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Related Experiment Video

Updated: Jul 10, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Published on: March 21, 2013

[Phobic orthostatic insecurity].

Luis D Beltrán-Mateos¹, Santiago Santa Cruz-Ruiz, Enrique Coscarón-Bernabé

¹Servicio de Otorrinolaringología, Hospital Virgen de la Concha, Zamora [corrected] España. ldbel@usal.es

Acta Otorrinolaringologica Espanola

|November 15, 2007

Summary

Phobic orthostatic insecurity, a common cause of dizziness, is effectively treated with antidepressive therapies. This study confirms a diagnostic method and therapeutic approach for this balance disorder.

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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

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Last Updated: Jul 10, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Published on: March 21, 2013

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

Area of Science:

Neuroscience
Psychiatry
Otolaryngology

Context:

Phobic orthostatic insecurity is a common subjective balance disorder, presenting as the second most frequent reason for visits to ENT and neuro-otology clinics.
It shares similarities with psychiatric conditions like agoraphobia and somatoform vertigo, and neurological disorders such as phobic postural vertigo.
The study addresses the need for a defined diagnostic and therapeutic strategy for this prevalent condition.

Purpose:

To expand knowledge on phobic orthostatic insecurity, a subjective balance disorder.
To identify relationships between phobic orthostatic insecurity and similar psychiatric and neurological conditions.
To propose a simple diagnostic method and evaluate therapeutic outcomes for phobic orthostatic insecurity.

Summary:

A study of 151 patients with "dizziness," "vertigo," or "insecurity" identified four key diagnostic criteria for phobic orthostatic insecurity.
Treatment with anxiolytics-antidepressives resulted in total or sub-total remission in 94.02% of patients.
Statistical analysis confirmed symptomatic concordance and syndromic equivalence, supporting the diagnostic and etiological hypotheses.

Impact:

The findings validate a diagnostic protocol and therapeutic approach for phobic orthostatic insecurity.
The study suggests that this protocol can be applied to most psychogenic insecurity syndromes.
Successful treatment outcomes highlight the efficacy of antidepressive therapies for this balance disorder.