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一项新型慢性头晕 spec 的初步研究。

A pilot study of a novel specs for chronic dizziness.

机构信息

Department of Neurology, Meir Medical Center, Kfar-Saba, Israel.

Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.

出版信息

Acta Neurol Scand. 2018 Oct;138(4):344-351. doi: 10.1111/ane.12968. Epub 2018 Jun 3.

Abstract

OBJECTIVE

A pilot study to assess the efficacy and safety of a novel specs device developed to alleviate chronic dizziness using eyeglasses with referential marks fixed on the lenses.

MATERIALS AND METHODS

Forty patients with stable symptoms of chronic dizziness for more than 3 months participated in a 4-week, double-blind, randomized treatment with Active-Specs or Sham-Specs. Efficacy was assessed using validated semiquantitative scales and questionnaires of vertigo, dizziness and anxiety. Safety evaluation included monitoring of any adverse event.

RESULTS

Thirty-six participants were included in the efficacy analysis, 18 in each group. Twelve of 18 subjects (67%) treated with Active-Specs reported substantial improvement of symptoms compared to six (33%) with Sham-Specs showing a significant improvement on Clinical Global Impressions scale (P = .017). The Active-Specs group showed significant reduction in the Vertigo Visual Analogue Scale (P = .017) and a nonsignificant but consistent trend of improvement measured by the Dizziness Handicap Inventory and Beck Anxiety Inventory. There were no adverse events related to the treatment.

CONCLUSIONS

This novel specs device seems to be a safe and promising novel treatment for chronic dizziness. We hypothesize that marks in specific zones of the peripheral visual field could strengthen information of real head motion counteracting the mismatch sensory and locomotor information causing chronic dizziness. The results of this pilot study should be followed up by additional studies aimed at confirming the present encouraging findings.

摘要

目的

评估一种新型眼镜 Specs 设备的疗效和安全性,该设备使用固定在镜片上的参考标记来缓解慢性头晕。

材料和方法

40 名患有慢性头晕症状超过 3 个月的稳定患者参加了为期 4 周的双盲、随机对照治疗,分别使用有源 Specs 或假 Specs。采用经证实的半定量量表和眩晕、头晕和焦虑问卷评估疗效。安全性评估包括监测任何不良事件。

结果

36 名参与者被纳入疗效分析,每组 18 名。18 名接受有源 Specs 治疗的患者中有 12 名(67%)报告症状明显改善,而接受假 Specs 治疗的患者中有 6 名(33%)显示出明显改善,临床总体印象量表上的差异具有统计学意义(P=0.017)。有源 Specs 组在眩晕视觉模拟量表上有显著降低(P=0.017),头晕障碍量表和贝克焦虑量表也有非显著但一致的改善趋势。治疗过程中无不良反应与治疗相关。

结论

这种新型眼镜 Specs 设备似乎是一种安全且有前途的慢性头晕新型治疗方法。我们假设在周边视野的特定区域的标记可以增强真实头部运动的信息,从而抵消导致慢性头晕的感觉和运动信息不匹配。本初步研究的结果应通过旨在确认目前令人鼓舞的发现的进一步研究来跟进。

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