Zhang Y B, Wang W Q
Department of Otolaryngology, Eye and ENT Hospital of Fudan University, Shanghai, China.
J Int Med Res. 2011;39(4):1432-7. doi: 10.1177/147323001103900431.
The Fukuda stepping test (FST) is widely used in neurology and for the diagnosis of vertigo-associated disease, but its reliability is disputed. This study assessed the accuracy of the FST in determining the side of vestibular dysfunction in 126 patients with unilateral vestibular lesion. Abnormal deviation towards the side of the lesion occurred in 50.0% of cases and towards the intact side in 24.6% of cases, with 25.4% of patients within the normal range (< 45° deviation). An equal percentage of patients with acute stage vertigo (0-3 days after onset) deviated towards the intact and lesion sides, however the percentage of patients deviating to the intact side decreased over time. A subset of patients who originally deviated towards the intact side gradually began to deviate towards the lesion side. Care should be taken when using the FST to determine the side of the lesion, particularly in acute stage vertigo.
福田踏步试验（FST）在神经病学领域以及眩晕相关疾病的诊断中被广泛应用，但其可靠性存在争议。本研究评估了FST在确定126例单侧前庭病变患者前庭功能障碍侧别的准确性。50.0%的病例向病变侧出现异常偏斜，24.6%的病例向健侧偏斜，25.4%的患者在正常范围内（偏斜<45°）。急性期眩晕（发病后0 - 3天）的患者向健侧和病变侧偏斜的比例相同，但随着时间推移，向健侧偏斜的患者比例下降。最初向健侧偏斜的一部分患者逐渐开始向病变侧偏斜。在使用FST确定病变侧别时应谨慎，尤其是在急性期眩晕患者中。
