Abstract

AbstractPosturography has been used in the evaluation of patients with vestibular disorders. AimTo evaluate balance control with the Balance Rehabilitation Unit (BRUTM) posturography in patients with Menière's disease. Study designProspective case-control. Material and Method30 patients diagnosed with Menière's disease and a control group consisting of 40 healthy matching individuals in relation to age and gender, were submitted to a balance function evaluation by means of a Balance Rehabilitation Unit (BRUTM) posturography. ResultsComparing patients with Menière's disease and the control group, we found significant differences between the values of the sway speed in the static force plate, down optokinetic stimulation (p=0.038) and horizontal visual vestibular interaction (p=0.049); and of the ellipse area in the static force plate, eyes closed (p=0.001); left optokinetic stimulation (p=0.007); down optokinetic stimulation (p=0.003); horizontal visual vestibular interaction (p=0.003); and vertical visual vestibular interaction (p=0.028). ConclusionThe postural control assessment with the Balance Rehabilitation Unit (BRUTM) posturography enables the identification of sway speed and ellipse area abnormalities in patients with Menière's disease.

Highlights

  • IntroductionThe symptoms triad of tinnitus, hearing loss and vertigo, in paroxysmal episodes, without central nervous system involvement was described by Prosper Ménière in 1861 to the Imperial Academy of Medicine of Paris

  • The postural control assessment with the Balance Rehabilitation Unit (BRUTM) posturography enables the identification of sway speed and ellipse area abnormalities in patients with Menière’s disease

  • The symptoms triad of tinnitus, hearing loss and vertigo, in paroxysmal episodes, without central nervous system involvement was described by Prosper Ménière in 1861 to the Imperial Academy of Medicine of Paris

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Summary

Introduction

The symptoms triad of tinnitus, hearing loss and vertigo, in paroxysmal episodes, without central nervous system involvement was described by Prosper Ménière in 1861 to the Imperial Academy of Medicine of Paris. For the first time it was suggested that the auditory system could be suddenly affected with tinnitus and hearing loss; the inner ear would be the site of involvement; and vertigo, dizziness and unbalance, followed by nausea, vomit and syncope, could be explained without the involvement of the central nervous system[1]. These manifestations were called Ménière’s Disease[2] and after histopathology descriptions, Ménière’s Disease was recognized as the clinical expression of an idiopathic syndrome of endolymphatic hydrops[3]. There is no distribution difference between the genders and it usually manifests on the fourth decade of life[6]

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