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Imbalance: Objective measures versus subjective self-report in clinical practice.

Abstract：

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.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Chiarovano E,Wang W,Reynolds P,MacDougall HG

doi

10.1016/j.gaitpost.2017.10.019

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

217-221

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(17)30975-X

journal_volume

59

pub_type

杂志文章

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