Tighilet Brahim, Péricat David, Frelat Alais, Cazals Yves, Rastoldo Guillaume, Boyer Florent, Dumas Olivier, Chabbert Christian
Aix Marseille Université, CNRS, Integrative and Adaptative Neurosciences UMR 7260, Team Pathophysiology and Therapy of Vestibular Disorders, Marseille, France.
PLoS One. 2017 Nov 7;12(11):e0187472. doi: 10.1371/journal.pone.0187472. eCollection 2017.
Vestibular disorders, by inducing significant posturo-locomotor and cognitive disorders, can significantly impair the most basic tasks of everyday life. Their precise diagnosis is essential to implement appropriate therapeutic countermeasures. Monitoring their evolution is also very important to validate or, on the contrary, to adapt the undertaken therapeutic actions. To date, the diagnosis methods of posturo-locomotor impairments are restricted to examinations that most often lack sensitivity and precision. In the present work we studied the alterations of the dynamic weight distribution in a rodent model of sudden and complete unilateral vestibular loss. We used a system of force sensors connected to a data analysis system to quantify in real time and in an automated way the weight bearing of the animal on the ground. We show here that sudden, unilateral, complete and permanent loss of the vestibular inputs causes a severe alteration of the dynamic ground weight distribution of vestibulo lesioned rodents. Characteristics of alterations in the dynamic weight distribution vary over time and follow the sequence of appearance and disappearance of the various symptoms that compose the vestibular syndrome. This study reveals for the first time that dynamic weight bearing is a very sensitive parameter for evaluating posturo-locomotor function impairment. Associated with more classical vestibular examinations, this paradigm can considerably enrich the methods for assessing and monitoring vestibular disorders. Systematic application of this type of evaluation to the dizzy or unstable patient could improve the detection of vestibular deficits and allow predicting better their impact on posture and walk. Thus it could also allow a better follow-up of the therapeutic approaches for rehabilitating gait and balance.
前庭疾病通过引发显著的姿势运动和认知障碍,会严重损害日常生活中最基本的任务。其精确诊断对于实施适当的治疗对策至关重要。监测其进展对于验证或相反地调整所采取的治疗行动也非常重要。迄今为止,姿势运动障碍的诊断方法仅限于那些通常缺乏敏感性和精确性的检查。在本研究中,我们研究了突然完全单侧前庭丧失的啮齿动物模型中动态体重分布的变化。我们使用了一个连接到数据分析系统的力传感器系统,以实时自动地量化动物在地面上的负重情况。我们在此表明,前庭输入的突然、单侧、完全和永久性丧失会导致前庭损伤啮齿动物的动态地面体重分布严重改变。动态体重分布的变化特征随时间而变化,并遵循构成前庭综合征的各种症状的出现和消失顺序。这项研究首次揭示,动态负重是评估姿势运动功能障碍的一个非常敏感的参数。与更经典的前庭检查相结合,这种范例可以极大地丰富评估和监测前庭疾病的方法。将这种评估类型系统地应用于头晕或不稳定的患者,可以改善前庭缺陷的检测,并能更好地预测其对姿势和行走的影响。因此,它也可以更好地跟踪恢复步态和平衡的治疗方法。