STEADFAST: Psychotherapeutic Intervention Improves Postural Strategy of Somatoform Vertigo and Dizziness
Joint Authors
Best, Christoph
Tschan, Regine
Stieber, Nikola
Beutel, Manfred E.
Eckhardt-Henn, Annegret
Dieterich, Marianne
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-30
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Patients with somatoform vertigo and dizziness (SVD) disorders often report instability of stance or gait and fear of falling.
Posturographic measurements indeed indicated a pathological postural strategy.
Our goal was to evaluate the effectiveness of a psychotherapeutic and psychoeducational short-term intervention (PTI) using static posturography and psychometric examination.
Seventeen SVD patients took part in the study.
The effects of PTI on SVD were evaluated with quantitative static posturography.
As primary endpoint a quotient characterizing the relation between horizontal and vertical sway was calculated (QH/V), reflecting the individual postural strategy.
Results of static posturography were compared to those of age- and gender-matched healthy volunteers (n=28); baseline measurements were compared to results after PTI.
The secondary endpoint was the participation-limiting consequences of SVD as measured by the Vertigo Handicap Questionnaire (VHQ).
Compared to the healthy volunteers, the patients with SVD showed a postural strategy characterized by stiffening-up that resulted in a significantly reduced body sway quotient before PTI (patients: QH/V=0.31 versus controls: QH/V=0.38; p=0.022).
After PTI the postural behavior normalized, and psychological distress was reduced.
PTI therefore appears to modify pathological balance behaviour.
The postural strategy of patients with SVD possibly results from anxious anticipatory cocontraction of the antigravity muscles.
American Psychological Association (APA)
Best, Christoph& Tschan, Regine& Stieber, Nikola& Beutel, Manfred E.& Eckhardt-Henn, Annegret& Dieterich, Marianne. 2015. STEADFAST: Psychotherapeutic Intervention Improves Postural Strategy of Somatoform Vertigo and Dizziness. Behavioural Neurology،Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1057540
Modern Language Association (MLA)
Best, Christoph…[et al.]. STEADFAST: Psychotherapeutic Intervention Improves Postural Strategy of Somatoform Vertigo and Dizziness. Behavioural Neurology No. 2015 (2015), pp.1-10.
https://search.emarefa.net/detail/BIM-1057540
American Medical Association (AMA)
Best, Christoph& Tschan, Regine& Stieber, Nikola& Beutel, Manfred E.& Eckhardt-Henn, Annegret& Dieterich, Marianne. STEADFAST: Psychotherapeutic Intervention Improves Postural Strategy of Somatoform Vertigo and Dizziness. Behavioural Neurology. 2015. Vol. 2015, no. 2015, pp.1-10.
https://search.emarefa.net/detail/BIM-1057540
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057540