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Intérêts et limites des mesures de verticalité subjective pour l’évaluation des troubles de l’équilibre

Usefullness and limits of the evaluation of the subjective verticality for balance assessment

  • Article de Synthèse / Review Article
  • Published:
La Lettre de médecine physique et de réadaptation

Résumé

Le sens de la verticale est considéré comme un des référentiels spatiaux fondamentaux que l’être humain utilise pour élaborer des représentations mentales de la position de son corps et des différents segments de son corps dans l’espace. Il occupe à ce titre une place toute particulière dans le contrôle de la posture. La perception de la verticale résulte de l’intégration d’informations visuelles, vestibulaires et somesthésiques. Différentes modalités d’appréciation de la verticale peuvent être mesurées, la verticale visuelle (VV), haptique et posturale dont les circuits d’intégration neurologique diffèrent et dont les résultats peuvent être dissociés dans les différentes pathologies rencontrées. La connaissance des mécanismes explicatifs des perturbations de la perception de la verticale ainsi que leur retentissement sur l’équilibre ont fait l’objet de nombreux travaux ces dernières années. Dans certaines pathologies, comme après un accident vasculaire cérébral (AVC), la mesure de la perception de la verticale fait maintenant partie des évaluations des troubles de l’équilibre en pratique clinique courante

Abstract

The sense of verticality is considered one of the fundamental spatial parameters that the human being uses to establish mental images of the position of their body and the different parts of their body in space. It therefore plays a specific role in controlling posture. The perception of verticality results from the integration of visual, vestibular and somatosensory information. Different methods of verticality perception can be measured; the visual, haptic and postural vertical, each with different neurological integration circuits and thus the results can be separated into the different pathologies. Understanding the mechanisms which explain the changes in verticality perception, as well as their impact on balance, have been the focus of many studies over the last few years. In certain diseases, such as after a cerebral vascular accident (stroke), measurement of the perception of verticality is now part of the assessment of the balance issues seen in current clinical practice.

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Authors and Affiliations

  1. Service de médecine physique et de réadaptation, CHU de Rennes, 2, rue Henri-Le-Guilloux, F-35000, Rennes, France

    I. Bonan, M. Damphousse, E. Leblong & H. Rauscent

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  1. I. Bonan
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  2. M. Damphousse
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  3. E. Leblong
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  4. H. Rauscent
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Correspondence to I. Bonan.

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Bonan, I., Damphousse, M., Leblong, E. et al. Intérêts et limites des mesures de verticalité subjective pour l’évaluation des troubles de l’équilibre. Lett Med Phys Readapt 28, 145–152 (2012). https://doi.org/10.1007/s11659-012-0299-y

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  • DOI: https://doi.org/10.1007/s11659-012-0299-y

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