The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction
Background and Purpose. People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and g...
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Veröffentlicht in: | Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2005-03, Vol.10 (1), p.10-22 |
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creator | Legters, Kristine Whitney, Susan L Porter, Rebecca Buczek, Frank |
description | Background and Purpose.
People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction.
Method.
A retrospective review of 137 charts with the Activities‐specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank–order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness.
Results.
A moderate correlation of r = 0.58 (p |
doi_str_mv | 10.1002/pri.20 |
format | Article |
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People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction.
Method.
A retrospective review of 137 charts with the Activities‐specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank–order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness.
Results.
A moderate correlation of r = 0.58 (p<0.001) was found between the ABC Scale score and the DGI score in the total sample. Those with mild or moderate vestibular weakness had a correlation of r = 0.72 (p<0.001) between the ABC Scale score and the DGI score, compared with a correlation of r = 0.48 in those with severe or total vestibular weakness.
Conclusions.
Decreased balance confidence and increased fall risk are critical issues for people with vestibular dysfunction. The effects of aging did not have a significant impact on the relationship. The correlation between balance confidence and gait dysfunction was stronger in those with mild or moderate vestibular weakness, although those with severe or total weakness were more disabled by their vestibular symptoms. Copyright © 2005 Whurr Publishers Ltd.</description><identifier>ISSN: 1358-2267</identifier><identifier>EISSN: 1471-2865</identifier><identifier>DOI: 10.1002/pri.20</identifier><identifier>PMID: 15991483</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; balance confidence ; Caloric Tests ; dizziness ; Female ; Gait ; Humans ; Male ; Middle Aged ; Postural Balance ; vestibular ; Vestibular Diseases - physiopathology</subject><ispartof>Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2005-03, Vol.10 (1), p.10-22</ispartof><rights>Copyright © 2005 Whurr Publishers Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3490-e1cf57634bc77bd4c4cc27ac33ca7d0967c225d61f7e5bc32a98c5fe68cbc3e53</citedby><cites>FETCH-LOGICAL-c3490-e1cf57634bc77bd4c4cc27ac33ca7d0967c225d61f7e5bc32a98c5fe68cbc3e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpri.20$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpri.20$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15991483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Legters, Kristine</creatorcontrib><creatorcontrib>Whitney, Susan L</creatorcontrib><creatorcontrib>Porter, Rebecca</creatorcontrib><creatorcontrib>Buczek, Frank</creatorcontrib><title>The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction</title><title>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</title><addtitle>Physiother. Res. Int</addtitle><description>Background and Purpose.
People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction.
Method.
A retrospective review of 137 charts with the Activities‐specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank–order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness.
Results.
A moderate correlation of r = 0.58 (p<0.001) was found between the ABC Scale score and the DGI score in the total sample. Those with mild or moderate vestibular weakness had a correlation of r = 0.72 (p<0.001) between the ABC Scale score and the DGI score, compared with a correlation of r = 0.48 in those with severe or total vestibular weakness.
Conclusions.
Decreased balance confidence and increased fall risk are critical issues for people with vestibular dysfunction. The effects of aging did not have a significant impact on the relationship. The correlation between balance confidence and gait dysfunction was stronger in those with mild or moderate vestibular weakness, although those with severe or total weakness were more disabled by their vestibular symptoms. Copyright © 2005 Whurr Publishers Ltd.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>balance confidence</subject><subject>Caloric Tests</subject><subject>dizziness</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postural Balance</subject><subject>vestibular</subject><subject>Vestibular Diseases - physiopathology</subject><issn>1358-2267</issn><issn>1471-2865</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kNtu1DAQhi0EogfgEZCvkLhI8SG2k0tYYFmp4tSiXlrOZKI1ZJ3UTtruI_DW9XZX9Iqr-Uf-5p_xT8grzs44Y-LdGP2ZYE_IMS8NL0Sl1dOspaoKIbQ5Iicp_WaMVdqw5-SIq7rmZSWPyd_LNdKIvZv8ENLaj7TB6RYx0Ck_OJj8jZ88piKNCL7zQD-43gVAuhhC51vcyQtwfYZD-zD0cRvcJoNL5ye6Ci3eUR_oiNGPa4yupzeYJt_MvYu03aZuDrBb_oI861yf8OWhnpJfnz9dLr4U59-Wq8X78wJkWbMCOXTKaFk2YEzTllACCONASnCmZbU2IIRqNe8MqgakcHUFqkNdQe5QyVPyZu87xuF6zqfYjU-Aff4VDnOy2tRVzQV_BCEOKUXsbA554-LWcmZ3oe96K1gGXx8c52aD7SN2SDkDb_fAre9x-x8b-_3n6sGs2LM-TXj3j3XxT75MGmWvvi6z0uziB1_YK3kP_jyceA</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>Legters, Kristine</creator><creator>Whitney, Susan L</creator><creator>Porter, Rebecca</creator><creator>Buczek, Frank</creator><general>John Wiley & Sons, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200503</creationdate><title>The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction</title><author>Legters, Kristine ; Whitney, Susan L ; Porter, Rebecca ; Buczek, Frank</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3490-e1cf57634bc77bd4c4cc27ac33ca7d0967c225d61f7e5bc32a98c5fe68cbc3e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>balance confidence</topic><topic>Caloric Tests</topic><topic>dizziness</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postural Balance</topic><topic>vestibular</topic><topic>Vestibular Diseases - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Legters, Kristine</creatorcontrib><creatorcontrib>Whitney, Susan L</creatorcontrib><creatorcontrib>Porter, Rebecca</creatorcontrib><creatorcontrib>Buczek, Frank</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Legters, Kristine</au><au>Whitney, Susan L</au><au>Porter, Rebecca</au><au>Buczek, Frank</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction</atitle><jtitle>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</jtitle><addtitle>Physiother. Res. Int</addtitle><date>2005-03</date><risdate>2005</risdate><volume>10</volume><issue>1</issue><spage>10</spage><epage>22</epage><pages>10-22</pages><issn>1358-2267</issn><eissn>1471-2865</eissn><abstract>Background and Purpose.
People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction.
Method.
A retrospective review of 137 charts with the Activities‐specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank–order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness.
Results.
A moderate correlation of r = 0.58 (p<0.001) was found between the ABC Scale score and the DGI score in the total sample. Those with mild or moderate vestibular weakness had a correlation of r = 0.72 (p<0.001) between the ABC Scale score and the DGI score, compared with a correlation of r = 0.48 in those with severe or total vestibular weakness.
Conclusions.
Decreased balance confidence and increased fall risk are critical issues for people with vestibular dysfunction. The effects of aging did not have a significant impact on the relationship. The correlation between balance confidence and gait dysfunction was stronger in those with mild or moderate vestibular weakness, although those with severe or total weakness were more disabled by their vestibular symptoms. Copyright © 2005 Whurr Publishers Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>15991483</pmid><doi>10.1002/pri.20</doi><tpages>13</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Adult Aged Aged, 80 and over balance confidence Caloric Tests dizziness Female Gait Humans Male Middle Aged Postural Balance vestibular Vestibular Diseases - physiopathology |
title | The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction |
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