Research Article
Volume 12 Issue 10 - 2020
How To Study the Effect of Vestibular Activation on Vestibulo-Spinal Pathway using Portable Posturography
Brock CM1, Carmona S2, Ramos BF3, Cal R4, Mangabeira Albernaz PL5, Pereira DM6 and Zuma e Maia F7
1Otorhinolaryngology, Pontifical Catholic University of Rio Grande do Sul (PUC-RS), Porto Alegre, Brazil
2Neuro-Otology, Institute of Neuroscience Buenos Aires, Buenos Aires, Argentina
3Otorhinolaryngology, Federal University of Espirito Santo, Vitoria, Brazil
4Otorhinolaryngology, Federal University of Para, Belem, Brazil
5Otorhinolaryngology, Federal University of São Paulo, São Paulo, Brazil
6Pharmacy, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
7ENT Preceptor of Residency Program INSCER-PUC-RS, Porto Alegre, Brazil
*Corresponding Author: Sergio Carmona, Neuro-Otology, Institute of Neuroscience Buenos Aires, Buenos Aires, Argentina.
Received: May 28, 2020; Published: September 30, 2020




Abstract

Background: Clinical tests performed in posturography are a useful element in evaluation of balance and postural control. It usually demands, however, large and expensive equipment and for this reason this examination is not performed by many neurotologists.

Aims/Objectives: This study was conducted with a recently developed posturography system - Balance Angular Posturography (BAP) - in order to evaluate into clinical practice.

Materials and Methods: Fifteen healthy volunteer patients without vestibular disease or complaint of loss of balance were studied prospectively using BAP to establish the reference values of the variables, standardizing its use. They were tested standing over the floor or over a foam platform and were stimulated with right and left Head Tilt, Head-Shaking and right and left Fast Head-Turning tests. The stimuli were presented both with eyes open and closed.

Results: Six male and nine female patients (25,7 average) were enrolled in this study, which the results varied, but allowed for the establishment of reference values.

Conclusion: The validated BAP protocol may become useful to study patients with imbalance complaint and document their improvement after vestibular rehabilitation, since the vestibulo-spinal pathway is also evaluated.

Significance: This equipment may contribute to increase the interest in posturography, particularly with patients that need vestibular rehabilitation.

Keywords: Portable Posturography; Reference Values; Balance; Postural Control; vestibulo-spinal Pathway

References

  1. Horak FB and Macpherson JM. “Postural orientation and equilibrium”. In: Rowell LB, Shepard JT, editors. Handbook of physiology: section 12, exercise regulation and integration of multiple systems. New York: Oxford University Press (1996): 225-292.
  2. Position Statement: Posturography. American Academy of Otolaryngology - Head and Neck Surgery. (2014).
  3. Carmona S., et al. “Portable Posturography: Validation of Variables in People Without Posture and Balance Disorders. A Pilot Study”. EC Neurology (2017): 132-136.
  4. Carmona S., et al. “Truncal Ataxia in the Differential Diagnosis of Acute Vestibular Syndrome”. EC Neurology5. (2017): 171-173.
  5. Carmona S., et al. “The Diagnostic Accuracy of Truncal Ataxia and HIN TS as Cardinal Signs for Acute Vestibular Syndrome”. Frontiers in Neurology 7 (2016): 125.
  6. Shaikh AG., et al. “Consensus on Virtual Management of Vestibular Disorders: Urgent Versus Expedited Care”. Cerebellum (2020).
  7. Giacomini P., et al. “Head Tilt Posturography: Clinical Value in Peripheral Labirinthine Disorders”. Annals of Otology, Rhinology and Laryngology 2 (2015): 1073.
  8. Panosian MS and Paige GD. “Nystagmus and postural instability after headshake in patients with vestibular dysfunction”. American Academy of Otolaryngology - Head and Neck Surgery 112 (1995): 399-404.
  9. Zuma e Maia F., et al. “An Algorithm for the Diagnosis of Vestibular, Cerebellar, and Oculomotor Disorders Using a Systematized Clinical Bedside Examination”. Cerebellum (2020).
  10. Kantner RM., et al. “Stabilometry in balance assessment of dizzy and normal subjects”. American Journal of Otolaryngology 12 (1991): 196-204.
  11. Mitchell DE and Cullen KE. “Vestibular System”. Elsevier Reference Module in Neuroscience and Biobehavioral Psychology (2016): 127-132.
  12. Honaker JA., et al. “Modified Head-Shake Computerized Dynamic Posturography”. American Journal of Audiology 18 (2009): 108-113.
  13. McCall AA., et al. “Descending Influences in Vestibulospinal and Vestibulosympathetic Reflexes”. Frontiers in Neurology 8 (2017): 112.
  14. Sadeghi SG and Cullen K. “Vestibular System”. International Encyclopedia of the Social and Behavioral Sciences: second edition. Elsevier Inc. (2015): 63-69.
Citation: Brock CM., et al. “How To Study the Effect of Vestibular Activation on Vestibulo-Spinal Pathway using Portable Posturography”. EC Neurology 12.10 (2020): 50-57.

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