Evaluation of postural characteristics in patients with vertigo by modified clinical test of sensory interaction and balance / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the application of modified clinical test of sensory interaction and balance (mCTSIB) in the patients with vertigo.@*METHOD@#One hundred and six patients with vertigo (62 cases with peripheral and 44 cases with central vestibular disorder) were taken the mCTSIB of the firm surface and foam surface with eye open and eye closed for 30 seconds respectively. The standing foam surface was to interrupt the somatosensory and closing eyes was to interrupt the visual input in the postural stability. The falling during the test was recorded. The results between the mCTSIB and video nystagmography (VNG) were compared.@*RESULT@#In vestibular peripheral disorder, the abnormal of mCTSIB was 45.16% (28/62) and agreement to VNG was 67.74% (42/62). In vestibular central disorder, the abnormal of mCTSIB was 27.27% (12/44) and agreement to VNG was 81.82% (36/44). For all these patients with vertigo in this study, the abnormal of mCTSIB was 37.74% (40/106) and agreement to VNG was 73.58% (78/106). Regarding the falling as abnormality, the mCTSIB was not significant different between the vestibular peripheral and central disorders (chi2 = 3.505, P > 0.05).@*CONCLUSION@#Although the mCTSIB, which was easy to carry out, can not be a method to differentiate the vestibular peripheral and central disorders, it was a suitable to assess the ability of sensory interaction to maintain balance in patients with vertigo.

Postural stability after head-shaking in the healthy young individuals / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the postural stability after head-shaking in the normal young individuals.@*METHOD@#Twenty-eight normal young individuals were taken the static posturography under 4 standing conditions including (T1) head center and eye open (EO), (T2) head center and eye closed, (T3) after head-shaking and EO, (T4) after head-shaking and EC. The sway velocity (SV) of center of pressure under feet in each testing condition was recorded as parameter and each test protocol was 30 s.@*RESULT@#All examinee did not fall in each testing condition. (1) The SV increased (4.60 +/- 6.36) % after head-shaking in the EO condition, while the (8.86 +/- 8.27) % was demonstrated in the EC condition. There was significant difference between these two degrees of increase (t = 2.759, P < 0.01). (2) In static head orientation, the SV of EC (T2) increased (9.83 +/- 5.10)% compared with the SV of EO condition (T1). However, the SV of EC (T4) increased (14.05 +/- 6.89) % compared with the SV of EO condition (T3) after head-shaking. And there was significant difference between these two degrees of increase (t = 2.772, P < 0.01).@*CONCLUSION@#The stimuli of head-shaking that interrupted input from vestibular end organ can affect the function of vestibulospinal reflex in healthy young individual, especially when the visual input was interrupted simultaneously. In order to keeping balance after head-shaking, there was a complex mechanism sensory reorganization even in the normal young subject.