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Balance control of children and adolescents suffering from vertigo symptoms: in what way posturography is helpful in clinical evaluation of vestibular system pathology?

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Języki publikacji
EN
Abstrakty
EN
The aim of the study was to determine balance parameters in a group of young patients with vertigo symptoms and to verify posturography helpfulness in clinical evaluation of vestibular system pathology. Methods: 77 children and adolescents of age 3–18 suffering from vertigo episodes participated in the study (46 girls, 31 boys). They underwent audiology objective tests and balance test on stable surface. Calculated balance parameters were analyzed in reference to: eyes opened and closed, age influence, sway comparison in anterior-posterior and medial-lateral, differences between subgroups with and without vestibular deficits. Discriminant analysis was performed to assess classification ability to impaired group in two cases: only balance parameters and both audiology and balance parameters. Results: Patients with vertigo symptoms generally keep their balance properly on stable surface. Balance parameters do not depend on presence of vestibular system pathology. Values increased in eyes closed conditions. Left/Right and Anterior/Posterior differences were not statistically significant. The negative correlation between age and some balance parameters is present, stronger in the case of eyes opened and weaker or absent in vestibular impaired group. Also, correlations between axes were found, higher in impaired group in comparison with not impaired one. Conclusions: Discrimination based on balance parameters is poor not comparable to one built on combined: audiology and balance parameters, so typical balance parameters’ analysis is not so useful in clinical practice when the reason of vertigo episodes should be assessed, but verify compensation process and measure with objective numbers the progress of recovering, the actual functional patient’s status.
Słowa kluczowe
Rocznik
Strony
73--78
Opis fizyczny
Bibliogr. 19 poz., tab.
Twórcy
  • Department of Audiology and Phoniatric, The Children’s Memorial Health Institute, Warsaw, Poland
  • Kinesiology Lab, The Children’s Memorial Health Institute, Warsaw, Poland
  • Kinesiology Lab, The Children’s Memorial Health Institute, Warsaw, Poland
  • Department of Rehabilitation, The Children’s Memorial Health Institute, Warsaw, Poland
  • Department of Rehabilitation, Józef Piłsudski Academy of Physical Education, Warsaw, Poland
Bibliografia
  • [1] ASSAIANTE C., Development of Locomotor Balance Control in Healthy Children, Neuroscience and Biobehavioral Reviews, 1998, 22, 527–532.
  • [2] BATUECAS-CALETRIO A. et al., Is Benign Paroxysmal Vertigo of Childhood a migraine precursor?, European Journal of Paediatric Neurology, 2013, 17, 397–400.
  • [3] CHIAROVANO E. et al., Imbalance: Objective measures versus subjective self-report in clinical practice, Gait & Posture, 2018, 59, 217–221.
  • [4] DEVARAJA K., Vertigo in children; a narrative review of the various causes and their Management, International Journal of Pediatric Otorhinolaryngology, 2018, 111, 32–38.
  • [5] GIOACCHINI F.M. et al., Prevalence and diagnosis of vestibular disorders in children: A review, International Journal of Pediatric Othorhinolaryngology, 2014, 78, 718–724.
  • [6] IBRAHIM A.I. et al., Association of postural balance and isometric muscles strength in early -and middleschool-age boys, Journal of Manipulative and Physiological Therapeutics, 2013, 36, 9, 633–643.
  • [7] JANURA M. et. al., Assessment of postural stability in stable and unstable conditions, Acta Bioeng. Biomech., 2017, 19(4), DOI: 10.5277/ABB-00832-2017-02.
  • [8] JASPER E. et al., The clinical utility of posturography, Clinical Neurophysiology, 2008, 119, 2424–2436.
  • [9] JONG DAE LEE et al., Prevalence of vestibular and balance disorders in children and adolescents according to age: A multi-center study, International Journal of Pediatric Othorhinolaryngology, 2017, 94, 36–39.
  • [10] KLAUS J., Vertigo and balance in children – Diagnostic approach and insights from imaging, European Journal of Peadiatric Neurology, 2011, 15, 289–294.
  • [11] NEUHAUSER H.K., The epidemiology of dizziness and vertigo, Chapter 5, Handbook of Clinical Neurology, 2016, 137, 67–82.
  • [12] NIEMENSIVU R. et al., Vertigo and balance problems in children – An epidemiologic study in Finland, International Journal of Pediatric Othorhinolaryngology, 2006, 70, 259–265.
  • [13] PROBST T. et al., Psychological distress longitudinally mediates the effect of vertigo symptoms on vertigo-related handicap, Journal of Psychosomatic Research, 2017, 93, 62–68.
  • [14] REALE L., Psychological assessment in children and adolescents with Benign Paroxysmal Vertigo, Brain & Development, 2011, 33, 125–130.
  • [15] RUSSELL G., ABU-ARAFEH I., Paroxysmal vertigo in children – an epidemiological study, International Journal of Pediatric Othorhinolaryngology, 1999, 49 Suppl.1, 105–107.
  • [16] SOBERA M. et al., Posture control development in children aged 2–7 years old, based on the changes of repeatability of the stability indices, Neuroscience Letters, 2011, 491, 13–17.
  • [17] SOBERA M. et al., Repeatability of frequency of corrective foot pressure during balance control in children aged between 2 and 7, Acta of Bioengineering and Biomechanics, 2010, 12, 73–77.
  • [18] VERBECQUE E. et al., Postural sway in children: A literature review, Gait & Posture, 2016, 49, 402–410.
  • [19] WEN-CHING CHANG et al., Balance ability in patients with benign paroxysmal positional vertigo, Otolaryngology – Head and Neck Surgery, 2006, 135, 534–540.
Uwagi
Material was prepared during project Virtual Balance Clinic VB-Clinic founded by NCBR Poland (STRATEGMED3/306011/1/NCBR/2017).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-3a2f834b-d2b3-485d-96bd-e248460de2b9
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