Imbalance: Objective measures versus subjective self-report in clinical practice
| Autor: | Hamish G. MacDougall, Elodie Chiarovano, Pam Reynolds, Wei Wang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures Statistics as Topic Biophysics Balance test Dizziness Correlation 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Surveys and Questionnaires Humans Medicine Orthopedics and Sports Medicine 030223 otorhinolaryngology Self report Postural Balance Eyes open Aged Balance (ability) Aged 80 and over business.industry Rehabilitation Virtual Reality Middle Aged humanities Clinical Practice Balance performance Vertigo Physical therapy Objective test Accidental Falls Female Self Report business 030217 neurology & neurosurgery |
| Zdroj: | Gait & Posture. 59:217-221 |
| ISSN: | 0966-6362 |
| Popis: | Background Dizziness and imbalance are very common complaints in clinical practice. One of the challenges is to evaluate the ‘real’ risk of falls. Two tools are available: the patient’s self-report and the measure of the patient’s balance. We evaluated the relationship between these methods using the Dizziness Handicap Inventory (DHI) and measures of balance while visual inputs are perturbed with Virtual Reality (VR). Methods 90 consecutive patients underwent the DHI questionnaire and the balance test. The DHI questionnaire was used to measure the subject’s perception of handicap associated with dizziness. The balance test measured the postural sway in several visual conditions: eyes open, eyes closed, and with an unpredictable visual perturbation using VR at several amplitudes of movement. Results No correlation was found between the DHI score and the balance measurement. The visual perturbations allow us to characterize patients into three groups: one group with a high DHI score who did not fall on the balance test (5.5%), one group with a low DHI score who failed eyes closed on a compliant surface (9.0%), and one group of the remaining patients (85.5%). The correlation between the DHI score and the balance performance became significant on the remaining group of patients. Conclusion Both subjective self-report and objective measure are important to characterize a patient. The use of VR visual perturbations allowed us to define three important groups of patients. VR visual perturbations provided additional information that helps explain the lack of correlation between DHI and objective test results. |
| Databáze: | OpenAIRE |
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