Dupuits Bart, Pleshkov Maksim, Lucieer Florence, Guinand Nils, Pérez Fornos Angelica, Guyot Jean Philippe, Kingma Herman, van de Berg Raymond
Faculty of Health, Medicine and Life Sciences, University of Maastricht, Maastricht, Netherlands.
Division of Balance Disorders, Department of Otorhinolaryngology, Head and Neck Surgery, Maastricht University Medical Center, School for Mental Health and Neuroscience, Maastricht, Netherlands.
Front Neurol. 2019 Jul 2;10:707. doi: 10.3389/fneur.2019.00707. eCollection 2019.
Clinical vestibular testing mainly consists of testing reflexes, but does not routinely include testing for perceptual symptoms. The objective of this study was to investigate a new and faster test for vestibular perception, and to compare its results with previous studies. Fifty-five healthy subjects with no prior vestibular complaints were included and divided into three age groups. Vestibular perceptual thresholds were measured using a hydraulic platform in the dark. The platform delivered 12 different movements: six translations (forward, backward, right, left, up, and down) and six rotations/tilt (yaw left, yaw right, pitch forward, pitch backward, roll left, and roll right). The subject had to report the correct type and direction of movements. Thresholds were determined by a double confirmation of the lowest threshold. General trends in thresholds like relative interrelationship and the influence of age were analyzed and compared with values reported previously. Mean thresholds of age groups ranged between 0.092 and 0.221 m/s for translations, and between 0.188 and 2.255°/s for rotations. The absolute values differed from previous reports, but the relative interrelationship of thresholds between type and direction of motion remained. An association between age and vestibular thresholds was found, similar to previous reports. This new and faster test for vestibular perception showed comparable patterns in perceptual thresholds when compared to more research oriented, lengthy tests. This might pave the way for establishing vestibular perception testing protocols useful for the clinic.
临床前庭测试主要包括反射测试，但通常不包括对感知症状的测试。本研究的目的是研究一种新的、更快的前庭感知测试方法，并将其结果与以往的研究进行比较。纳入了55名无既往前庭疾病主诉的健康受试者，并将其分为三个年龄组。在黑暗中使用液压平台测量前庭感知阈值。该平台进行12种不同的运动：六种平移运动（向前、向后、向右、向左、向上和向下）和六种旋转/倾斜运动（向左偏航、向右偏航、向前俯仰、向后俯仰、向左翻滚和向右翻滚）。受试者必须报告正确的运动类型和方向。阈值通过对最低阈值的双重确认来确定。分析了阈值的总体趋势，如相对相互关系和年龄的影响，并与先前报告的值进行了比较。各年龄组平移运动的平均阈值在0.092至0.221米/秒之间，旋转运动的平均阈值在0.188至2.255°/秒之间。绝对值与先前的报告不同，但运动类型和方向之间阈值的相对相互关系仍然存在。发现年龄与前庭阈值之间存在关联，与先前的报告相似。与更具研究导向性、耗时较长的测试相比，这种新的、更快的前庭感知测试在前庭感知阈值方面显示出可比的模式。这可能为建立对临床有用的前庭感知测试方案铺平道路。
