POSTURAL INSTABILITY IN SCHIZOPHRENICS: A STUDY USING COMPUTERIZED STATIC AND DYNAMIC POSTUROGRAPHY
United States of America
1 slide(s) – English – 2011-03-15
Postural Instability in Schizophrenics: A Study Using Computerized Static and Dynamic Posturography
Author Block: Neil K. Agarwal, Rutgers Univ, New Brunswick, NJ; Shashi K. Agarwal, MD, FACC, Agarwal Health Ctr, East Orange, NJ
Introduction: Schizophrenic patients have a high incidence of falls and fractures. We evaluated postural stability in schizophrenic patients using computerized static and dynamic posturography (CDP).
Objective: To measure normal and perturbed stability in schizophrenics.
Aim: To objectively demonstrate postural abnormalities in schizophrenics.
Methods: A retrospective study of 54 consecutive schizophrenic patients with was done. CDP was done using FallTrak (R). Patients performed normal stability - eyes open (NS/EO), normal stability- eyes closed (NS/EC), perturbed stability - eyes open (PS/EO), and perturbed stability - eyes closed (PS/EC) for 30 seconds each. Findings were classified as normal or abnormal based on age-matched normative data.
Results: The ages ranged from 31 to 77 years. There were 34 (63.0%) males and 20 (37.0%) females. Of the total 54 patients, 48 (88.9%) exhibited abnormalities on CDP testing. NS-EO was abnormal in 29 (53.7%), NS-EC was abnormal in 37 (68.5%); both NS-EO and NS-EC were abnormal in 25 (46.3%); PS-EO was abnormal in 27 (50.0%) and PS-EC was abnormal in 20 (37.0%). Both PS-EO and PS-EC were abnormal in 14 (25.9%). Both PS and NS were abnormal in 26 (48.1%). NS was normal in 13 (24.1%) and PS was normal in 21 (38.9%). Both NS and PS were normal in 6 (11.1%) patients.
Conclusions: Most schizophrenic patients show abnormalities in both normal and perturbed stability when tested using static and dynamic posturography. Balance was normal in only 11.1 % of the patients. Further studies are needed to evaluate the clinical significance of these findings.