Assessment of the risk of fall, related to visual stimulation, in patients with central vestibular disorders

Suarez, H - Musé, Pablo - Suarez, A - Arocena, M

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.


Detalles Bibliográficos
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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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
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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
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publishDate 2001
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repository.mail.fl_str_mv mabel.seroubian@seciu.edu.uy
repository.name.fl_str_mv COLIBRI - Universidad de la República
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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