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前庭功能与偏头痛:一项比较有和没有眩晕者的初步研究。

Vestibular functioning and migraine: pilot study comparing those with and without vertigo.

作者信息

Baker B J, Curtis A, Trueblood P, Vangsnes E

机构信息

Physical Therapy Department, Grand Valley State University, Grand Rapids, Michigan, USA.

出版信息

J Laryngol Otol. 2013 Nov;127(11):1056-64. doi: 10.1017/S0022215113002296. Epub 2013 Oct 22.

DOI:10.1017/S0022215113002296
PMID:24148203
Abstract

BACKGROUND

The current study compared a migrainous vertigo group with a migraine without vertigo group. It was hypothesised that those with migrainous vertigo would have more abnormal test results during a non-migrainous period than those who suffer from migraine without vertigo.

METHODS

Both groups, comprising 10 participants each, were tested using: the gaze stabilisation test, dynamic visual acuity test, sensory organisation test, head shake sensory organisation test and functional gait assessment.

RESULTS

Eighteen females and 2 males aged 18-53 years participated. There were no significant differences between the two groups for the dynamic visual acuity test, sensory organisation test or head shake sensory organisation test. However, mean dynamic visual acuity loss was greater in both groups than in a normal population, and the head shake sensory organisation (sway) test was well below the normal mean. The functional gait assessment showed a significant difference (p = 0.0025) between the two groups.

CONCLUSION

Both groups showed abnormalities in vestibular functioning compared with norms, suggesting that both had some degree of vestibular dysfunction. However, vestibular dysfunction was greater in the migrainous vertigo group than in the migraine without vertigo group, as evidenced by differences in functional gait assessment.

摘要

背景

本研究比较了偏头痛性眩晕组和无眩晕性偏头痛组。研究假设为,在非偏头痛发作期,偏头痛性眩晕患者比无眩晕性偏头痛患者有更多异常检查结果。

方法

两组各有10名参与者,接受了以下测试:凝视稳定性测试、动态视力测试、感觉组织测试、摇头感觉组织测试和功能性步态评估。

结果

18名女性和2名男性参与研究,年龄在18至53岁之间。两组在动态视力测试、感觉组织测试或摇头感觉组织测试方面无显著差异。然而,两组的平均动态视力损失均高于正常人群,且摇头感觉组织(摆动)测试远低于正常均值。功能性步态评估显示两组之间存在显著差异(p = 0.0025)。

结论

与正常标准相比,两组在前庭功能方面均表现出异常,表明两组均有一定程度的前庭功能障碍。然而,功能性步态评估的差异证明,偏头痛性眩晕组的前庭功能障碍比无眩晕性偏头痛组更严重。

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