Evidence map›Paper›PMID 31083095›Full record

ArticleOtology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology2019

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

Helen S Cohen, Ajitkumar P Mulavara, Jasmine Stitz, Haleh Sangi-Haghpeykar, Susan P Williams, Brian T Peters, Jacob J Bloomberg

Open access · greenAbstract read
In one paragraph

Article in Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Helen S CohenBobby R Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine.
Ajitkumar P MulavaraKBRwyle, Houston, Texas, USA.
Jasmine StitzDepartment of Medical Engineering, University of Applied Sciences/Upper Austria, Linz, Austria.
Haleh Sangi-HaghpeykarDepartment of Obstetrics and Gynecology.
Susan P WilliamsDepartment of Medicine, Baylor College of Medicine.
Brian T PetersKBRwyle, Houston, Texas, USA.
Jacob J BloombergNeuroscience Laboratories, NASA/Johnson Space Center, Houston, Texas.
Baylor College of Medicine · USWyle (United States) · USJohnson Space Center · USUniversity of Applied Sciences Upper Austria · AT

Funding

Epidemiologic research on screening for vestibular and balance disorders: supplement for people with Alzheimer's diseaseR01DC009031 · NIDCD · BAYLOR COLLEGE OF MEDICINE · PI COHEN, HELEN S · 2008 to 2019
$5.0M
NIDCD NIH HHS R01 DC009031
6 · The paper itself

Abstract

objectivesDetermine accurate cut-points and optimal combinations of screening tests of balance to detect patients with vestibular disorders. STUDY

designCase-control study.

settingOut-patient tertiary care. SUBJECTS AND

methodsCommunity-dwelling adults, without known neurological deficits or significant musculoskeletal disorders, including patients with vestibular disorders and healthy controls without vestibular disorders were tested while standing on medium density compliant foam with feet together and eyes closed under three head movement conditions, head stationary, and head moving in yaw and pitch at 0.33 Hz, for up to 30 seconds per trial. Dependent measures were trial duration, number of head movements during head movement trials, trunk kinematic measures, and number of correct tandem steps during tandem walking trials.

resultsReceiver operator characteristics (ROC), sensitivity and specificity, and specific cut-points were calculated. Individual tests had moderate ROC values, from 0.67 to 0.84. ROC values were higher in the head moving trials than the head stationary trial and best for subjects aged 40 to 79. Using combined analyses of two or more tests, including published data on tandem walking, ROC values were higher, 0.80 to 0.90. Age- and sex-related performance differences were found.

conclusionBalance skills in standing and walking differ, so testing both skills is optimal and increases the likelihood of finding a deficit. Patients should be compared to age-appropriate norms. Kinematics and number of head movements were not very useful. This combined set of rapid, low-tech balance tests is useful in an initial approach to screening patients who may have vestibular disorders.

Indexed as

Postural BalanceWalkingAdultAgedBiomechanical PhenomenaCase-Control StudiesFemaleHead MovementsHumansMaleMiddle AgedNeurologic ExaminationSensitivity and SpecificityVestibular Diseases

Identifiers

PMID31083095
PMCPMC6530479
OpenAlexW2918908569

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.