Screening for Vestibular Disorders Using the Modified Clinical Test of Sensory Interaction and Balance and Tandem Walking With Eyes Closed

Purpose: To determine whether foam density affects modified Romberg balance test performance. Materials and Methods: Controls and patients with vestibular disorders performed Romberg tests on medium and medium firm foam, with their eyes closed and the head still and moving in yaw and pitch. The trial duration and number of head movements were measured. Results: Subjects aged >60 years performed longer and with more head movements on medium firm foam than on medium foam. Older controls did not differ between medium firm and medium foam. Older patients had higher scores on head-still and head-yaw trials on medium firm foam versus medium foam but pitch trials did not differ. Females, controls, and patients had longer trial durations and more head movements on medium firm foam than on medium density foam; male controls did not differ by foam density. Male patients differed in yaw trials. Conclusion: Foam density affects scores. Clinical decision-making may be adversely affected if the clinician uses foam of a density that is not the same as that of the foam that was used in the studies that developed descriptive statistics, sensitivity, and specificity.

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The effect of the type of foam pad used in the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) on the accuracy in identifying older adults with fall history

Hong Kong Physiotherapy Journal ◽

10.1142/s1013702520500134 ◽

2020 ◽

Vol 40 (02) ◽

pp. 133-143

Author(s):

Rumpa Boonsinsukh ◽

Bodin Khumnonchai ◽

Vitoon Saengsirisuwan ◽

Nithinun Chaikeeree

Keyword(s):

Roc Analysis ◽

Postural Sway ◽

Characteristic Curve ◽

Composite Score ◽

Cutoff Score ◽

Clinical Test ◽

Large Area ◽

Sensory Interaction ◽

Accurate Identification ◽

Eyes Closed

Background: The type of foam pad used in the modified Clinical Test of Sensory Interaction and Balance (mCTSIB) influences the accuracy with which elderly fallers are identified. Two types of foam are commonly used in practice: Airex and Neurocom foam. Objective: The aim of this study was to assess the accuracy with which elderly fallers can be identified when the Airex foam and Neurocom foam are used in the mCTSIB. Methods: One hundred eighty-four elderly participants with a mean age of 69 years were classified into faller and nonfaller groups based on their 12-month fall history. Balance stability was measured under four conditions of the mCTSIB for 120 s each: standing on a floor or a foam pad with their eyes open or eyes closed. The time needed to maintain stability was measured by a stopwatch, and postural sway characteristics were measured using an acceleration-based system. Comparisons between groups were performed by two-way mixed ANOVA. The accuracy of differentiating elderly fallers from nonfallers with different foam types was evaluated using receiver operating characteristic curve (ROC) analysis. The time to maintain stability under four conditions of the mCTSIB (composite score) and under two conditions on the foam (foam score) were used for the ROC analysis. Results: The results showed that the nonfallers required more time to maintain stability and had a smaller sway area than the fallers ([Formula: see text]). The foam led to a larger difference between groups, suggesting the use of foam in examining the risk of falls. The Airex and the Neurocom foam pads led to a large area under the curve (0.93 to 0.95) in identifying elderly fallers and nonfallers when the composite and foam scores were used. A cutoff score of 447/480 s for the composite score and 223/240 s for the foam score yielded a posttest accuracy of 88% to 89%, with a sensitivity of 0.80–0.92 and specificity of 0.88–0.95. Conclusion: In conclusion, Airex and Neurocom foam can be used interchangeably with guidance in the mCTSIB, as they led to the accurate identification of elderly fallers among older persons who could walk and live independently in the community.

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Influence of gender on static balance in healthy community dwelling elderly: a comparison using posturography

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20203444 ◽

2020 ◽

Vol 8 (8) ◽

pp. 2950

Author(s):

Atiya A. Shaikh ◽

Rutuja D. Joshi

Keyword(s):

Community Dwelling ◽

P Value ◽

Static Balance ◽

Clinical Test ◽

Sensory Interaction ◽

Male And Female ◽

Eyes Closed ◽

Healthy Elderly ◽

Significant Difference ◽

Eyes Open

Background: Background and need of study- Influence of gender on balance is still controversial. Previous researchers have done studies using traditional methods. These methods may fail to detect subtle changes in balance difference. A tool like posturography which is highly specific may help to for accurate assessment and hence precise conclusion. Aim was to compare balance scores of male and female elderly using modified Clinical Test of Sensory Interaction on Balance (CTSIB).Methods: There were 56 healthy elderly ambulating without an assistive device and free from any neurological and orthopedic problems were assessed for their balance abilities using mCTSIB of balance master(standing on firm surface with eyes open, with eyes closed, standing on foam surface with eyes open and with eyes closed). Sway velocity was assessed using Unpaired t test.Results: There was a no significant difference in scores of modified CTSIB between male and female elderly ( p value>0.005).Conclusions: Gender has no effect on static balance abilities between male and female elderly while performing modified clinical test of sensory interaction on balance.

