Advanced

Stocktaking on the development of posturography for clinical use

Kingma, Herman; Gauchard, Gerome C.; de Waelee, Catherine; van Nechelg, Christian; Bisdorff, Alexandre; Yelnik, Alain; Magnusson, Måns LU and Perrin, Philippe P. (2011) In Journal of Vestibular Research 21(3). p.117-125
Abstract
This report identifies fundamental problems to be addressed in order to build relevant clinical tests of human balance while standing. The stated purpose of these tests is identification of lesion site and/or definition of functional balance deficits in a specific patient. During a recent consensus meeting (ESCEBD), 60 researchers and experienced clinical users of posturography (14 European countries, 9 different disciplines) inventoried and critically analyzed the various methodologies of posturography currently used for clinical evaluation. To complement posturography, alternative methods of assessment of balance control were considered. The indications for the clinical use of posturography were defined as well as recommendations... (More)
This report identifies fundamental problems to be addressed in order to build relevant clinical tests of human balance while standing. The stated purpose of these tests is identification of lesion site and/or definition of functional balance deficits in a specific patient. During a recent consensus meeting (ESCEBD), 60 researchers and experienced clinical users of posturography (14 European countries, 9 different disciplines) inventoried and critically analyzed the various methodologies of posturography currently used for clinical evaluation. To complement posturography, alternative methods of assessment of balance control were considered. The indications for the clinical use of posturography were defined as well as recommendations regarding measurement parameters, type of perturbations and signal analysis techniques to improve assessment of balance control. Consensus was reached that a force platform cannot be considered as a technique which is sufficient on its own to perform a clinically relevant test for the assessment of neuro-otological and musculo-skeletal conditions, evaluation of compensation or treatment (rehabilitation) or prediction of falls. It should be supported by complementary methods, such as segment motion analysis, body-fixed 2D or 3D accelerometer-gyroscope or electromyography. At present, no generally applicable posturography test is available with reasonable sensitivity and specificity for the diagnosis of balance disorders. Perturbation techniques are most likely needed to enhance the diagnostic yield of posturography. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Balance control, clinical evaluation, posturography
in
Journal of Vestibular Research
volume
21
issue
3
pages
117 - 125
publisher
IOS Press
external identifiers
  • wos:000293946900002
  • scopus:79957851819
ISSN
1878-6464
DOI
10.3233/VES-2011-0397
language
English
LU publication?
yes
id
bd19ab67-773b-40d7-b955-97225326d3d3 (old id 2186804)
date added to LUP
2011-11-01 07:51:36
date last changed
2017-08-27 05:01:24
@article{bd19ab67-773b-40d7-b955-97225326d3d3,
  abstract     = {This report identifies fundamental problems to be addressed in order to build relevant clinical tests of human balance while standing. The stated purpose of these tests is identification of lesion site and/or definition of functional balance deficits in a specific patient. During a recent consensus meeting (ESCEBD), 60 researchers and experienced clinical users of posturography (14 European countries, 9 different disciplines) inventoried and critically analyzed the various methodologies of posturography currently used for clinical evaluation. To complement posturography, alternative methods of assessment of balance control were considered. The indications for the clinical use of posturography were defined as well as recommendations regarding measurement parameters, type of perturbations and signal analysis techniques to improve assessment of balance control. Consensus was reached that a force platform cannot be considered as a technique which is sufficient on its own to perform a clinically relevant test for the assessment of neuro-otological and musculo-skeletal conditions, evaluation of compensation or treatment (rehabilitation) or prediction of falls. It should be supported by complementary methods, such as segment motion analysis, body-fixed 2D or 3D accelerometer-gyroscope or electromyography. At present, no generally applicable posturography test is available with reasonable sensitivity and specificity for the diagnosis of balance disorders. Perturbation techniques are most likely needed to enhance the diagnostic yield of posturography.},
  author       = {Kingma, Herman and Gauchard, Gerome C. and de Waelee, Catherine and van Nechelg, Christian and Bisdorff, Alexandre and Yelnik, Alain and Magnusson, Måns and Perrin, Philippe P.},
  issn         = {1878-6464},
  keyword      = {Balance control,clinical evaluation,posturography},
  language     = {eng},
  number       = {3},
  pages        = {117--125},
  publisher    = {IOS Press},
  series       = {Journal of Vestibular Research},
  title        = {Stocktaking on the development of posturography for clinical use},
  url          = {http://dx.doi.org/10.3233/VES-2011-0397},
  volume       = {21},
  year         = {2011},
}