Postural control in Menière’s disease

Silva, Adriana Marques da; Ferreira, Maristela Mian; Cesaroni, Suelen; Grigol, Thais Alvares de Abreu e Silva; Ganança, Maurício Malavasi; Caovilla, Heloisa Helena

doi:10.1590/2317-6431-2021-2575en

Adriana Marques da Silva

Programa de Pós-graduação em Distúrbios da Comunicação Humana: Campo Fonoaudiológico (Doutorado), Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

http://orcid.org/0000-0003-3446-077X

Maristela Mian Ferreira

Programa de Pós-graduação em Distúrbios da Comunicação Humana: Campo Fonoaudiológico (Doutorado), Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

http://orcid.org/0000-0002-5532-1085

Suelen Cesaroni

Programa de Pós-graduação em Distúrbios da Comunicação Humana: Campo Fonoaudiológico (Doutorado), Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

http://orcid.org/0000-0003-1615-5499

Thais Alvares de Abreu e Silva Grigol

Programa de Pós-graduação em Otorrinolaringologia e Cirurgia de Cabeça e Pescoço (Mestrado), Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

http://orcid.org/0000-0003-4659-5057

Maurício Malavasi Ganança

Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

http://orcid.org/0000-0003-4483-8502

Heloisa Helena Caovilla

Programa de Pós-graduação em Otorrinolaringologia e Cirurgia de Cabeça e Pescoço (Mestrado), Escola Paulista de Medicina - EPM, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

http://orcid.org/0000-0003-4157-8995

Conflict of interests: No.

Authors’ contribution: AMS was responsible for the study conception and design, data collection, analysis and interpretation, editing and review of the paper and final approval of the version for publication; MMF was responsible for data collection and analysis and final approval of the version for publication; SC was responsible for data collection, analysis and interpretation and final approval of the version for publication; TAASG was responsible for data collection, analysis, and interpretation and final approval of the version for publication; MMG was responsible for the study conception and design, data analysis and interpretation, editing and critical review of the paper regarding its intellectual content and final approval of the version for publication; HHC was responsible for study supervision, conception, and design, data analysis and interpretation, editing and critical review of the paper regarding its intellectual content final approval of the version for publication.

Corresponding author: Adriana Marques da Silva. E-mail: adriana10marques@gmail.com

Sensory conditions	Groups	Median	Standard Deviation	Minimum value	Median	Maximum value	p-value
Eyes open/Stable surface	MD	17.27	8.77	6.98	14.71	50.99	0.001^*
Eyes open/Stable surface	C	11.79	3.03	7.11	11.42	18.97	0.001^*
Eyes closed/Stable surface	MD	27.48	18.86	9.11	20.72	100.85	0.007^*
Eyes closed/Stable surface	C	16.81	5.30	8.73	16.61	26.56	0.007^*
Eyes open/Unstable surface	MD	25.49	11.18	13.89	22.67	67.25	0.000^*
Eyes open/Unstable surface	C	17.62	5.49	10.14	16.25	31.57	0.000^*
Eyes closed/Unstable surface	MD	36.24	18.03	19.40	30.81	107.08	0.032^*
Eyes closed/Unstable surface	C	27.37	7.50	14.59	26.88	39.36	0.032^*
Eyes closed/Head to the right/Stable surface	MD	25.72	16.47	11.78	19.98	91.82	0.000^*
Eyes closed/Head to the right/Stable surface	C	15.31	4.36	6.50	15.73	21.04	0.000^*
Eyes closed/Head to the left/Stable surface	MD	26.43	16.88	9.99	22.56	93.98	0.000^*
Eyes closed/Head to the left/Stable surface	C	15.80	5.44	6.82	14.56	29.80	0.000^*
Eyes closed/Head backwards/Stable surface	MD	25.77	17.79	10.51	20.82	108.60	0.002^*
Eyes closed/Head backwards/Stable surface	C	16.25	4.51	8.03	15.89	28.73	0.002^*
Eyes closed/Head forwards/Stable surface	MD	26.33	17.87	10.29	21.13	100.88	0.001^*
Eyes closed/Head forwards/Stable surface	C	16.17	5.72	7.65	14.79	30.20	0.001^*