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The influence of footwear on timed balance scores of the modified clinical test of sensory interaction and balance

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2003.05.005 ◽

2004 ◽

Vol 85 (3) ◽

pp. 439-443 ◽

Cited By ~ 37

Author(s):

Susan L Whitney ◽

Diane M Wrisley

Keyword(s):

Clinical Test ◽

Sensory Interaction

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Vestibular disorders and impaired path integration along a linear trajectory

Journal of Vestibular Research ◽

10.3233/ves-2000-10102 ◽

2000 ◽

Vol 10 (1) ◽

pp. 7-15 ◽

Cited By ~ 6

Author(s):

Helen S. Cohen

Keyword(s):

Acoustic Neuroma ◽

Vestibular Disorders ◽

Vestibular Input ◽

Active Motion ◽

Eyes Closed ◽

Acoustic Neuromas ◽

Vestibular Information ◽

Lateral Distance ◽

Eyes Open ◽

Straight Ahead

The goal of this study was to determine if people use vestibular information to keep track of their positions while walking through a simple course. Subjects were normals and patients with chronic peripheral vestibulopathies – each of whom were tested once – and patients with acoustic neuromas tested pre- operatively and one and three weeks post-operatively. Subjects walked over a straight course, 7.62 m, with their eyes open and then with their eyes closed. The time needed for task performance, the forward distance subjects walked before veering, and the lateral distance subjects veered from the straight ahead were recorded. The angle of veering was then calculated. Normals were able to perform this task easily with eyes open or closed. With eyes closed pre-operative acoustic neuroma subjects walked significantly shorter distances before veering than normals but did not veer significantly more than normals or take longer than normals to perform the task. Chronic vestibulopathy subjects, by contrast, were significantly impaired compared to normals on all measures. With eyes open within a week after acoustic neuroma resection subjects could perform the task as well as normals. With eyes closed, however, post-operative subjects were impaired compared to their own pre-operative levels, but they had returned to their pre-operative levels at the second post-operative test. Ataxia was only weakly correlated to any measures and tumor size was not related to performance. These findings support the hypothesis that vestibular input is used for spatial orientation during active motion.

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CONCURRENT VALIDITY OF THE PEDIATRIC CLINICAL TEST OF SENSORY INTERACTION FOR BALANCE WITH THE BRUININKS OSERETSKY TEST OF MOTOR PROFICIENCY AND THE CHATTECX BALANCE SYSTEM IN CHILDREN WITH BALANCE DYSFUNCTION

Pediatric Physical Therapy ◽

10.1097/00001577-199700940-00030 ◽

1997 ◽

Vol 9 (4) ◽

pp. 197

Author(s):

Debi Berghuis-Kelly ◽

Kim Chenet ◽

Francie Hansen ◽

Sara Westcott

Keyword(s):

Concurrent Validity ◽

Clinical Test ◽

Sensory Interaction ◽

Motor Proficiency ◽

Balance System

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Evaluation of Uncompensated Unilateral Vestibulopathy Using the Modified Clinical Test for Sensory Interaction and Balance

Otology & Neurotology ◽

10.1097/mao.0b013e31827c9dae ◽

2013 ◽

Vol 34 (2) ◽

pp. 292-296 ◽

Cited By ~ 11

Author(s):

Moo Kyun Park ◽

Kyoung-Min Kim ◽

Jiwoong Jung ◽

Naree Lee ◽

Sun Jin Hwang ◽

...

Keyword(s):

Clinical Test ◽

Sensory Interaction ◽

Unilateral Vestibulopathy

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Performance of Preschoolers on the Pediatric Clinical Test of Sensory Interaction for Balance

American Journal of Occupational Therapy ◽

10.5014/ajot.46.9.793 ◽

1992 ◽

Vol 46 (9) ◽

pp. 793-800 ◽

Cited By ~ 26

Author(s):

P. K. Richardson ◽

S. W. Atwater ◽

T. K. Crowe ◽

J. C. Deitz

Keyword(s):

Clinical Test ◽

Sensory Interaction

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Original study. The clinical value of foam posturography in assessing patients with peripheral vestibular dysfunction – our experience

Romanian Journal of Rhinology ◽

10.1515/rjr-2017-0010 ◽

2017 ◽

Vol 7 (26) ◽

pp. 93-101

Author(s):

Raluca Enache ◽

Dorin Sarafoleanu ◽

Codrut Sarafoleanu

Keyword(s):

Center Of Pressure ◽

Balance Control ◽

Vestibular Dysfunction ◽

Control Group ◽

Vestibular Disorders ◽

Clinical Value ◽

Dynamic Posturography ◽

Eyes Closed ◽

Peripheral Vestibulopathy ◽

Romberg Test

Abstract BACKGROUND. Computerized dynamic posturography is the most important battery test designed to assess the ability to use visual, vestibular and proprioceptive cues in the maintenance of posture. Foam posturography reduces the availability of proprioceptive inputs, which makes more difficult the balance control. OBJECTIVE. The objective of the study was to assess the clinical use of foam posturography in evaluating peripheral vestibular dysfunction. MATERIAL AND METHODS. We evaluated 41 patients with vestibular disorders and 41 normal patients by using the sensory organization test in eyes opened, eyes closed and mislead vision conditions with and without the foam. We measured several parameters: the position of the center of pressure, the displacement in the center of pressure in anteroposterior and mediolateral planes and Romberg’s ratio on static and foam rubber. RESULTS. The values of all parameters were significantly higher in patients with peripheral vestibular disorders than in the control group (p<0.05). Also. comparing the Romberg test results, the foam surface used by the patient was larger than the static one. CONCLUSION. Foam posturography can be a reliable test in assessing patients with peripheral vestibulopathy, being also able to identify the visual and proprioceptive dependence levels.

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