Stocktaking on the development of posturography for clinical use
(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:
https://lup.lub.lu.se/record/2186804
- author
- Kingma, Herman
; Gauchard, Gerome C.
; de Waelee, Catherine
; van Nechelg, Christian
; Bisdorff, Alexandre
; Yelnik, Alain
; Magnusson, Måns
LU
and Perrin, Philippe P.
- organization
- publishing date
- 2011
- 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
- pmid:21558637
- 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
- 2016-04-01 14:59:27
- date last changed
- 2022-03-29 23:48:08
@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}}, keywords = {{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}}, doi = {{10.3233/VES-2011-0397}}, volume = {{21}}, year = {{2011}}, }