Comparative study between posturography and caloric test in balance disorders

Authors

  • Himanshu Swami Deaprtment of ENT, Command Hospital Airforce, Bangalore, India
  • Maneesha Sivan Deaprtment of ENT, Military Hospital, Binnaguri, Assam, India
  • Bharath M. Deaprtment of ENT, Command Hospital Airforce, Bangalore, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20163139

Keywords:

Posturography, Caloric test, Balance platform

Abstract

Background: Vertigo is a common clinical problem encountered by otolaryngologist. There are various causes balance disorders including pathologies of inner ear, somatosensory system and visual disturbances to name a few. Caloric test is suitable for inner ear disorders. Posturography promises to be more holistic in diagnosis of balance disorders.

Methods: 50 patients suffering from imbalance were accrued. They were subjected to caloric test and posturography by using static balance platform. Canal paresis and directional preponderance were measured by caloric test and modified clinical test for sensory interaction on balance (mCTSIB was performed on static balance platform).  

Results: Caloric test was found to be positive in 17 whereas static balance platform detected abnormalities in 28 patients.

Conclusions: Posturography by use of static balance platform can be an important tool in determining the cause of imbalance. The detection of abnormalities as compared to caloric test is statistically significant.

References

Rudge P, Bronstein AM. Investigations of disorders of balance. J Neurology, Neurosurg Psych. 1995;59:568-78.

Amin M. A comparison of electronystagmography results with posturography findings from the balance trak 500. Otology Neurotology. 2000;23:488-93.

Greco KL. Comparison of computerised dynamic posturography results with subjective visual vertical test in patients with and without vestibular dysfunction: effects of horizontal head shaking. 2007:568.

ICS Balance Platform-Otometrics. Available at www.otometrics.com. Accessed on 11 March 2016.

Liaw MY, Chen CL, Pei YC, Leong CP, Lau YC. Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy people. Chang Gung Med J. 2009;32(3):297-304.

Mechling RW. Objective assessment of postural balance through use of the variable resistence balance board. Phys Ther. 1986;66(5):685-8.

Goebel JA, Paige GD. Dynamic posturography and caloric test results in patients with and without vertigo. Otolaryngology Head Neck Surg. 1989;100(6):553-8.

Taylor J, Goodkin HP. Dizziness and Vertigo in the Adolescent. Otolaryngol Clin N Am. 2011;44(2):309-21.

Begbie B et al. some problems of postural sway. In de Reuck AVS, Knight J,eds. Myotatic, kinesthetic and vestibular mechanism. 1967;80-92.

Bussel B. Vestibular and proprioceptive influences on the postural reactions to a sudden body displacement in man. Progressive clinical neurophysiology. 1980;8:310-22.

Dornan J. Visual input: its importance in the control of body sway. Arch Physiol Rehabil. 1978;59:586-91.

Allum JH. Visual and vestibular contributions to pitch sway stabilization in the ankle muscles of normals and patients with bilateral peripheral vestibular deficits. Exp Brain Res. 1985;58:82-94.

Fabio RP. Sensitivity and specificity of platform posturography for identifying patients with vestibular dysfunction. Phys Ther. 1995;75:290-305.

Miguel A. Static posturography vs clinical tests in elderly prople with vestibular pathology. Acta Otorrinolaryngol Esp. 2008;59:334-40.

Downloads

Published

2016-09-26

Issue

Section

Original Research Articles