-Río-Valeiras M, Faraldo-García A, Vaamonde-Sánchez-Andrade I, Lirola-Delgado A, Soto-Varela A. Vestibular rehabilitation in elderly patients with postural instability: reducing the number of falls-a randomized clinical trial. Aging Clin Exp Res. 2018;30:1353-1361.
Fernández-Nava, M. J., Ferreira Cendón, S., Alonso de la Iglesia, S., Cecilio Rivas, M. de las M., Alonso San Eloy, A. B., & Batuecas Caletrío, Ángel. (2022). Stability limits in different posturography patterns. Cohort study. Revista ORL, 13(4), e28981. https://doi.org/10.14201/orl.28981

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