Badanie czynnościowe osób z zawrotami głowy i zaburzeniami równowagi dla potrzeb medycyny pracy.

2.50
Hdl Handle:
http://hdl.handle.net/10146/618204
Title:
Badanie czynnościowe osób z zawrotami głowy i zaburzeniami równowagi dla potrzeb medycyny pracy.
Authors:
Zamysłowska-Szmytke, Ewa; Szostek-Rogula, Sylwia; Śliwińska-Kowalska, Mariola
Other Titles:
[Functional assessment of patients with vertigo and dizziness in occupational medicine]
Abstract:
Balance assessment relies on symptoms, clinical examination and functional assessment and their verification in objective tests. Our study was aimed at calculating the assessment compatibility between questionnaires, functional scales and objective vestibular and balance examinations.; A group of 131 patients (including 101 women; mean age: 59±14 years) of the audiology outpatient clinic was examined. Benign paroxysmal positional vertigo, phobic vertigo and central dizziness were the most common diseases observed in the study group. Patients' symptoms were tested using the questionnaire on Cawthworne-Cooksey exercises (CC), Dizziness Handicap Inventory (DHI) and Duke Anxiety-Depression Scale. Berg Balance Scale (BBS), Dynamic Gait Index (DGI), the Tinetti test, Timed Up and Go test (TUG), and Dynamic Visual Acuity (DVA) were used for the functional balance assessment. Objective evaluation included: videonystagmography caloric test and static posturography.; The study results revealed statistically significant but moderate compatibility between functional tests BBS, DGI, TUG, DVA and caloric results (Kendall's W = 0.29) and higher for posturography (W = 0.33). The agreement between questionnaires and objective tests were very low (W = 0.08-0.11).The positive predictive values of BBS were 42% for caloric and 62% for posturography tests, of DGI - 46% and 57%, respectively.; The results of functional tests (BBS, DGI, TUG, DVA) revealed statistically significant correlations with objective balance tests but low predictive values did not allow to use these tests in vestibular damage screening. Only half of the patients with functional disturbances revealed abnormal caloric or posturography tests. The qualification to work based on objective tests ignore functional state of the worker, which may influence the ability to work. Med Pr 2018;69(2):179-189.
Affiliation:
Nofer Institute of Occupational Medicine, Lodz, Poland
Citation:
Med Pr2018, 69 (2):179-189
Journal:
Medycyna Pracy
Issue Date:
9-Mar-2018
URI:
http://hdl.handle.net/10146/618204
DOI:
10.13075/mp.5893.00645
PubMed ID:
29493628
Additional Links:
http://medpr.imp.lodz.pl/Badanie-czynnosciowe-osob-z-zawrotami-glowy-i-zaburzeniami-rownowagi-dla-potrzeb,78186,0,2.html
Type:
Article
Language:
pl
ISSN:
0465-5893
Sponsors:
Finansowanie / Funding: praca sfinansowana przez Instytut Medycyny Pracy im. prof. J. Nofera w Łodzi z tematu statutowego ZLL/3/2006 (projekt nr STRATEGMED2/266299/19/NCBR/2016 pt. „Nowatorski system do oceny i rehabilitacji zaburzeń układu równowagi”, kierownik projektu: prof. dr hab. med. Mariola Śliwińska-Kowalska).
Appears in Collections:
Articles

Full metadata record

DC FieldValue Language
dc.contributor.authorZamysłowska-Szmytke, Ewaen
dc.contributor.authorSzostek-Rogula, Sylwiaen
dc.contributor.authorŚliwińska-Kowalska, Mariolaen
dc.date.accessioned2018-03-20T12:00:11Z-
dc.date.available2018-03-20T12:00:11Z-
dc.date.issued2018-03-09-
dc.identifier.citationMed Pr2018, 69 (2):179-189en
dc.identifier.issn0465-5893-
dc.identifier.pmid29493628-
dc.identifier.doi10.13075/mp.5893.00645-
dc.identifier.urihttp://hdl.handle.net/10146/618204-
dc.description.abstractBalance assessment relies on symptoms, clinical examination and functional assessment and their verification in objective tests. Our study was aimed at calculating the assessment compatibility between questionnaires, functional scales and objective vestibular and balance examinations.en
dc.description.abstractA group of 131 patients (including 101 women; mean age: 59±14 years) of the audiology outpatient clinic was examined. Benign paroxysmal positional vertigo, phobic vertigo and central dizziness were the most common diseases observed in the study group. Patients' symptoms were tested using the questionnaire on Cawthworne-Cooksey exercises (CC), Dizziness Handicap Inventory (DHI) and Duke Anxiety-Depression Scale. Berg Balance Scale (BBS), Dynamic Gait Index (DGI), the Tinetti test, Timed Up and Go test (TUG), and Dynamic Visual Acuity (DVA) were used for the functional balance assessment. Objective evaluation included: videonystagmography caloric test and static posturography.en
dc.description.abstractThe study results revealed statistically significant but moderate compatibility between functional tests BBS, DGI, TUG, DVA and caloric results (Kendall's W = 0.29) and higher for posturography (W = 0.33). The agreement between questionnaires and objective tests were very low (W = 0.08-0.11).The positive predictive values of BBS were 42% for caloric and 62% for posturography tests, of DGI - 46% and 57%, respectively.en
dc.description.abstractThe results of functional tests (BBS, DGI, TUG, DVA) revealed statistically significant correlations with objective balance tests but low predictive values did not allow to use these tests in vestibular damage screening. Only half of the patients with functional disturbances revealed abnormal caloric or posturography tests. The qualification to work based on objective tests ignore functional state of the worker, which may influence the ability to work. Med Pr 2018;69(2):179-189.en
dc.description.sponsorshipFinansowanie / Funding: praca sfinansowana przez Instytut Medycyny Pracy im. prof. J. Nofera w Łodzi z tematu statutowego ZLL/3/2006 (projekt nr STRATEGMED2/266299/19/NCBR/2016 pt. „Nowatorski system do oceny i rehabilitacji zaburzeń układu równowagi”, kierownik projektu: prof. dr hab. med. Mariola Śliwińska-Kowalska).en
dc.languagepol-
dc.language.isoplen
dc.relation.urlhttp://medpr.imp.lodz.pl/Badanie-czynnosciowe-osob-z-zawrotami-glowy-i-zaburzeniami-rownowagi-dla-potrzeb,78186,0,2.htmlen
dc.rightsArchived with thanks to Medycyna pracyen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectvideonystagmographyen
dc.subjectvertigoen
dc.subjectunbalanceen
dc.subjectposturographyen
dc.subjectynamic gait indexen
dc.subjectBerg Balance Scaleen
dc.titleBadanie czynnościowe osób z zawrotami głowy i zaburzeniami równowagi dla potrzeb medycyny pracy.pl
dc.title.alternative[Functional assessment of patients with vertigo and dizziness in occupational medicine]en
dc.typeArticleen
dc.contributor.departmentNofer Institute of Occupational Medicine, Lodz, Polanden
dc.identifier.journalMedycyna Pracyen

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