Computerized Dynamic Posturography (CDP) Testing

Introduction

Have you ever wondered how we maintain our balance while walking, standing, or even just sitting? Maintaining balance is a complex task that involves multiple systems in our body, including the visual, vestibular, and somatosensory systems. Computerized dynamic posturography (CDP) is a diagnostic tool used to assess balance function in patients with balance disorders or dizziness.

What is Computerized Dynamic Posturography?

Computerized dynamic posturography is a specialized balance testing that assesses the balance control mechanisms in the human body. It consists of a platform that moves in different directions, speeds, and amplitudes, and measures how well a patient can maintain their balance under different conditions. The platform contains a force plate that records the patient's movements, and the data is processed by a computer to generate a report of the patient's balance function.

CDP can provide information on several aspects of balance control, including the following:

  1. Sensory organization: This refers to the ability of the patient to use visual, vestibular, and somatosensory information to maintain balance.
  2. Motor control: This refers to the ability of the patient to make appropriate adjustments to maintain balance in response to platform movements.
  3. Limits of stability: This refers to the maximum range of body movements that a patient can make while maintaining balance.
  4. Adaptation: This refers to the ability of the patient to learn and adapt to new balance conditions.

Why is Computerized Dynamic Posturography Performed?

CDP is performed to evaluate patients with balance disorders, dizziness, or vertigo. Some common conditions that may require CDP include the following:

  1. Vestibular disorders: These are disorders of the inner ear that affect balance and can cause dizziness, vertigo, and other symptoms.
  2. Neurological disorders: These are conditions that affect the brain or nervous system and can cause balance problems.
  3. Orthopedic disorders: These are conditions that affect the bones, joints, or muscles and can affect balance.
  4. Aging: As we age, our balance control mechanisms may become less efficient, which can increase the risk of falls.

How is Computerized Dynamic Posturography Performed?

During CDP testing, the patient stands on a platform that moves in different directions, speeds, and amplitudes while wearing a safety harness. The patient is instructed to maintain their balance while the platform moves, and the movements are recorded by the force plate. The patient may also be asked to perform additional tasks, such as reaching for objects or closing their eyes, to challenge their balance control mechanisms. The testing usually takes about 30 minutes to complete, and the patient may experience some mild dizziness or discomfort during the testing.

After the testing is complete, the data is processed by a computer to generate a report of the patient's balance function. The report includes graphs and numerical scores that indicate the patient's performance in different aspects of balance control.

Conclusion

Computerized dynamic posturography is a valuable diagnostic tool for evaluating patients with balance disorders, dizziness, or vertigo. It provides important information on the patient's balance control mechanisms and can help guide treatment decisions. If you are experiencing balance problems, dizziness, or vertigo, talk to your healthcare provider about whether CDP testing may be appropriate for you.