Conditions	Groups	Median	Standard Deviation	Minimum Value	Median	Maximum Value	p-value
Eyes open/Stable surface	MD	5.61	3.02	1.14	5.55	13.64	0.589 ^a
Eyes open/Stable surface	C	5.23	2.76	1.29	4.76	12.32	0.589 ^a
Eyes closed/Stable surface	MD	5.67	3.15	0.87	5.33	15.28	0.199 ^b
Eyes closed/Stable surface	C	4.79	2.39	0.72	4.63	11.23	0.199 ^b
Eyes open/Unstable surface	MD	4.85	2.30	0.97	4.11	11.16	0.589 ^a
Eyes open/Unstable surface	C	4.73	2.62	1.26	4.38	10.88	0.589 ^a
Eyes closed/Unstable surface	MD	4.67	3.02	0.68	3.80	13.83	0.922 ^a
Eyes closed/Unstable surface	C	4.19	2.15	0.55	3.89	10.06	0.922 ^a
Eyes closed/Head to the right/Stable surface	MD	5.53	2.84	1.21	5.04	11.99	0.281 ^b
Eyes closed/Head to the right/Stable surface	C	4.81	2.61	0.91	4.25	11.20	0.281 ^b
Eyes closed/Head to the left/Stable surface	MD	5.78	2.70	1.30	5.29	12.91	0.269 ^b
Eyes closed/Head to the left/Stable surface	C	5.13	2.04	1.58	5.36	10.27	0.269 ^b
Eyes closed/Head backwards/Stable surface	MD	5.60	2.67	1.75	5.17	12.20	0.251 ^b
Eyes closed/Head backwards/Stable surface	C	4.85	2.64	1.31	4.32	12.19	0.251 ^b
Eyes closed/Head forwards/Stable surface	MD	5.97	2.74	1.18	5.23	12.47	0.382 ^b
Eyes closed/Head forwards/Stable surface	C	5.40	2.61	1.15	5.34	13.17	0.382 ^b

Synchronizations		AB			CD			AC			BD			AD			BC
		MD	C	p-value	MD	C	p-value	MD	C	p-value	MD	C	p-value	MD	C	p-value	MD	C	p-value
Conditions		(n=34)	(n=34)		(n=34)	(n=34)		(n=34)	(n=34)		(n=34)	(n=34)		(n=34)	(n=34)		(n=34)	(n=34)
NO	mean	-831.05	-801.68	0.556	-797.56	-806.31	0.759	587.84	577.51	0.990	818.10	769.41	0.158	-863.86	-859.11	0.731	-862.77	-838.87	0.668
	minimum	-981.71	-980.37		-986.84	-978.90		33.55	-102.29		471.60	380.04		-986.80	-978.36		-988.77	-984.55
	maximum	-494.90	-140.71		-335.85	-413.18		960.24	913.40		985.10	949.31		-587.46	-610.41		-514.41	-430.22
NC	mean	-807.87	-820.15	0.864	-792.38	-867.31	0.315	590.28	667.24	0.516	783.75	869.83	0.151	-860.87	-885.51	0.548	-871.93	-919.34	0.093
	minimum	-990.99	-986.57		-977.87	-979.44		-586.53	-428.74		178.01	510.42		-987.76	-982.87		-988.38	-975.70
	maximum	-130.66	296.50		162.47	-482.09		951.94	941.51		976.40	980.81		48.80	-141.83		-340.41	-656.38
HR	mean	-789.08	-835.00	0.432	-778.47	-872.69	0.508	593.61	658.66	0.816	827.83	866.22	0.750	-897.52	-877.59	0.492	-907.90	-902.73	0.741
	minimum	-986.94	-989.37		-969.83	-985.42		-428.00	-379.18		444.02	592.50		-974.14	-985.92		-970.22	-981.92
	maximum	192.99	196.79		-198.72	-640.71		932.78	952.65		978.98	989.21		-562.23	-308.59		-667.59	-685.94
HL	mean	-755.62	-832.99	0.650	-778.58	-843.85	0.198	567.18	644.93	0.606	802.23	813.47	0.951	-882.28	-875.86	0.659	-901.99	-878.86	0.384
	minimum	-976.93	-966.10		-975.19	-984.35		-492.94	88.43		263.63	500.76		-984.53	-983.22		-975.76	-983.85
	maximum	4.89	-467.66		-70.41	-434.82		892.10	905.32		980.18	978.90		-372.18	-423.19		-673.26	-615.18
HB	mean	-822.76	-865.64	0.686	-831.12	-874.98	0.371	586.93	680.33	0.411	822.50	892.29	0.244	-851.28	-892.51	0.315	-855.03	-897.12	0.234
	minimum	-989.12	-986.31		-985.38	-989.76		-700.42	-116.18		191.91	598.19		-985.57	-988.52		-985.65	-988.75
	maximum	341.26	-279.70		130.42	-257.07		961.94	942.67		988.27	987.48		-422.47	-345.52		-3.17	-572.06
HF	mean	-820.11	-883.07	0.556	-809.70	-898.78	0.189	590.65	703.18	0.477	845.91	887.14	0.704	-875.76	-888.76	0.893	-885.69	-898.83	0.371
	minimum	-994.47	-983.81		-987.79	-992.88		-339.06	234.48		265.50	635.69		-982.55	-976.88		-973.86	-984.24
	maximum	89.24	-616.59		-270.41	-698.63		955.19	942.09		973.96	973.07		-489.14	-728.27		-519.20	-476.33
PO	mean	-751.33	-719.77	0.358	-801.08	-715.60	0.484	673.55	633.05	0.768	755.69	670.83	0.309	-907.59	-893.24	0.581	-922.43	-927.43	0.371
	minimum	-981.07	-967.69		-980.91	-981.76		-199.75	-197.04		19.86	87.70		-989.24	-991.86		-989.52	-992.88
	maximum	-1.49	-172.16		-428.76	72.42		955.62	980.10		980.47	967.42		-524.31	-484.03		-706.27	-671.19
PC	mean	-794.64	-836.13	0.440	-803.61	-852.77	0.211	720.91	758.35	0.556	782.09	822.95	0.309	-933.35	-932.86	0.883	-945.27	-943.59	0.980
	minimum	-981.14	-981.15		-968.22	-985.32		213.06	464.14		172.68	-55.00		-989.00	-990.06		-987.98	-993.51
	maximum	-224.02	-533.26		-166.30	-428.64		962.96	964.21		961.60	984.79		-727.42	-702.74		-831.28	-770.34

