El-Kashlan H K, Shepard N T, Asher A M, Smith-Wheelock M, Telian S A
Department of Otolaryngology, University of Michigan, Ann Arbor 48109-0312, USA.
Laryngoscope. 1998 Mar;108(3):311-9. doi: 10.1097/00005537-199803000-00002.
Evaluate the clinical utility of several simple measures of static and dynamic equilibrium in human subjects. In particular, one proposed clinical measure, the Clinical Test of Sensory Integration and Balance (CTSIB) was compared with dynamic posturography for the measurement of postural control capabilities.
Cross-sectional study of normal subjects and prospective observational study of the same performance measures in vestibular disorder patients.
Academic tertiary care referral center.
Data were collected for all test measures from a group of normal subjects (ages, 20 to 79 years), as well as for a group of patients undergoing treatment for vestibular dysfunction.
Data suggest that several semiquantitative clinical tests of static and dynamic equilibrium can be helpful in evaluating and monitoring patients with chronic vestibular dysfunction. The CTSIB results seem to correlate well with dynamic posturography, suggesting that this measure may be useful in identifying patients with abnormal postural control. Formal dynamic posturography testing appears to be more sensitive in detecting abnormal postural control and more exact in defining the specific pattern of dysfunction.
Simple clinical measures of static and dynamic equilibrium can reliably distinguish vestibular disorder patients from normal subjects. Dynamic posturography continues to play an important role in the functional evaluation and management of vestibular disorder patients.
评估几种人体静态和动态平衡简单测量方法的临床实用性。特别是，将一种提议的临床测量方法，即感觉统合与平衡临床测试（CTSIB）与动态姿势描记法进行比较，以测量姿势控制能力。
对正常受试者进行横断面研究，对前庭障碍患者的相同性能指标进行前瞻性观察研究。
学术性三级医疗转诊中心。
收集了一组正常受试者（年龄20至79岁）以及一组正在接受前庭功能障碍治疗的患者的所有测试指标数据。
数据表明，几种静态和动态平衡的半定量临床测试有助于评估和监测慢性前庭功能障碍患者。CTSIB结果似乎与动态姿势描记法有很好的相关性，表明该测量方法可能有助于识别姿势控制异常的患者。正式的动态姿势描记法测试在检测异常姿势控制方面似乎更敏感，在定义功能障碍的具体模式方面更精确。
静态和动态平衡的简单临床测量方法可以可靠地将前庭障碍患者与正常受试者区分开来。动态姿势描记法在前庭障碍患者的功能评估和管理中继续发挥重要作用。
