Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Tampere, Finland.
Department of Speech and Hearing Sciences, Lamar University, Beaumont, TX, USA.
J Vestib Res. 2018;28(3-4):319-330. doi: 10.3233/VES-180634.
The purpose of the present study was to characterize the occurrence of Tumarkin attacks in patients with Ménière'sdisease (MD), and to study its association with reported complaints, severity of consequences, and also self-reported work ability. The study used a cross-sectional design. Data obtained from the Finnish Ménière Federation using an electronic survey was analyzed. 602 people with MD responded to the survey (62% response rate) with a mean age of 56.7 years and a mean duration of the disease 12.4 years. 49% of the respondents experienced Tumarkin attacks, which lasted for a few seconds to a few minutes. There were significant differences in complaints reported by MD patients with and without Tumarkin attacks. Respondents with Tumarkin attacks experienced various consequences, including tripping, falls, fear, anxiety, problems in dyadic life, and even transient loss of consciousness. Respondents with Tumarkin attacks had more frequently applied for pension than those not having Tumarkin attacks. On an average, respondents with Tumarkin attacks had less self-reported working ability when compared to those without Tumarkin attacks. The current study results suggest various differences in terms of complaints reported, severity of consequences, and the self-reported working ability in MD patients with and without Tumarkin attacks. Hearing healthcare professionals must examine Tumarkin attacks and their consequences in patients with MD during clinical examinations. In addition, the therapy should focus on alleviating the consequences and improving work ability.
本研究的目的是描述梅尼埃病（MD）患者中 Tumarkin 发作的发生情况，并研究其与报告的症状、后果严重程度以及自我报告的工作能力之间的关系。该研究采用了横断面设计。使用电子调查，分析了来自芬兰梅尼埃协会的数据。602 名 MD 患者对调查做出了回应（回应率为 62%），平均年龄为 56.7 岁，疾病平均持续时间为 12.4 年。49%的受访者经历过 Tumarkin 发作，持续几秒钟到几分钟不等。有 Tumarkin 发作的 MD 患者和没有 Tumarkin 发作的 MD 患者报告的症状存在显著差异。有 Tumarkin 发作的患者经历了各种后果，包括绊倒、跌倒、恐惧、焦虑、对偶生活问题，甚至短暂失去意识。有 Tumarkin 发作的受访者比没有 Tumarkin 发作的受访者更频繁地申请养老金。平均而言，与没有 Tumarkin 发作的患者相比，有 Tumarkin 发作的患者自我报告的工作能力较差。本研究结果表明，有和没有 Tumarkin 发作的 MD 患者在报告的症状、后果严重程度和自我报告的工作能力方面存在各种差异。听力保健专业人员在临床检查中必须检查 MD 患者的 Tumarkin 发作及其后果。此外，治疗应侧重于减轻后果和提高工作能力。
