Abstract:
PURPOSE:To determine the sensitivity of a head shake modification to the Sensory Organization Test (SOT) of dynamic posturography in identifying (a) those patients with unilateral, peripheral vestibular hypofunction as indicated by caloric irrigation findings and (b) those patients who report that head movements provoke disruption in postural control. METHOD:A prospective, single-blinded, random selection methodology was used with 91 patients stratified by the presence or absence of a significant caloric asymmetry and by the presence or absence of head movement provoked symptoms (independent variables). Postural control performance, as measured by EquiTest during the standard test and a head shake modification, served as the dependent variables. RESULTS:Receiver operating characteristic curves demonstrated only minor improvement in sensitivity (a) with the head shake modification for unilateral peripheral asymmetry and (b) for identification of those with complaints of head movement provoked imbalance. CONCLUSIONS:The head shake modification to standard SOT increased the test sensitivity to identification of patients with unilateral, peripheral vestibular hypofunction and those with head movement provoked symptoms. However, this occurred with low specificity, resulting in no significant improvement in overall performance with this head shake protocol. Suggestions for further research to improve the performance of the head shake modification of SOT for clinical application are discussed.
journal_name
Am J Audioljournal_title
American journal of audiologyauthors
Mishra A,Davis S,Speers R,Shepard NTdoi
10.1044/1059-0889(2009/06-0024)subject
Has Abstractpub_date
2009-06-01 00:00:00pages
53-9issue
1eissn
1059-0889issn
1558-9137pii
1059-0889_2009_06-0024journal_volume
18pub_type
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journal_title:American journal of audiology
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abstract::[Figure: see text]. ...
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abstract::[Figure: see text]. ...
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pub_type: 杂志文章,已发布勘误
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更新日期:2005-06-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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