Conditions		F1			F2-F4			F5-F6			F7-F8
Conditions	MD	C	p-value	MD	C	p-value	MD	C	p-value	MD	C	p-value
NO	17.10 ± 8.60	10.86 ± 4.57	0.000^a*	8.83 ± 4.10	5.66 ± 1.42	0.000 ^a*	3.69 ± 2.45	2.39 ± 0.73	.002 ^a*	0.54 ± 0.30	0.38 ± 0.12	0.005 ^a*
NC	16.25 ± 10.63	12.05 ± 5.95	0.000 ^a*	14.02 ± 6.98	8.33 ± 2.42	0.000 ^a*	5.64 ± 4.33	3.14 ± 1.08	0.000 ^a*	0.86 ± 0.71	0.53 ± 0.22	0.000 ^a*
PO	26.07 ± 14.99	18.36 ± 7.65	0.020 ^a*	10.61 ± 4.03	6.71 ± 1.61	0.000 ^b*	5.29 ± 2.51	3.46 ± 1.05	0.000 ^a*	0.89 ± 0.43	0.61 ± 0.21	0.001 ^a*
PC	24.61 ± 17.95	21.22 ± 14.42	0.225 ^a	16.30 ± 7.03	11.53 ± 3.34	0.003 ^a*	6.46 ± 3.73	5.02 ± 1.60	0.166 ^a	1.11 ± 0.56	0.91 ± 0.31	0.155 ^a
HR	15.91 ± 10.37	10.89 ± 4.97	0.004 ^a*	13.25 ± 8.49	7.39 ± 1.77	0.000 ^a*	4.70 ± 2.93	2.85 ± 0.93	0.001 ^a*	0.70 ± 0.56	0.49 ± 0.18	0.206 ^a
HL	14.66 ± 9.05	11.38 ± 6.25	0.249 ^a	11.82 ± 6.02	7.08 ± 1.94	0.000 ^a*	5.05 ± 3.58	2.93 ± 1.15	0.001 ^a*	0.72 ± 0.56	0.55 ± 0.22	0.234 ^a
HB	16.28 ± 9.79	14.37 ± 7.50	0.581 ^a	12.29 ± 5.89	7.75 ± 1.66	0.000 ^a*	4.72 ± 3.38	2.84 ± 0.82	0.000 ^a*	0.75 ± 0.67	0.55 ± 0.20	0.397 ^a
HF	14.15 ± 7.38	13.24 ± 6.39	0.704 ^a	12.36 ± 7.32	7.70 ± 2.37	0.000 ^a*	5.15 ± 3.85	2.90 ± 1.27	0.000 ^a*	0.72 ± 0.53	0.56 ± 0.26	0.194 ^a

Groups	Risk of falling
	Mean	Standard	Minimum	Median	Maximum	p-value	Low	Moderate	High	p-value
	Mean	Deviation	Value	Median	Value	p-value	nº (%)	nº (%)	nº (%)	p-value
MD	44.24	30.37	4	38	100	0.000 ^a*	16 (47.06%)	8 (23.53%)	10 (29.41%)	0.000 ^b*
C	16.35	9.14	0	16	36	0.000 ^a*	34 (100%)	0	0	0.000 ^b*

[1] Conflict of interests: No.

Brasil

Brasil

Postural control in Menière’s disease

ABSTRACT

Purpose

Methods

Results

Conclusion