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Gait analysis in patients with vertigo

K Ishikawa1, M Edo, N Terada

  • 1Department of Otorhinolaryngology, Akita University School of Medicine, Japan.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|January 1, 1993
PubMed
Summary

Gait analysis reveals distinct abnormalities in patients with vertigo. Central vestibular lesions show more gait disturbances than peripheral ones, highlighting the diagnostic value of this method for dizziness.

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Area of Science:

  • Neurology
  • Biomechanics
  • Vestibular System

Background:

  • Vertigo is a common condition with diverse causes, including peripheral and central vestibular lesions.
  • Accurate diagnosis is crucial for effective management of vertigo patients.
  • Gait analysis offers a potential objective measure of functional impairment in vertigo.

Purpose of the Study:

  • To investigate gait parameters in patients with vertigo using foot switches and electromyography.
  • To differentiate gait patterns between peripheral and central vestibular lesions.
  • To assess the diagnostic utility of gait analysis in vertigo.

Main Methods:

  • Gait analysis was performed on 31 vertigo patients (21 peripheral, 10 central lesions) and 14 healthy controls.
  • Electromyography of antigravity muscles and foot switch data were collected.

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  • Key parameters analyzed included heel strike to forefoot strike (HA-I), heel off to forefoot off (HA-II), stance, swing, and double support (DS) durations.

    • Main Results:

    • Abnormalities were most frequent in HA-I, followed by stance and swing durations.
    • Patients with central vestibular lesions exhibited a higher incidence of abnormalities in stance, swing, and DS compared to those with peripheral lesions.
    • Gait analysis demonstrated significant differences between patient groups and controls.

    Conclusions:

    • Gait analysis is a valuable tool for assessing functional deficits in patients with vertigo.
    • Distinct gait abnormalities can help differentiate between central and peripheral vestibular lesions.
    • This method holds promise for improving the diagnosis and understanding of vertigo.