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Compensation for balance disorders : analysis of this multifactorial process

Perrin, Philippe ; Mallinson, Art ; Longridge, Neil ; Armato, Enrico ; Magnusson, Mans LU orcid ; Dumas, Georges ; Perrin, Nicolas ; Denise, Pierre ; Gargiulo, Paolo and Petersen, Hannes , et al. (2025) In European Journal of Translational Myology 35(3).
Abstract

The European Society for Clinical Evaluation of Balance Disorders (ESCEBD), based in Nancy, France, has been meeting yearly since 2005 to discuss equilibrium-related themes that are not yet clearly defined or standardized. One of our latest discussions was with regard to outlining strategies of internal and external compensation that may be used to cope with balance disorders. A Committee was elected to discuss the mechanisms of compensation that may be involved in coping with balance system disorders. Compensation, referring to the immediate or short-term adaptive mechanisms that are used to counterbalance the effects of deficiencies that disrupt balance maintenance, can include alternative strategies, resources, or environmental... (More)

The European Society for Clinical Evaluation of Balance Disorders (ESCEBD), based in Nancy, France, has been meeting yearly since 2005 to discuss equilibrium-related themes that are not yet clearly defined or standardized. One of our latest discussions was with regard to outlining strategies of internal and external compensation that may be used to cope with balance disorders. A Committee was elected to discuss the mechanisms of compensation that may be involved in coping with balance system disorders. Compensation, referring to the immediate or short-term adaptive mechanisms that are used to counterbalance the effects of deficiencies that disrupt balance maintenance, can include alternative strategies, resources, or environmental supports to overcome deficits or challenges associated with a deficiency. The strategies can be internal (i.e. utilizing the individual’s own multi-sen-sory neural integration, motor, and cognitive resources) or external (i.e. modifying the environment, or using assistive or adaptive devices) to reduce fall hazard and enhance safety. This report focuses principally on internal compensation, generated by sensorimotor processes of the central nervous system (CNS) in response to impairment of either sensory information (e.g. vestibular pathologies), the musculoskeletal system (e.g. lower limb amputation and myopathies) or the CNS itself (e.g. upper motor neuron syndrome). The multifactorial process of compensation may explain the limi-tations encountered by the CNS in compensating for complex bodily impairments and may also limit our understanding of how the CNS adapts to balance disorders. Newly developed devices, such as wearable sensory substitution devices, are on the horizon as possible tools.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adaptation, balance disorders, compensation, sensorimotor processes, sensory information reweighting
in
European Journal of Translational Myology
volume
35
issue
3
publisher
Page Press
external identifiers
  • scopus:105018973428
  • pmid:40631866
ISSN
2037-7452
DOI
10.4081/ejtm.2025.13816
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025, Page Press Publications. All rights reserved.
id
e7ebeebf-cd9c-441b-9c93-eaa338296a8e
date added to LUP
2025-11-04 06:47:43
date last changed
2025-12-16 10:41:08
@article{e7ebeebf-cd9c-441b-9c93-eaa338296a8e,
  abstract     = {{<p>The European Society for Clinical Evaluation of Balance Disorders (ESCEBD), based in Nancy, France, has been meeting yearly since 2005 to discuss equilibrium-related themes that are not yet clearly defined or standardized. One of our latest discussions was with regard to outlining strategies of internal and external compensation that may be used to cope with balance disorders. A Committee was elected to discuss the mechanisms of compensation that may be involved in coping with balance system disorders. Compensation, referring to the immediate or short-term adaptive mechanisms that are used to counterbalance the effects of deficiencies that disrupt balance maintenance, can include alternative strategies, resources, or environmental supports to overcome deficits or challenges associated with a deficiency. The strategies can be internal (i.e. utilizing the individual’s own multi-sen-sory neural integration, motor, and cognitive resources) or external (i.e. modifying the environment, or using assistive or adaptive devices) to reduce fall hazard and enhance safety. This report focuses principally on internal compensation, generated by sensorimotor processes of the central nervous system (CNS) in response to impairment of either sensory information (e.g. vestibular pathologies), the musculoskeletal system (e.g. lower limb amputation and myopathies) or the CNS itself (e.g. upper motor neuron syndrome). The multifactorial process of compensation may explain the limi-tations encountered by the CNS in compensating for complex bodily impairments and may also limit our understanding of how the CNS adapts to balance disorders. Newly developed devices, such as wearable sensory substitution devices, are on the horizon as possible tools.</p>}},
  author       = {{Perrin, Philippe and Mallinson, Art and Longridge, Neil and Armato, Enrico and Magnusson, Mans and Dumas, Georges and Perrin, Nicolas and Denise, Pierre and Gargiulo, Paolo and Petersen, Hannes and Beyaert, Christian}},
  issn         = {{2037-7452}},
  keywords     = {{adaptation; balance disorders; compensation; sensorimotor processes; sensory information reweighting}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{3}},
  publisher    = {{Page Press}},
  series       = {{European Journal of Translational Myology}},
  title        = {{Compensation for balance disorders : analysis of this multifactorial process}},
  url          = {{http://dx.doi.org/10.4081/ejtm.2025.13816}},
  doi          = {{10.4081/ejtm.2025.13816}},
  volume       = {{35}},
  year         = {{2025}},
}