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Related Experiment Videos

Can posturography identify informed malingerers?

Stacie S Morgan1, William G Beck, Robert A Dobie

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center, San Antonio, Texas 78229-3900, USA.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 5, 2002
PubMed
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Providing information about computed dynamic posturography did not improve malingerers' ability to fake vestibular weakness. This supports using the Cevette et al. scoring method to distinguish malingering from true vestibular impairment.

Area of Science:

  • Neurology
  • Audiology
  • Vestibular Science

Background:

  • Vestibular disorders can be challenging to diagnose.
  • Malingering, or faking illness, can complicate diagnostic accuracy.
  • Computed dynamic posturography (CDP) is a tool used to assess balance and vestibular function.

Purpose of the Study:

  • To evaluate if providing information about CDP improves the ability of individuals feigning vestibular impairment to mimic test patterns of actual vestibular weakness.
  • To assess the effectiveness of the Cevette et al. scoring method in differentiating malingered results from genuine vestibular impairment.

Main Methods:

  • Prospective study with blinded scoring at a university hospital.
  • Sixty subjects were randomly assigned to naïve or informed groups regarding CDP.

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  • Subjects performed CDP twice: once feigning weakness, once normally, with the informed group receiving pre-test CDP information.
  • Main Results:

    • The Cevette et al. scoring method classified approximately one-third of feigned weakness tests as normal or vestibular weakness.
    • Two-thirds of feigned weakness tests were classified as aphysiologic.
    • Providing additional CDP information did not increase the rate of feigned results being scored as vestibular weakness.

    Conclusions:

    • Informed subjects did not improve their ability to convincingly feign vestibular weakness using CDP.
    • The Cevette et al. scoring method is supported for distinguishing aphysiologic test results from true vestibular impairment.
    • CDP may be a valuable tool in identifying malingering in vestibular disorder assessments.