TY - JOUR
T1 - Evaluation of uncompensated unilateral vestibulopathy using the modified clinical test for sensory interaction and balance
AU - Park, Moo Kyun
AU - Kim, Kyoung Min
AU - Jung, Jiwoong
AU - Lee, Naree
AU - Hwang, Sun Jin
AU - Chae, Sung Won
PY - 2013/2
Y1 - 2013/2
N2 - OBJECTIVE: To compare the results of the Modified Clinical Test for Sensory Interaction and Balance (mCTSIB) and the Sensory Organization Test (SOT) of computerized dynamic posturography (CDP) to better understand the role and limitations of the mCTSIB in the diagnosis and rehabilitation of patients with uncompensated unilateral vestibulopathy. STUDY DESIGN: Prospective blind study. SETTING: Tertiary referral center. INTERVENTIONS: Ninety-eight patients with uncompensated unilateral vestibulopathy were enrolled. After diagnosis was established through ocular motor studies, head roll and Dix-Hallpike tests, caloric testing, and pure tone audiometry, the mCTSIB and SOT were administered simultaneously. MAIN OUTCOME MEASURE: Composite or comprehensive scores and equilibrium scores. RESULTS: When composite or comprehensive scores were used to classify subjects as normal or abnormal, the mCTSIB and SOT showed significant agreement (p > 0.256). SOT condition 2 (eyes closed on a firm surface) showed a greater degree of correlation than did other conditions; the foam-surface or eyes-open conditions yielded poor correlation coefficients. CONCLUSION: The mCTSIB can be used instead of the SOT in screening to distinguish normality from abnormality in dizzy patients with unilateral vestibulopathy. However, the degree of dizziness assessed by SOT condition was poorly correlated with mCTSIB results, especially in conditions with the eyes open and those using a foam surface.
AB - OBJECTIVE: To compare the results of the Modified Clinical Test for Sensory Interaction and Balance (mCTSIB) and the Sensory Organization Test (SOT) of computerized dynamic posturography (CDP) to better understand the role and limitations of the mCTSIB in the diagnosis and rehabilitation of patients with uncompensated unilateral vestibulopathy. STUDY DESIGN: Prospective blind study. SETTING: Tertiary referral center. INTERVENTIONS: Ninety-eight patients with uncompensated unilateral vestibulopathy were enrolled. After diagnosis was established through ocular motor studies, head roll and Dix-Hallpike tests, caloric testing, and pure tone audiometry, the mCTSIB and SOT were administered simultaneously. MAIN OUTCOME MEASURE: Composite or comprehensive scores and equilibrium scores. RESULTS: When composite or comprehensive scores were used to classify subjects as normal or abnormal, the mCTSIB and SOT showed significant agreement (p > 0.256). SOT condition 2 (eyes closed on a firm surface) showed a greater degree of correlation than did other conditions; the foam-surface or eyes-open conditions yielded poor correlation coefficients. CONCLUSION: The mCTSIB can be used instead of the SOT in screening to distinguish normality from abnormality in dizzy patients with unilateral vestibulopathy. However, the degree of dizziness assessed by SOT condition was poorly correlated with mCTSIB results, especially in conditions with the eyes open and those using a foam surface.
KW - Modified clinical test for sensory interaction and balance
KW - Sensory organization test
KW - Unilateral vestibulopathy
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U2 - 10.1097/MAO.0b013e31827c9dae
DO - 10.1097/MAO.0b013e31827c9dae
M3 - Article
C2 - 23250384
AN - SCOPUS:84873097830
SN - 1531-7129
VL - 34
SP - 292
EP - 296
JO - Otology and Neurotology
JF - Otology and Neurotology
IS - 2
ER -