Medeiros Italo R T, Bittar Roseli S M, Pedalini Maria Elisabete B, Lorenzi Maria Cecília, Kii Márcia A, Formigoni Lázaro G
Faculdade de Medicina Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
J Pediatr (Rio J). 2003 Jul-Aug;79(4):337-42.
This study aimed at evaluating dynamic posturography as an evaluation method in children with balance problems due to peripheral vestibulopathy, before and after treatment with vestibular rehabilitation, establishing its correlation with classical clinical evaluation.
Ten children (six boys and four girls) with vestibular symptoms of peripheral origin were evaluated through a complete clinical history and with dynamic computerized posturography after being treated by vestibular rehabilitation therapy. Posturographic data were analyzed and compared to standard clinical evaluation parameters.
Dynamic posturography showed a significant improvement of condition 1 (orthostatic position, fixed support and open eyes) and 5 (orthostatic position, sway-referenced support and closed eyes) of the vestibular function and of the composite balance score. The data showed significant correlation with the clinical improvement observed. A significant reduction of proprioceptive influence was also observed.
Data showed that the dynamic posturography adds important quantitative information to the conventional clinical evaluation of vestibular symptoms, especially in children.
本研究旨在评估动态姿势描记法作为一种评估方法，用于评估因外周前庭病变导致平衡问题的儿童在接受前庭康复治疗前后的情况，并确定其与经典临床评估的相关性。
对10名有外周性前庭症状的儿童（6名男孩和4名女孩）进行了全面的临床病史评估，并在接受前庭康复治疗后进行了动态计算机化姿势描记法评估。对姿势描记数据进行分析，并与标准临床评估参数进行比较。
动态姿势描记法显示前庭功能的第1种情况（直立位、固定支撑和睁眼）和第5种情况（直立位、摆动参考支撑和闭眼）以及综合平衡评分有显著改善。数据显示与观察到的临床改善有显著相关性。还观察到本体感觉影响的显著降低。
数据表明，动态姿势描记法为前庭症状的传统临床评估增加了重要的定量信息，尤其是在儿童中。
