Tandem walking as a quick screening test for vestibular disorders

Cohen, Helen S.; Stitz, Jasmine; Sangi‐Haghpeykar, Haleh; Williams, Susan P.; Mulavara, Ajitkumar P.; Peters, B. T.; Bloomberg, Jacob J.

doi:10.1002/lary.27022

Cited by 38 publications

(31 citation statements)

References 12 publications

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“…However, standing and walking are different motor functions. A patient's gait can be measured with a gyroscope system that records trunk sway (23) or with tests of walking balance such as the Tandem walking test (24,25) or the 10-Meter Walk test (26). In most cases, walking balance tests are not useful for screening people for vestibular impairments but can be useful in vestibular rehabilitation in patients with known diagnoses (24).…”

Section: Introductionmentioning

confidence: 99%

Quantitative Evaluation of a New Posturo-Locomotor Phenotype in a Rodent Model of Acute Unilateral Vestibulopathy

et al. 2020

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Vestibular pathologies are difficult to diagnose. Existing devices make it possible to quantify and follow the evolution of posturo-locomotor symptoms following vestibular loss in static conditions. However, today, there are no diagnostic tools allowing the quantitative and spontaneous analysis of these symptoms in dynamic situations. With this in mind, we used an open-field video tracking test aiming at identifying specific posturo-locomotor markers in a rodent model of vestibular pathology. Using Ethovision XT 14 software (Noldus), we identified and quantified several behavioral parameters typical of unilateral vestibular lesions in a rat model of vestibular pathology. The unilateral vestibular neurectomy (UVN) rat model reproduces the symptoms of acute unilateral peripheral vestibulopathy in humans. Our data show deficits in locomotion velocity, distance traveled and animal mobility in the first day after the injury. We also highlighted alterations in several parameters, such as head and body acceleration, locomotor pattern, and position of the body, as well as "circling" behavior after vestibular loss. Here, we provide an enriched posturo-locomotor phenotype specific to full and irreversible unilateral vestibular loss. This test helps to strengthen the quantitative evaluation of vestibular disorders in unilateral vestibular lesion rat model. It may also be useful for testing pharmacological compounds promoting the restoration of balance. Transfer of these novel evaluation parameters to human pathology may improve the diagnosis of acute unilateral vestibulopathies and could better follow the evolution of the symptoms upon pharmacological and physical rehabilitation.

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Section: Introductionmentioning

confidence: 99%

Quantitative Evaluation of a New Posturo-Locomotor Phenotype in a Rodent Model of Acute Unilateral Vestibulopathy

et al. 2020

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“…The TWT test has been utilized as the dynamic walking balance component of several validated test batteries regarding fall prediction in the elderly, such as the Fullerton Advanced Balance Scale [3,4], the LIFE pilot study protocol [5], Good Walkers Test [6], and the EPIDOS Prospective Study balance protocol [7]. The TWT has been utilized as a test of dynamic walking balance to determine gait stability and pathological quantification including prediction of falls in the elderly population [3,9,[34][35][36][37][38][39][40], diagnose ataxia and other vestibular disorders [29,41], test for vertigo [42], tropical ataxic neuropathy [43], traumatic brain injury [40], peripheral neuropathy [44], and functional mobility [45][46][47][48]. The TWT is considered a clinically efficacious test of dynamic balance in medical text books [29,49] and for research purposes [2,50].…”

Section: Introductionmentioning

confidence: 99%

Concurrent validation of the tandem walk test as a measure of dynamic walking balance in a healthy population

Robertson¹,

Gregory²

2017

Phys Ther Rehabil

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Background: The purpose of this study was to determine the possible concurrent validity of the tandem walk test as a measure of dynamic walking balance. Methods: Forty-nine healthy participants, age range 20-75 years (mean age 40.1 ± 17.1 years), performed the ten step tandem walk test and two clinical tests of dynamic balance using the Biodex Balance System (Biodex Medical Systems, Shirley, NY) dynamic limits of stability protocol and measures of gait variability assessed through gait center of pressure, spatial, and temporal parameters derived from an instrumented treadmill (h/p/cosmos sports & medical gmbh, Nussdorf-Traunstein, Germany; Zebris FDM-T, Isny im Allgau, Germany). Results: A moderate-high correlation was demonstrated between the ten step tandem walk test eyes open and measures of gait variability, step width (r=0.64 p<0.05) and step time variability ( r=0.67 p<0.05), age (r=0.69 p<0.05), and Biodex Balance System dynamic limits of stability (r=0.81 p<0.05). A moderate relationship was found between the ten step tandem walk test eyes open and measures of gait center of pressure variability (r=0.52 p<0.05). Correlation coefficient values between the ten step tandem walk test eyes open and Biodex Balance System dynamic limits of stability, gait temporal, center of pressure, and spatial parameters demonstrated increased strength when adjusted for age. Conclusion: The ten step tandem walk test demonstrated a moderate to high relationship with clinical tests of dynamic balance: Biodex Balance System dynamic limits of stability and gait center of pressure, spatial, and time parameters in a healthy population demonstrating concurrent validity as an objective measure of dynamic walking balance in a healthy population between the ages of 20 and 75 years.

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“…3). Der Proband darf einen Übungsversuch mit 3 bis 5 Schritten durchführen, um sich ein Bild von der Bewegung zu machen [20]. Dann macht er 10 Schritte mit geöffneten Augen und anschließend 10 mit geschlossenen Augen.…”

Section: Tandem-walkunclassified

“…4). Nach Cohen und Kollegen ergeben sich bei dieser Art der Testung mäßig gute Reliabilitätswerte für vestibuläre Störungen mit einem Flächenwert unter der Receiver-Operating-Characteristic-Kurve (ROC-Kurve) von ≤ 0,8, einer Sensitivität ≤ 0,77 und einer Spezifität ≤ 0,72 [20]. Für eine Steigerung der Testanforderungen besteht die Möglichkeit, den Patienten aufzufordern, den Kopf mitzubewegen, zum Beispiel den Kopf alle 2 Schritte von einer zur anderen Seite zu rotieren.…”

Section: Tandem-walkunclassified

Testsequenzen für den Praktiker

Schulze¹,

Kubat²

2020

manuelletherapie

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ZusammenfassungBei kraniozervikalen Beschwerden gibt es sowohl im Stehen als auch beim Gehen Hinweise für Defizite in der Haltungskontrolle. Stand- und Gangproben stellen hierfür adäquate Testverfahren dar. Für den Tandemstand, den Einbeinstand und den geschlossenen Stand auf einem 10 Zentimeter dicken Schaumstoff unter standardisierten Bedingungen existieren altersspezifische Standzeitwerte. Sie können in der Untersuchung im Vergleich zu Patienten herangezogen werden und decken Dysfunktionen des sensomotorischen Systems auf. Bezüglich der Gangproben hat sich ein standardisierter Tandemgang bewährt.

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Tandem walking as a quick screening test for vestibular disorders

Abstract: 3b. Laryngoscope, 128:1687-1691, 2018.

Cited by 38 publications

References 12 publications

Quantitative Evaluation of a New Posturo-Locomotor Phenotype in a Rodent Model of Acute Unilateral Vestibulopathy

Quantitative Evaluation of a New Posturo-Locomotor Phenotype in a Rodent Model of Acute Unilateral Vestibulopathy

Concurrent validation of the tandem walk test as a measure of dynamic walking balance in a healthy population

Testsequenzen für den Praktiker

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