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Glossary

Definitions of the terms used throughout the atlas. Each term carries aliases used by the search and cross-links to related concepts.

Adaptation TestADT

Tests the central nervous system's ability to suppress an inappropriate postural response across repeated trials of the same support-surface rotation (toes up or toes down). Sway energy normally decreases trial-on-trial.

See also: sway-energy, central-adaptation

Read in Adaptation Test (ADT)

Amplitude scaling

The MCT measure of how well the magnitude of the postural response matches the size of the perturbation. Under-scaling is seen in peripheral neuropathy; over-scaling can be seen in anxious and PPPD patients.

See also: mct, latency

Ankle strategy

A postural correction generated primarily by torque at the ankle joints. Predominates for small perturbations on stable surfaces.

See also: hip-strategy, los

Aphysiologic patternnon-organic pattern · functional pattern · Cevette pattern

A pattern in which performance on the easier SOT conditions (C1–C4) is paradoxically worse than on the harder C5/C6, often with high intertrial variability. Raises the question of a functional disorder or feigned disease; first formally described by Cevette et al. (1995).

See also: sot, pppd

Central adaptation

The CNS's ability to suppress an inappropriate or unhelpful postural response by learning from previous experience with the same stimulus. Failure of central adaptation produces a non-adapting ADT.

See also: adt

Centre of gravityCOG · center of gravity

The point representing the average position of body mass. In CDP, COG sway is inferred from the COP trajectory and the patient's height.

See also: cop

Centre of pressureCOP · center of pressure

The point on the support surface where the resultant of the ground reaction force acts. Movement of COP under quiet stance is a primary CDP measurement.

See also: cog, force-plate

Composite equilibrium scorecomposite score · SOT composite

Weighted average of the equilibrium scores across all SOT conditions; the single most reported summary metric. Age-stratified normative thresholds apply.

See also: equilibrium-score, sot

Computerized Dynamic PosturographyCDP · posturography · dynamic posturography

A force-plate-based functional assessment of the balance system that uses sway-referencing of the support surface and visual surround to selectively challenge somatosensory, visual, and vestibular inputs. Comprises three test protocols: SOT, MCT, and ADT.

See also: sot, mct, adt, sway-referencing, force-plate

Read in Introduction

Equilibrium scoreEQS · equilibrium scores

A nondimensional 0–100 score per SOT condition, computed from the patient's peak anterior-posterior sway relative to the theoretical 12.5° limit of stability. 100 = no sway; 0 = fall.

See also: sot, composite-score

Force platedual force plate · platform

Instrumented platform with strain gauges or load cells that measures the vertical and shear forces applied by each foot, from which the centre of pressure (COP) is computed.

See also: cop, cog

Read in Technique & Equipment

Hip strategy

A postural correction generated by flexion or extension at the hips. Recruited for large or rapid perturbations and when ankle torque is insufficient or unavailable (e.g. on a narrow surface).

See also: ankle-strategy

Limits of stabilityLOS

The maximum distance the centre of gravity can be displaced from vertical without losing balance — approximately 12.5° anterior-posteriorly in healthy adults.

See also: cog, ankle-strategy

MCT latencypostural response latency

Time from the onset of platform translation to the onset of the patient's postural response, in milliseconds. Prolonged latencies suggest central pathway involvement.

See also: mct, amplitude-scaling

Motor Control TestMCT

An automatic-postural-response test in which the force plate translates suddenly forward or backward at small, medium, and large amplitudes. Records latency, amplitude scaling, and weight symmetry of the patient's involuntary response.

See also: latency, amplitude-scaling, weight-symmetry

Read in Motor Control Test (MCT)

Persistent postural-perceptual dizzinessPPPD

A clinically-defined chronic functional dizziness disorder (Bárány Society 2017). On CDP, often shows visual preference and exaggerated MCT amplitudes, though findings are supportive rather than diagnostic.

See also: sensory-ratios, aphysiologic-pattern

Read in PPPD

Sensory analysis ratiosSOM ratio · VIS ratio · VEST ratio · PREF ratio · visual preference

Four ratios derived from SOT condition pairs that quantify the patient's use of each sensory input: somatosensory (C2/C1), visual (C4/C1), vestibular (C5/C1), and visual preference ((C3+C6)/(C2+C5)).

See also: sot, equilibrium-score

Sensory Organisation TestSOT · Sensory Organization Test

The voluntary stance subtest of CDP. Six conditions systematically vary the availability and reliability of visual and somatosensory cues; equilibrium scores are derived from anterior-posterior body sway.

See also: sot-conditions, equilibrium-score, sensory-ratios

Read in Sensory Organisation Test (SOT)

SOT conditions

Six standardised stance conditions: (1) eyes open, fixed; (2) eyes closed, fixed; (3) eyes open, sway-referenced surround; (4) eyes open, sway-referenced platform; (5) eyes closed, sway-referenced platform; (6) eyes open, both sway-referenced.

See also: sot, sway-referencing

Read in Sensory Organisation Test (SOT)

Sway energy

The ADT outcome measure — the integrated movement of the centre of pressure during a single toes-up or toes-down rotation trial. Normally decreases across the five repeated trials.

See also: adt, central-adaptation

Sway-referencing

A technique unique to CDP in which the support surface, the visual surround, or both rotate in real time to match the patient's body sway, effectively cancelling the sensory information that input would normally provide.

See also: cdp, sot

Read in Technique & Equipment

Vestibular neuritisVN

An acute, presumed-viral or post-viral unilateral peripheral vestibulopathy producing severe vertigo and a characteristic SOT vestibular pattern, often with falls on C5/C6 in the acute phase.

See also: vestibular-pattern, sot

Read in Vestibular Neuritis

Vestibular pattern

Selective abnormality on SOT conditions 5 and 6 with preserved performance on C1–C4. Seen in unilateral and bilateral peripheral vestibular loss, vestibular neuritis, and uncompensated lesions.

See also: sot-conditions, vestibular-neuritis

Weight symmetry

On the MCT, the distribution of weight between the left and right legs at rest. Asymmetry suggests offloading from lower-limb pathology or chronic vestibular asymmetry.

See also: mct