Gökler Ozan, Koçak İlker, Aydoğan Esra, Karanfil Işıl, Baş Ceren
Department of Otolaryngology, Head and Neck Surgery, Koç University Hospital, İstanbul, Turkey.
J Int Adv Otol. 2018 Aug;14(2):295-298. doi: 10.5152/iao.2018.4384.
The aim of this investigation was to evaluate the association between posterior channel benign paroxysmal positional vertigo (BPPV) and trauma that is frequently experienced by American football players.
Participants were classified into the following two groups: (1) a study group consisting of 63 male participants aged 18-30 years who had been playing American football for more than 2 years and (2) a control group consisting of 49 male participants aged 18-27 years with no history of otologic/vestibular disease or acute/chronic trauma. Trauma, age, total duration of playing American football, and weekly training hours of subjects in the study group were analyzed to determine any relationship with BPPV occurrence. We performed otologic, audiologic, and vestibular assessments of pure sound audiometry, tympanometry, tandem walking test with eyes open and eyes closed, Romberg, head shaking, roll, and Dix-Hallpike tests to all participants.
A positive correlation between the total years of American football played and posterior channel BPPV frequency was observed in the study group. In addition, increasing weekly hours of training was shown to further increase the risk of BPPV. A total of 16 out of 63 athletes experienced BPPV, whereas none of the participants in the control group experienced BPPV. All participants completed the Vertigo Symptom Scale, which revealed that vertigo did not cause any significant negative impact on their training routine and activities of daily living.
Our results indicate that the weekly training hours and total years of training with American football increase posterior channel BPPV frequency.
本研究旨在评估美式橄榄球运动员经常经历的创伤与后半规管良性阵发性位置性眩晕（BPPV）之间的关联。
参与者被分为以下两组：（1）研究组，由63名年龄在18 - 30岁之间、从事美式橄榄球运动超过2年的男性参与者组成；（2）对照组，由49名年龄在18 - 27岁之间、无耳科/前庭疾病或急/慢性创伤史的男性参与者组成。分析研究组参与者的创伤情况、年龄、美式橄榄球运动的总时长以及每周训练时长，以确定与BPPV发生的任何关系。我们对所有参与者进行了耳科、听力学和前庭评估，包括纯音听力测定、鼓室图、睁眼和闭眼时的串联行走试验、闭目直立试验、摇头试验、翻滚试验和Dix - Hallpike试验。
研究组中观察到美式橄榄球运动的总年限与后半规管BPPV频率之间存在正相关。此外，每周训练时长的增加会进一步增加BPPV的风险。63名运动员中有16人经历了BPPV，而对照组中没有参与者经历BPPV。所有参与者都完成了眩晕症状量表，结果显示眩晕对他们的训练常规和日常生活活动没有造成任何显著的负面影响。
我们的结果表明，美式橄榄球的每周训练时长和总训练年限会增加后半规管BPPV的频率。
