Defining clinical-posturographic and intra-posturographic discordances : What do these two concepts mean?
Perrin, Philippe ; Mallinson, Art ; Van Nechel, Christian ; Peultier-Celli, Laetitia ; Petersen, Hannes ; Magnusson, Mans LU
; Kingma, Herman
and Maire, Raphaël
(2018)
In Journal of International Advanced Otology
14(1).
p.127-129
- Abstract
The European Society for Clinical Evaluation of Balance Disorders - ESCEBD - Executive Committee meets yearly to identify and address clinical equilibrium problems that are not yet well understood. This particular discussion addressed “discordances” (defined as “lack of agreement”) in clinical assessment. Sometimes thSparaere is disagreement between a clinical assessment and measured abnormality (ies); sometimes the results within the assessment do not agree. This is sometimes thought of as “malingering” or an attempt to exaggerate what is wrong, but this is not always the case. The Committee discussed the clinical significance of unexpected findings in a patient’s assessment. For example intraposturo-graphic discordances sometimes... (More)
The European Society for Clinical Evaluation of Balance Disorders - ESCEBD - Executive Committee meets yearly to identify and address clinical equilibrium problems that are not yet well understood. This particular discussion addressed “discordances” (defined as “lack of agreement”) in clinical assessment. Sometimes thSparaere is disagreement between a clinical assessment and measured abnormality (ies); sometimes the results within the assessment do not agree. This is sometimes thought of as “malingering” or an attempt to exaggerate what is wrong, but this is not always the case. The Committee discussed the clinical significance of unexpected findings in a patient’s assessment. For example intraposturo-graphic discordances sometimes exhibit findings (eg performance on more difficult trials may sometimes be better than on simpler trials). This can be suggestive of malingering, but in some situations can be a legitimate finding. The extreme malingerer and the genuine patient are at opposite ends of a spectrum but there are many variations along this spectrum and clinicians need to be cautious, as a posturography assessment may or may not be diagnostically helpful. Sometimes there is poor correlation between symptom severity and test results. Interpretation of posturography performance can at times be difficult and a patient’s results must be correlated with clinical findings without stereotyping the patient. It is only in this situation that assessment in a diagnostic setting can be carried out in an accurate and unbiased manner.
(Less)
- author
- Perrin, Philippe
; Mallinson, Art
; Van Nechel, Christian
; Peultier-Celli, Laetitia
; Petersen, Hannes
; Magnusson, Mans
LU
; Kingma, Herman
and Maire, Raphaël
- publishing date
- 2018-04-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Balance, Discordance, Posturography
- in
- Journal of International Advanced Otology
- volume
- 14
- issue
- 1
- pages
- 3 pages
- publisher
- Mediterranean Society of Otology and Audiology
- external identifiers
-
- pmid:29460826
- scopus:85045879317
- ISSN
- 1308-7649
- DOI
- 10.5152/iao.2018.4349
- language
- English
- LU publication?
- no
- id
- f3acdd03-0f93-4ed7-8311-e9ecb66ad186
- date added to LUP
- 2018-05-04 12:11:15
- date last changed
- 2024-01-29 15:41:14
@article{f3acdd03-0f93-4ed7-8311-e9ecb66ad186,
abstract = {{<p>The European Society for Clinical Evaluation of Balance Disorders - ESCEBD - Executive Committee meets yearly to identify and address clinical equilibrium problems that are not yet well understood. This particular discussion addressed “discordances” (defined as “lack of agreement”) in clinical assessment. Sometimes thSparaere is disagreement between a clinical assessment and measured abnormality (ies); sometimes the results within the assessment do not agree. This is sometimes thought of as “malingering” or an attempt to exaggerate what is wrong, but this is not always the case. The Committee discussed the clinical significance of unexpected findings in a patient’s assessment. For example intraposturo-graphic discordances sometimes exhibit findings (eg performance on more difficult trials may sometimes be better than on simpler trials). This can be suggestive of malingering, but in some situations can be a legitimate finding. The extreme malingerer and the genuine patient are at opposite ends of a spectrum but there are many variations along this spectrum and clinicians need to be cautious, as a posturography assessment may or may not be diagnostically helpful. Sometimes there is poor correlation between symptom severity and test results. Interpretation of posturography performance can at times be difficult and a patient’s results must be correlated with clinical findings without stereotyping the patient. It is only in this situation that assessment in a diagnostic setting can be carried out in an accurate and unbiased manner.</p>}},
author = {{Perrin, Philippe and Mallinson, Art and Van Nechel, Christian and Peultier-Celli, Laetitia and Petersen, Hannes and Magnusson, Mans and Kingma, Herman and Maire, Raphaël}},
issn = {{1308-7649}},
keywords = {{Balance; Discordance; Posturography}},
language = {{eng}},
month = {{04}},
number = {{1}},
pages = {{127--129}},
publisher = {{Mediterranean Society of Otology and Audiology}},
series = {{Journal of International Advanced Otology}},
title = {{Defining clinical-posturographic and intra-posturographic discordances : What do these two concepts mean?}},
url = {{http://dx.doi.org/10.5152/iao.2018.4349}},
doi = {{10.5152/iao.2018.4349}},
volume = {{14}},
year = {{2018}},
}