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A simple technique to measure body sway in normal subjects and patients with dizziness

  • N. J. Roland (a1), C. A. Smith (a1), I. W. Miller (a1), A. S. Jones (a1) and T. H. Lesser (a1)...

Abstract

For many years vestibular testing has relied on measurements of the vestibulo-ocular reflex (VOR). More recently quantified assessment of balance, using fixed or moving force platforms and magnetometry have been applied to clinical research. These are objective attempts to quantify the vestibulospinal reflex (VSR). This study evaluates whether SwayWeigh, a simple device which measures lateral body sway, can provide an objective assessment of balance dysfunction. Forty patients with a balance disorder and 31 subjects with normal balance were tested with eyes opened and eyes closed whilst they were standing on a flat surface and then on an air bed. The lateral sway in patients with a balance disorder was compared to that in the normal subjects and highly significant differences (p<0.0001) were observed. The results also confirmed the importance of vision and proprioception in the maintenance of posture.

The Sway Weigh balance platform is a simple and economical device which objectively measures balance dysfunction.

Copyright

Corresponding author

Address for correspondence: Mr T. H. Lesser, Consultant Otoneurologist, ENT Department, Walton Hospital, Rice Lane, Liverpool, Merseyside

References

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Aalto, H., Pyykko, I., Starck, J. (1988) Computerized posturography. a development of the measuring system. Acta Otolaryngologica (Stockholm) 449: 7175.
Barre, J. A. (1949) Epreuve de Romberg vestibulaire. Nouveau Traditional Médicine 15: 105.
Black, F. O., Nashner, L. M. (1984) Vestibulospinal control differs in patients with reduced versus distorted vestibular function. Acta Otolaryngologica (supplementum) 404: 110114.
Dean, E. M., Gnffiths, C. J., Murray, A. (1986) Stability of the human body investigated by sway magnetometry. Journal of Medical Engineering and Technology 10: 126130.
Dc Haan, P. (1959) The significance of optic stimuli in maintaining equilibrium. Acta Otolaryngologica 50: 109115.
Diener, H. C., Dichgans, J., Bacher, M., Gompf, B. (1984) Quantification of postural sway in normals and patients with cerebellar diseases. Electroencephalography and Clinical Neurophysiology 57: 134142.
Duchenne, G. B. A. (1858) De l'ataxie locomotrice progressive. Recherches sur une maladie caracterisee specialment par des troubles generaux de Ia coordination des mouvements. Archives Générales de Médicine 641652.
Fernie, G. R., Holliday, P. J. (1978) Postural sway in amputees and normal subjects. Journal of Bone and Joint Surgery 60: 895898.
FitzGerald, J. E., Murray, A.. Elliot, C.. Birchall, J. P. (1993) Comparison of balance assessment by sway magnetometry and force platforms. Archives of Otolaryngology and Head and Neck Surgery 119: 4146.
Jansen, C., Laesen, R. E., Olesen, M. B. (1982) Quantitative Romberg's test. Acta Neurologica Scandinavia 66: 9399.
Kapteyn, T. S., Bles, W., Njiokiktjien, Ch. J., Kodde, L., Massen, C. H., Mol, J. M. F.. (1983) Standardization in platform stabilometry being a part of posturography. Agressologie 24(7): 321326.
Kayan, A. (1987) Diagnostic tests of balance. In Scott-Brown's Otolaryngology. Vol. 2, chap. 9, Adult Audiology. 5th Edition. (Kerr, A. G., Stephens, D., eds.), Butterworths, London.
Nashner, L. M. (1977) Fixed patterns of rapid postural responses among leg muscles during stance. Experimental Brain Research 30: 1324.
Nashner, L., Black, F. O., Wall, C. (1982) Adaptation to altered support and visual conditions during stance: patients with vestibular deficits. Journal of Neuroscience 2: 536544.
Norre, M. E., Forrez, G. (1986) Vestibular function in otoneurology. Journal for Otolaryngology and its Allied Specialties 48: 3744.
Norre, M. E. (1993) Sensory interaction posturography in patients with benign paroxysmal positional vertigo. Clinical Otolarygnology 18: 226230.
Romberg, M. H. (1846) Lehrbuch der Nenvenkrankheiten des Menschen, A. Duncker, Berlin.
Sheldon, J. H. (1963) The effect of age on the control of sway. Geientologica Clinica 5: 129138.
Terekhov, Y. V. (1974) A system for the study of man's equilibrium. Biomedical Engineering 10: 450478.
Thyssen, H., Brynskov, J., Jansen, E. C., Munster-Swendsen, J. (1982) Normal ranges in the reproducibility for the quantitative Romberg test. Acta Neurologica (Scandinavica) 66: 100104.
Weerdt, W., Crossley, S. M., Lincoln, N. B., Harrison, M. A. (1989) Restoration of balance in stroke patients: a single case design study. Clinical Rehabilitation 3: 139147.
Wing, A. M., Allison, S., Jenner, J. R. (1993) Retaining and retraining balance after stroke. In Bailliere's Clinical Neurology. vol. 2(1); Rehabilitation of Motor Disorders. (Ward, C. D., ed.), Bailliere–Tindall, London, pp 87120.

Keywords

A simple technique to measure body sway in normal subjects and patients with dizziness

  • N. J. Roland (a1), C. A. Smith (a1), I. W. Miller (a1), A. S. Jones (a1) and T. H. Lesser (a1)...

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