The Effect of Spinal Tap Test on Different Sensory Modalities of Postural Stability in Idiopathic Normal Pressure Hydrocephalus
| Autor: | Otto W. Witte, Peter Bublak, Panagiota Karvouniari, Orlando Guntinas-Lichius, Silvia Bohne, Hubertus Axer, Katrin Abram, Carsten M. Klingner |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Spinal tap Cognitive Neuroscience Spinal tap test Postural instability Postural stability lcsh:Geriatrics lcsh:RC346-429 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Stimulus modality Normal pressure hydrocephalus medicine Computerized dynamic posturography In patient Original Research Article 030212 general & internal medicine lcsh:Neurology. Diseases of the nervous system business.industry medicine.disease film.actor Psychiatry and Mental health lcsh:RC952-954.6 film (Idiopathic) normal pressure hydrocephalus Physical therapy business 030217 neurology & neurosurgery |
| Zdroj: | Dementia and Geriatric Cognitive Disorders Extra, Vol 6, Iss 3, Pp 447-457 (2016) Dementia and Geriatric Cognitive Disorders EXTRA |
| ISSN: | 1664-5464 |
| Popis: | Background/Aims: Postural instability in patients with normal pressure hydrocephalus (NPH) is a most crucial symptom leading to falls with secondary complications. The aim of the current study was to evaluate the therapeutic effect of spinal tap on postural stability in these patients. Methods: Seventeen patients with clinical symptoms of NPH were examined using gait scale, computerized dynamic posturography (CDP), and neuropsychological assessment. Examinations were done before and after spinal tap test. Results: The gait score showed a significant improvement 24 h after spinal tap test in all subtests and in the sum score (p < 0.003), while neuropsychological assessment did not reveal significant differences 72 h after spinal tap test. CDP showed significant improvements after spinal tap test in the Sensory Organization Tests 2 (p = 0.017), 4 (p = 0.001), and 5 (p = 0.009) and the composite score (p = 0.01). Patients showed best performance in somatosensory and worst performance in vestibular dominated tests. Vestibular dominated tests did not improve significantly after spinal tap test, while somatosensory and visual dominated tests did. Conclusion: Postural stability in NPH is predominantly affected by deficient vestibular functions, which did not improve after spinal tap test. Conditions which improved best were mainly independent from visual control and are based on proprioceptive functions. |
| Databáze: | OpenAIRE |
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