Affiliations: [a] Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, 15260 | [b] Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania, 15260 | [c] Department of Industrial Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, 15260
Note: [*] Reprint address: Gwendolyn C. Mann, MS, PT, NCS, Dept. of Physical Therapy, University of Pittsburgh, Pittsburgh, PA 15260 USA. Tel: (412) 647-1220; Fax: (412) 647-1222; E-mail: gmann@vms.cis.pitt.edu
Abstract: The purpose of this study was to compare functional reach distance and right single leg stance time in patients who had peripheral vestibular disease. Twenty-eight patients (15 female, 13 male) between the ages of 35 and 84 were asked to perform 3 trials each of functional reach (FR) and right single leg stance (SLS). SLS times were measured by a Kistler static force platform on line with a Caspar personal computer. FR distance was measured by using a free-standing 147-cm rule. In addition, each subject filled out the Dizziness Handicap Inventory (DHI). Trials were randomized to prevent fatigue or practice effects. A Pearson product-moment correlation was performed between FR and SLS (r=0.59, P=0.001), Post hoc analyses of the first, the best, and the average scores highlighted the importance of using means for comparison in a population as variable as the vestibularly impaired. Post hoc analyses showed no correlation between the DHI score and either functional reach distance or single leg stance time. However, when the subjects were divided into groups based on DHI score (group 1 with DHI≤49/100, group 2 with DHI≥50/100) and a pooled two-sample t-test was performed, a significant difference (P=0.05) was found in functional reach distance; the subjects who reported less perception of handicap reached farther than those who reported more perception of handicap. No difference was found between the two DHI groups in single leg stance time. Post hoc correlations of functional reach and single leg stance time. Post hoc correlations of functional reach and single leg stance within the two DHI groups showed a higher correlation in group 1 (DHI≤49/100), with r equals 0.65(P≤0.01), than in group 2 (DHI≥50/100), with r equals 0.38 (P=0.20). The study found a highly significant, moderate correlation between functional reach distance and single leg stance times in patients with peripheral vestibular disease. These results support the use of FR as an additional assessment tool with patients who have peripheral vestibular disease.
Keywords: peripheral vestibular disease, functional reach, single leg stance, postural control
