STANDING POSTURAL REACTION TO VISUAL AND PROPRIOCEPTIVE STIMULATION IN CHRONIC ACQUIRED DEMYELINATING POLYNEUROPATHY - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Journal of Rehabilitation Medicine Année : 2018

STANDING POSTURAL REACTION TO VISUAL AND PROPRIOCEPTIVE STIMULATION IN CHRONIC ACQUIRED DEMYELINATING POLYNEUROPATHY

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Résumé

Objective: To investigate the weight of visual and proprioceptive inputs, measured indirectly in standing position control, in patients with chronic acquired demyellnatlng polyneuropathy (CADP). Design: Prospective case study. Subjects: Twenty-five patients with CADP and 25 healthy controls. Methods: Posture was recorded on a double force platform. Stimulations were optokinetic (60 degrees/s) for visual input arid vibration (50 Hz) for proprioceptive input. Visual stimulation involved 4 tests (upward, downward, rlghtward and leftward) and proprioceptive stimulation 2 tests (triceps surae and tibialis anterior\. A composite score, previously published and slightly modified, was used for the recorded postural signals from the different stimulations. Results: Despite their sensitivity deficits, patients with CADP were more sensitive to proprioceptive stimuli than were healthy controls (mean composite score 13.9 ((standard deviation; SD) 4.8) vs 18.4 (SD 4.8), p=0.002). As expected, they were also more sensitive to visual stimuli (mean composite score 10.5 (SD 8.7) vs 22.9 (SD 7.5), p < 0.0001). Conclusion: These results encourage balance rehabilitation of patients with CADP, aimed at promoting the use of proprioceptive information, thereby reducing too-early development of visual compensation while proprioception is still available.

Dates et versions

hal-03607060 , version 1 (12-03-2022)

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Citer

Clement P. Provost, Sophie Tasseel-Ponche, Pierre Lozeron, Giulia Piccinini, Victorine Quintaine, et al.. STANDING POSTURAL REACTION TO VISUAL AND PROPRIOCEPTIVE STIMULATION IN CHRONIC ACQUIRED DEMYELINATING POLYNEUROPATHY. Journal of Rehabilitation Medicine, 2018, 50 (3), pp.278-284. ⟨10.2340/16501977-2314⟩. ⟨hal-03607060⟩
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