Chua Kenneth Wei De, Kek Tze Ling
Department of Allied Health, Audiology, Otorhinolaryngology, Changi General Hospital, 2 Simei St 3, Changi General Hospital, Singapore 529889, Singapore.
Department of Otolaryngology, Audiology, National University Hospital, National University Health System, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore.
Audiol Res. 2020 Aug 19;10(2):21-30. doi: 10.4081/audiores.2020.245.
: Slow-Phase Eye Velocity Time constant (SPEV TC) and Perceived Rotational Duration (PRD) are measurable objective outcomes of rotational chair step-velocity test. These two variables are dependent on the efficacy of the central velocity storage. If sensory conflict from the step-velocity of the rotational chair elicits motion sickness, the SPEV TC and PRD in individuals with varying susceptibility to motion sickness should be affected. We determined if Central Vestibular Sensitivity (CVS) characteristics differ among individuals with a range of Motion Sickness Susceptibility (MSS). : Participants were allocated to two groups based on MSS (low and high) as identified on the short version of the Motion Sick Susceptibility Questionnaire (MSSQ-S). We evaluated the specific relationship between MSS and the characteristics of CVS through the SPEV TC and PRD from the step-velocity test. : Results showed significant differences in the PRD between these two groups. 180°/s Per-rotatory PRD is most significantly different ( = 0.005) followed by 50°/s post-rotatory PRD (CCW, = 0.007; CW, = 0.021) and log of 180°/s post-rotatory PRD ( = 0.042). Multiple regression analysis indicated that CCW post-rotatory PRD at 50°/s was a strong predictor of MSS. : High MSS individuals were observed with elevated PRD in general, indirectly suggesting greater velocity storage efficiency, hence, greater CVS; CVS is therefore positively correlated with MSS. PRD could be a reliable clinical indicator of motion sick susceptibility and may help with the selection of personnel working in motion sick environments and with the verification of motion sickness therapeutic interventions.
慢相眼速时间常数(SPEV TC)和感知旋转持续时间(PRD)是转椅阶梯速度测试可测量的客观结果。这两个变量取决于中枢速度存储的功效。如果转椅阶梯速度引起的感觉冲突引发晕动病,那么对晕动病易感性不同的个体的SPEV TC和PRD应该会受到影响。我们确定了在一系列晕动病易感性(MSS)个体中,中枢前庭敏感性(CVS)特征是否存在差异。:根据晕动病易感性问卷简版(MSSQ - S)确定的MSS(低和高),将参与者分为两组。我们通过阶梯速度测试的SPEV TC和PRD评估了MSS与CVS特征之间的具体关系。:结果显示这两组之间的PRD存在显著差异。180°/s每旋转一次的PRD差异最为显著(P = 0.005),其次是50°/s旋转后PRD(逆时针,P = 0.007;顺时针,P = 0.021)以及180°/s旋转后PRD的对数(P = 0.042)。多元回归分析表明,50°/s逆时针旋转后PRD是MSS的一个强预测指标。:总体上观察到高MSS个体的PRD升高,间接表明速度存储效率更高,因此CVS更高;所以CVS与MSS呈正相关。PRD可能是晕动病易感性的一个可靠临床指标,可能有助于选择在晕动病环境中工作的人员以及验证晕动病治疗干预措施。