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229341

Assessment of vestibulo-spinal reflex function in Multiple sclerosis patients using Computerized Dynamic Posturography

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Audiological sciences and medicine as a subpecialty of ENT

Abstract

Background: Multiple sclerosis (MS) is a demyelinating autoimmune disease of the central nervous system, with fatigue and impaired upright posture are being important symptoms of the disease. Computerized dynamic posturography (CDP) is an assessment tool for objectively quantifying and distinguishing probable sensory, motor, and cerebral adaptive balance control deficits.
Objective: This study aims at evaluation of findings of computerized dynamic posturography in multiple sclerosis patients with dizziness.
Patients and Methods: This study included 70 participants, 40 who were MS patients and 30 healthy adult volunteers as controls. All participants were subjected to history taking, otological examination, basic audiological evaluation, bedside examination of the dizzy patient, and computerized dynamic posturography (CDP).
Results: Of the 40 Multiple sclerosis patients 80% had abnormal Equilibrium (EQ) pattern and 72.5% had abnormal Sensory Analyses (SA) ratios. (p-values= 0.012 and 0.049 respectively) with the abnormalities were mainly vestibular dysfunction.
Conclusion: Multiple sclerosis patients showed a smaller equilibrium scores in all conditions and composite scores, visual ratio, vestibular ratio and preference ratio than those of the control group and the abnormalities were mainly vestibular dysfunction. And we recommend the use of computerized dynamic posturography in the assessment of functional disability in MS patients.

DOI

10.21608/ejentas.2022.116301.1462

Keywords

equilibrium, Multiple sclerosis, Posturography, Vertigo

Authors

First Name

Eman

Last Name

Osman

MiddleName

Adel

Affiliation

Audio-Vestibular Unit, Department of Otolaryngology, Faculty of Medicine, Suez-Canal University, Egypt

Email

eman85fadel@gmail.com

City

Ismailia

Orcid

0000-0002-8095-8432

First Name

Abeir

Last Name

Dabbous

MiddleName

Osman

Affiliation

Audio-Vestibular Unit, Department of Otolaryngology, Kasr-Al-Ainy Faculty of Medicine, Cairo University, Egypt

Email

abeirdabbous@kasralainy.edu.eg

City

Cairo

Orcid

-

First Name

Nevin

Last Name

Shalaby

MiddleName

Mohieldin

Affiliation

Neurology Department, Kasr-Al-Ainy Faculty of Medicine, Cairo University, Egypt

Email

nevinmohy@gmail.com

City

Cairo

Orcid

-

First Name

Alaa El-Din

Last Name

Abousetta

MiddleName

Ahmed

Affiliation

Audio-Vestibular Unit, Department of Otolaryngology, Faculty of Medicine, Suez-Canal University, Egypt

Email

alaa_abousetta@yahoo.com

City

Cairo

Orcid

-

First Name

Noha

Last Name

Hosni

MiddleName

Ali

Affiliation

Audio-Vestibular Unit, Department of Otolaryngology, Kasr-Al-Ainy Faculty of Medicine, Cairo University, Egypt

Email

nohaahosni@yahoo.com

City

Cairo

Orcid

-

Volume

23

Article Issue

23

Related Issue

30031

Issue Date

2022-01-01

Receive Date

2022-01-14

Publish Date

2022-01-01

Page Start

1

Page End

9

Print ISSN

2090-0740

Online ISSN

2090-3405

Link

https://ejentas.journals.ekb.eg/article_229341.html

Detail API

https://ejentas.journals.ekb.eg/service?article_code=229341

Order

42

Type

Original Article

Type Code

467

Publication Type

Journal

Publication Title

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

Publication Link

https://ejentas.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023