[Use of the posturography in balance system evaluation in occupational medicine].

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Medycyna pracy Pub Date : 2022-04-06 DOI:10.13075/mp.5893.01164

E. Zamysłowska-Szmytke, M. Janc, Krzysztof Ławnicki, M. Śliwińska-Kowalska

{"title":"[Use of the posturography in balance system evaluation in occupational medicine].","authors":"E. Zamysłowska-Szmytke, M. Janc, Krzysztof Ławnicki, M. Śliwińska-Kowalska","doi":"10.13075/mp.5893.01164","DOIUrl":null,"url":null,"abstract":"BACKGROUND\nThe posturography test allows assessment of the entire function of balance system and quantitative, device-based verification of the clinical Romberg test. Therefore, the aim of this study is assessment of usefulness of posturography as primary test for balance disorders in occupational medicine.\n\n\nMATERIAL AND METHODS\nThe study is cross-sectional, analyzing anonymous results of 1030 patients reporting dizziness and balance disorders. Based on symptoms, clinical examination and videonystagmography patients were classified into subgroups: benign paroxysmal positional vertigo (BPPV [N = 130]), non compensated (NS [N = 82]) and compensated (S [N = 174]) peripheral vestibular, bilateral vestibular (BV [N = 63]), Ménière's disease (MD [N = 53]), central dizziness (central [N = 293]), migraine (migr. [N = 132]), psychogenic dizziness (psychog. [N = 232]), Persistent postural-perceptual dizziness (PPPD [N = 150]). Besides, 129 healthy people were included in the study.\n\n\nRESULTS\nNinety nine percent of abnormal static posturography (SP) and 94% of abnormal dynamic posturography (PD) results were found in diseased patients. Normal results were found both in healthy group (59% PS, 67% PD) and in diseased group (24% PS, 31% PD). Static posturography's abnormal results were more frequent in NS, BV and PPPD patients. In PD the differences were visible in the central, psychog. and PPPD subgroups. In NS subgroup the high negative predictive values of static and dynamic tests (82-87%) were calculated in relation to caloric test.\n\n\nCONCLUSIONS\nStatic tests are the basic test used in examinations of employees for occupational medicine purposes. Posturography is a quantitative record of sways in relation to normative values. Abnormal posturography results most likely indicate the presence of pathologies of the balance system, including psychofunctional disorders. Normal posturography results do not indicate the lack of pathology of balance system what should be included in the work ability assessment. Med Pr. 2022;73(2).","PeriodicalId":18749,"journal":{"name":"Medycyna pracy","volume":" ","pages":""},"PeriodicalIF":0.8000,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medycyna pracy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.13075/mp.5893.01164","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 1

Abstract

BACKGROUND The posturography test allows assessment of the entire function of balance system and quantitative, device-based verification of the clinical Romberg test. Therefore, the aim of this study is assessment of usefulness of posturography as primary test for balance disorders in occupational medicine. MATERIAL AND METHODS The study is cross-sectional, analyzing anonymous results of 1030 patients reporting dizziness and balance disorders. Based on symptoms, clinical examination and videonystagmography patients were classified into subgroups: benign paroxysmal positional vertigo (BPPV [N = 130]), non compensated (NS [N = 82]) and compensated (S [N = 174]) peripheral vestibular, bilateral vestibular (BV [N = 63]), Ménière's disease (MD [N = 53]), central dizziness (central [N = 293]), migraine (migr. [N = 132]), psychogenic dizziness (psychog. [N = 232]), Persistent postural-perceptual dizziness (PPPD [N = 150]). Besides, 129 healthy people were included in the study. RESULTS Ninety nine percent of abnormal static posturography (SP) and 94% of abnormal dynamic posturography (PD) results were found in diseased patients. Normal results were found both in healthy group (59% PS, 67% PD) and in diseased group (24% PS, 31% PD). Static posturography's abnormal results were more frequent in NS, BV and PPPD patients. In PD the differences were visible in the central, psychog. and PPPD subgroups. In NS subgroup the high negative predictive values of static and dynamic tests (82-87%) were calculated in relation to caloric test. CONCLUSIONS Static tests are the basic test used in examinations of employees for occupational medicine purposes. Posturography is a quantitative record of sways in relation to normative values. Abnormal posturography results most likely indicate the presence of pathologies of the balance system, including psychofunctional disorders. Normal posturography results do not indicate the lack of pathology of balance system what should be included in the work ability assessment. Med Pr. 2022;73(2).

查看原文本刊更多论文

体位照相在职业医学平衡系统评价中的应用

背景:姿势测试可以评估平衡系统的整个功能，并对临床Romberg测试进行定量的、基于设备的验证。因此，本研究的目的是评估姿势摄影作为职业医学平衡障碍的主要测试的有用性。材料和方法该研究是横断面的，分析了1030名报告头晕和平衡障碍的患者的匿名结果。根据症状、临床检查和超声心动图将患者分为良性阵发性体位性眩晕(BPPV [N = 130])、非代偿性体位性眩晕(NS [N = 82])和代偿性体位性眩晕(S [N = 174])外周前庭、双侧前庭(BV [N = 63])、msamimni病(MD [N = 53])、中枢性眩晕(中枢性眩晕[N = 293])、偏头痛(偏头痛)。[N = 132])、心因性头晕(psychog。[N = 232])、持续性体位知觉头晕(PPPD [N = 150])。此外，研究还包括129名健康人。结果病变患者的静态姿势(SP)异常占99%，动态姿势(PD)异常占94%。健康组(59% PS, 67% PD)和病变组(24% PS, 31% PD)结果均正常。静态体位摄影异常以NS、BV和PPPD患者多见。在帕金森病中，这种差异在中枢、心理和神经系统方面是明显的。PPPD亚组。在NS亚组中，静态和动态试验的高阴性预测值(82-87%)与热量试验相关。结论静态测试是职业医学从业人员体检的基本测试方法。姿势学是与规范值相关的摇摆的定量记录。异常的姿势照相结果很可能表明平衡系统的病理存在，包括精神功能障碍。正常体位检查结果并不表明缺乏平衡系统的病理，而平衡系统的病理应包括在工作能力评估中。中国生物医学工程学报，2012;33(2)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Medycyna pracy PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal publishes original papers, review papers and case studies in Polish and English. The subject matter of the articles includes occupational pathology, physical, chemical and biological agents at workplace, toxicology, mutagenesis, health policy, health management, health care, epidemiology, etc. The magazine also includes reports from national and international scientific conferences on occupational medicine. It also contains letters to the editor. Each first-in-year issue of the magazine comprises former-year indices of authors and keywords.