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The relationship between the modified somatic perception questionnaire and dynamic platform posturography.

Raven Brasseux1, Kevin W Greve, Gerard J Gianoli

  • 1Department of Psychology and The Jefferson Neurobehavioral Group, University of New Orleans, New Orleans, USA.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|January 1, 2008
PubMed
Summary
This summary is machine-generated.

Patients with non-physiologic sway patterns on computerized dynamic posturography (CDP) and high scores on the Modified Somatic Perception Questionnaire (MSPQ) may be intentionally exaggerating vestibular symptoms.

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Area of Science:

  • Neurology
  • Audiology
  • Psychophysics

Background:

  • Vestibular symptoms can be challenging to diagnose.
  • Nonorganic sway patterns in balance testing may indicate somatization or malingering.
  • Distinguishing genuine deficits from exaggeration is crucial for effective treatment.

Purpose of the Study:

  • To investigate the association between nonorganic sway patterns on computerized dynamic posturography (CDP) and somatization/malingering.
  • To compare patients with different sway patterns regarding evidence of intentional symptom exaggeration.

Main Methods:

  • One hundred fifteen patients with vestibular dysfunction and hearing impairment were assessed.
  • Computerized dynamic posturography (CDP) classified sway patterns into four categories.
  • The Modified Somatic Perception Questionnaire (MSPQ) was used to detect malingering.

Main Results:

  • A significant effect of CDP group on MSPQ scores was observed.
  • Patients with aphysiologic sway patterns had significantly higher MSPQ scores.
  • A greater proportion of aphysiologic patients exceeded malingering cutoffs on the MSPQ.

Conclusions:

  • Aphysiologic CDP sway patterns are linked to higher MSPQ scores.
  • Both aphysiologic CDP findings and high MSPQ scores suggest intentional exaggeration.
  • Patients exhibiting both may be intentionally exaggerating balance complaints.