Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders
Resumen:
In order to assess the influence of visual stimulation in the triggering of imbalance and falls in the elderly population, the postural responses of 18 elderly patients with central vestibular disorders and clinical evidence of instability and falls were studied while receiving different types of visual stimuli. The stimulation conditions were: (i) no specific stimuli; (ii) smooth pursuit with pure sinusoids of 0.2 Hz as foveal stimulation; and (iii) optokinetic stimulation (OK) as retinal stimuli. Using a platform AMTI Accusway platform, the 95% confidence ellipse (CE) and sway velocity (SV) were evaluated with a scalogram using wavelets in order to assess the relationship between time and frequency in postural control. Velocity histograms were also constructed in order to observe the distribution of velocity values during the recording. A non-homogeneous postural behavior after visual stimulation was found among this population. In five of the patients the OK stimulation generated: (i) significantly higher average values of CE ( > 3.4+/-0.69 cm2); (ii) a significant increase in the average values of the SV ( > 3.89+/-1.15 cm/s) and a velocity histogram with a homogeneous distribution between 0 and 18 cm/s; and (iii) a scalogram with sway frequencies of up to 4 Hz distributed in both the X and Y directions (backwards and forwards and lateral) during visual stimulation with arbitrary units of energy density > 5. These three qualitative and quantitative aspects could be "markers" of visual dependence in the triggering of the mechanism of lack of equilibrium and hence falls in some elderly patients and should be considered in order to prevent falls and also to assist in the rehabilitation program of these patients.
2001 | |
Central vestibular disorders Falls Optokinetic stimulation Postural responses Visual dependence |
|
Inglés | |
Universidad de la República | |
COLIBRI | |
https://hdl.handle.net/20.500.12008/21154 | |
Acceso abierto |
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---|---|
author | Suarez, H |
author2 | Musé, Pablo Suarez, A Arocena, M |
author2_role | author author author |
author_facet | Suarez, H Musé, Pablo Suarez, A Arocena, M |
author_role | author |
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collection | COLIBRI |
dc.creator.none.fl_str_mv | Suarez, H Musé, Pablo Suarez, A Arocena, M |
dc.date.accessioned.none.fl_str_mv | 2019-07-03T16:35:45Z |
dc.date.available.none.fl_str_mv | 2019-07-03T16:35:45Z |
dc.date.issued.es.fl_str_mv | 2001 |
dc.date.submitted.es.fl_str_mv | 20190703 |
dc.description.abstract.none.fl_txt_mv | In order to assess the influence of visual stimulation in the triggering of imbalance and falls in the elderly population, the postural responses of 18 elderly patients with central vestibular disorders and clinical evidence of instability and falls were studied while receiving different types of visual stimuli. The stimulation conditions were: (i) no specific stimuli; (ii) smooth pursuit with pure sinusoids of 0.2 Hz as foveal stimulation; and (iii) optokinetic stimulation (OK) as retinal stimuli. Using a platform AMTI Accusway platform, the 95% confidence ellipse (CE) and sway velocity (SV) were evaluated with a scalogram using wavelets in order to assess the relationship between time and frequency in postural control. Velocity histograms were also constructed in order to observe the distribution of velocity values during the recording. A non-homogeneous postural behavior after visual stimulation was found among this population. In five of the patients the OK stimulation generated: (i) significantly higher average values of CE ( > 3.4+/-0.69 cm2); (ii) a significant increase in the average values of the SV ( > 3.89+/-1.15 cm/s) and a velocity histogram with a homogeneous distribution between 0 and 18 cm/s; and (iii) a scalogram with sway frequencies of up to 4 Hz distributed in both the X and Y directions (backwards and forwards and lateral) during visual stimulation with arbitrary units of energy density > 5. These three qualitative and quantitative aspects could be "markers" of visual dependence in the triggering of the mechanism of lack of equilibrium and hence falls in some elderly patients and should be considered in order to prevent falls and also to assist in the rehabilitation program of these patients. |
dc.identifier.citation.es.fl_str_mv | Suarez, H., Musé, P, Suarez, A., Arocena, M. Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders. Acta Oto-laryngologica, 2001, v. 121, no. 2 |
dc.identifier.uri.none.fl_str_mv | https://hdl.handle.net/20.500.12008/21154 |
dc.language.iso.none.fl_str_mv | en eng |
dc.publisher.es.fl_str_mv | Taylor Francis |
dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
dc.source.none.fl_str_mv | reponame:COLIBRI instname:Universidad de la República instacron:Universidad de la República |
dc.subject.es.fl_str_mv | Central vestibular disorders Falls Optokinetic stimulation Postural responses Visual dependence |
dc.title.none.fl_str_mv | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders |
dc.type.es.fl_str_mv | Artículo |
dc.type.none.fl_str_mv | info:eu-repo/semantics/article |
dc.type.version.none.fl_str_mv | info:eu-repo/semantics/publishedVersion |
