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Dynamic posturography for staging of patients with Ménière's disease

Published online by Cambridge University Press:  08 March 2017

A Daneshi ,
N Bozorgzadeh ,
A Asghari ,
H E Jome ,
P Mirhaj  and
M Nojoumi
A Daneshi
Affiliation:
Department and research center of Otolaryngology, Head & Neck Surgery, Iran University of Medical Sciences, Tehran, Iran
N Bozorgzadeh
Affiliation:
Department and research center of Otolaryngology, Head & Neck Surgery, Iran University of Medical Sciences, Tehran, Iran
A Asghari*
Affiliation:
Department and research center of Otolaryngology, Head & Neck Surgery, Iran University of Medical Sciences, Tehran, Iran
H E Jome
Affiliation:
Department and research center of Otolaryngology, Head & Neck Surgery, Iran University of Medical Sciences, Tehran, Iran
P Mirhaj
Affiliation:
Department and research center of Otolaryngology, Head & Neck Surgery, Iran University of Medical Sciences, Tehran, Iran
M Nojoumi
Affiliation:
Communicational Medicine Department, Iran University of Medical Sciences, Tehran, Iran
*
Address for correspondence: Dr Alimohamad Asghari, Hazrat Rasoul Akram Hospital, Niayesh St, Sattarkhan Ave, 1445613131 Tehran, Iran. Fax: +98 21 66525329 E-mail: asghari@dr-asghari.com
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Abstract

Objective:

In recent years, techniques such as computerised dynamic posturography have facilitated objective evaluation of patients with balance disorders. In this study, we used computerised dynamic posturography for clinical staging of Ménière's disease.

Material and methods:

We applied a computerised dynamic posturography sensory organisation test to 53 patients with American Academy of Otolaryngology criteria of Ménière's disease. The following parameters were considered in data analysis: computerised dynamic posturography scores for testing the patient's centre of gravity with a mobile surface, immobile visual surroundings and eyes closed, scores for testing with a mobile surface, mobile visual surroundings and eyes open, and vestibular ratio. We used four hearing threshold stages (although we had no patients at stage four).

Results and discussion:

This study did not observe a statistically significant correlation between audiometric hearing thresholds and computerised dynamic posturography scores. Computerised dynamic posturography scores showed statistically significant variation with time elapsed since the last vertigo attack. Although our results showed an increasing trend in computerised dynamic posturography scores as Ménière's disease activity level decreased from recent post-attack (i.e. less than one week since last attack) through late post-attack (i.e. one week to 60 days since last attack) to inactive (i.e. more than 60 days since last attack), these differences were not statistically significant.

Keywords

Meniere's DiseaseBalancePosturographyVestibular Function Tests
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 863 - 867
Copyright
Copyright © JLO (1984) Limited 2009

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