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European Archives of Oto-Rhino-Laryngology

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Open Access 01-06-2021 | Otology

The Antwerp Vestibular Compensation Index (AVeCI): an index for vestibular compensation estimation, based on functional balance performance

Authors: Evi Verbecque, Floris L. Wuyts, Robby Vanspauwen, Vincent Van Rompaey, Paul Van de Heyning, Luc Vereeck

Published in: European Archives of Oto-Rhino-Laryngology | Issue 6/2021

Abstract

Purpose

To create an index that is a measure of the amount of vestibular compensation and for which only functional balance performance is needed.

Methods

The medical charts of 62 eligible peripheral vestibular dysfunction (PVD) patients were analyzed retrospectively. To be included, the following vestibulo-ocular reflex (VOR) and balance performance data had to be available: (1) caloric and sinusoidal harmonic acceleration test (SHA) and (2) standing balance sum-eyes closed (SBS-EC), Timed Up and Go Test and Dynamic Gait Index. Patients were divided into three groups: normal caloric- and SHA test (group 1), abnormal caloric- and normal SHA test (group 2, PVD compensated) and abnormal caloric- and SHA test (group 3, PVD uncompensated). Next to the use of non-parametric tests to study the VOR and balance variables, logistic regression was used to identify the balance measures that predict whether PVD patients were compensated or uncompensated. This resulted also in the construction of a continuous measure representing the degree of compensation.

Results

Logistic regression identified SBS-EC and age to classify uncompensated from compensated patients with sensitivity of 83.9% and specificity of 72.4%. Then an index was created, called the Antwerp Vestibular Compensation Index, AVeCI = − 50 + age × 0.486 + SBS-EC × 0.421. A patient belongs to the uncompensated group when AVeCI < 0 and to the compensated group when AVeCI > 0, with respective group means of − 5 and 5.

Conclusion

AVeCI stages the degree of compensation of PVD patients and can serve to evaluate rehabilitation effects.

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Title: The Antwerp Vestibular Compensation Index (AVeCI): an index for vestibular compensation estimation, based on functional balance performance
Authors: Evi Verbecque
Floris L. Wuyts
Robby Vanspauwen
Vincent Van Rompaey
Paul Van de Heyning
Luc Vereeck
Publication date: 01-06-2021
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 6/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06192-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Antwerp Vestibular Compensation Index (AVeCI): an index for vestibular compensation estimation, based on functional balance performance

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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