description | In order to assess the influence of visual stimulation in the triggering of imbalance and falls in the elderly population, the postural responses of 18 elderly patients with central vestibular disorders and clinical evidence of instability and falls were studied while receiving different types of visual stimuli. The stimulation conditions were: (i) no specific stimuli; (ii) smooth pursuit with pure sinusoids of 0.2 Hz as foveal stimulation; and (iii) optokinetic stimulation (OK) as retinal stimuli. Using a platform AMTI Accusway platform, the 95% confidence ellipse (CE) and sway velocity (SV) were evaluated with a scalogram using wavelets in order to assess the relationship between time and frequency in postural control. Velocity histograms were also constructed in order to observe the distribution of velocity values during the recording. A non-homogeneous postural behavior after visual stimulation was found among this population. In five of the patients the OK stimulation generated: (i) significantly higher average values of CE ( > 3.4+/-0.69 cm2); (ii) a significant increase in the average values of the SV ( > 3.89+/-1.15 cm/s) and a velocity histogram with a homogeneous distribution between 0 and 18 cm/s; and (iii) a scalogram with sway frequencies of up to 4 Hz distributed in both the X and Y directions (backwards and forwards and lateral) during visual stimulation with arbitrary units of energy density > 5. These three qualitative and quantitative aspects could be "markers" of visual dependence in the triggering of the mechanism of lack of equilibrium and hence falls in some elderly patients and should be considered in order to prevent falls and also to assist in the rehabilitation program of these patients. |
eu_rights_str_mv | openAccess |
format | article |
id | COLIBRI_1dfdb70b3dd8e166f97a2cdc0c021804 |
identifier_str_mv | Suarez, H., Musé, P, Suarez, A., Arocena, M. Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders. Acta Oto-laryngologica, 2001, v. 121, no. 2 |
instacron_str | Universidad de la República |
institution | Universidad de la República |
instname_str | Universidad de la República |
language | eng |
language_invalid_str_mv | en |
network_acronym_str | COLIBRI |
network_name_str | COLIBRI |
oai_identifier_str | oai:colibri.udelar.edu.uy:20.500.12008/21154 |
publishDate | 2001 |
reponame_str | COLIBRI |
repository.mail.fl_str_mv | mabel.seroubian@seciu.edu.uy |
repository.name.fl_str_mv | COLIBRI - Universidad de la República |
repository_id_str | 4771 |
spelling | 2019-07-03T16:35:45Z2019-07-03T16:35:45Z200120190703Suarez, H., Musé, P, Suarez, A., Arocena, M. Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders. Acta Oto-laryngologica, 2001, v. 121, no. 2https://hdl.handle.net/20.500.12008/21154In order to assess the influence of visual stimulation in the triggering of imbalance and falls in the elderly population, the postural responses of 18 elderly patients with central vestibular disorders and clinical evidence of instability and falls were studied while receiving different types of visual stimuli. The stimulation conditions were: (i) no specific stimuli; (ii) smooth pursuit with pure sinusoids of 0.2 Hz as foveal stimulation; and (iii) optokinetic stimulation (OK) as retinal stimuli. Using a platform AMTI Accusway platform, the 95% confidence ellipse (CE) and sway velocity (SV) were evaluated with a scalogram using wavelets in order to assess the relationship between time and frequency in postural control. Velocity histograms were also constructed in order to observe the distribution of velocity values during the recording. A non-homogeneous postural behavior after visual stimulation was found among this population. In five of the patients the OK stimulation generated: (i) significantly higher average values of CE ( > 3.4+/-0.69 cm2); (ii) a significant increase in the average values of the SV ( > 3.89+/-1.15 cm/s) and a velocity histogram with a homogeneous distribution between 0 and 18 cm/s; and (iii) a scalogram with sway frequencies of up to 4 Hz distributed in both the X and Y directions (backwards and forwards and lateral) during visual stimulation with arbitrary units of energy density > 5. These three qualitative and quantitative aspects could be "markers" of visual dependence in the triggering of the mechanism of lack of equilibrium and hence falls in some elderly patients and should be considered in order to prevent falls and also to assist in the rehabilitation program of these patients.Made available in DSpace on 2019-07-03T16:35:45Z (GMT). No. of bitstreams: 4 license_text: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license_url: 49 bytes, checksum: 4afdbb8c545fd630ea7db775da747b2f (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) license.txt: 4267 bytes, checksum: 6429389a7df7277b72b7924fdc7d47a9 (MD5) Previous issue date: 2001enengTaylorFrancisLas obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad De La República. (Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)info:eu-repo/semantics/openAccessCentral vestibular disordersFallsOptokinetic stimulationPostural responsesVisual dependenceAssessment of the risk of fall, related to visual stimulation, in patients with central vestibular disordersArtículoinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionreponame:COLIBRIinstname:Universidad de la Repúblicainstacron:Universidad de la RepúblicaSuarez, HMusé, PabloSuarez, AArocena, 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- Universidad de la Repúblicafalse |
spellingShingle | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders Suarez, H Central vestibular disorders Falls Optokinetic stimulation Postural responses Visual dependence |
status_str | publishedVersion |
title | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders |
title_full | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders |
title_fullStr | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders |
title_full_unstemmed | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders |
title_short | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders |
title_sort | Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders |
topic | Central vestibular disorders Falls Optokinetic stimulation Postural responses Visual dependence |
url | https://hdl.handle.net/20.500.12008/21154 |