Liaoning Traditional Chinese Medicine University, Shenyang, China.
Department of ENT, Affiliated Hospital of Liaoning Traditional Chinese Medicine University, Shenyang, China.
Eur Arch Otorhinolaryngol. 2022 Jun;279(6):3211-3217. doi: 10.1007/s00405-022-07299-6. Epub 2022 Mar 16.
We aimed to study the results of the head impulse paradigm (HIMP) and the suppression head impulse paradigm (SHIMP) in patients with acute vestibular neuritis (AVN) to compare dizziness handicap inventory (DHI) scores before and after treatment. We also wanted to investigate the correlation between the HIMP, SHIMP and DHI score and to analyze the factors that affect the recovery with AVN in the short term.
The HIMP, SHIMP, and DHI score were assessed in 20 patients with AVN before (T) and after treatment (T). We collected the following indicators: T, T-HIMP VOR gain; T, T-SHIMP VOR gain; the percentage of the anti-compensatory saccades of T-SHIMP and T-SHIMP on the affected side; T-DHI score, T-DHI score; and efficacy index (EI). The correlation between HIMP and SHIMP parameters with the DHI score and EI was analyzed, and the factors that affect the recovery of patients with AVN were assessed.
T-SHIMP anti-compensatory saccades (%),T-SHIMP VOR gain, and T-SHIMP anti-compensatory saccades (%) were significantly correlated with the corresponding DHI score and EI (P < 0.05). T, T-HIMP VOR gain and T-SHIMP VOR gain had no correlation with the corresponding DHI score and EI (P > 0.05). T-SHIMP anti-compensatory saccades (%) significantly affect EI (P < 0.05).
Both HIMP and SHIMP can assess the current vestibular function and recovery of AVN patients, but SHIMP can more accurately reflect the degree of subjective vertigo. At the same time, T-SHIMP anti-compensatory saccades (%) can be used as a good index to evaluate the short-term recovery of AVN patients.
本研究旨在通过观察急性前庭神经炎（AVN）患者的甩头试验（HIMP）和抑制性甩头试验（SHIMP）结果，比较治疗前后眩晕残障量表（DHI）评分，探讨HIMP、SHIMP 与 DHI 评分的相关性，并分析影响 AVN 短期恢复的因素。
对 20 例 AVN 患者在治疗前后（T 期和 T 期）进行 HIMP、SHIMP 和 DHI 评分。收集以下指标：T 期和 T 期 HIMP 眼震增益（VOR）；T 期和 T 期 SHIMP VOR 增益；T 期 SHIMP 对侧抑制性扫视的百分比（%）；T 期和 T 期 DHI 评分；疗效指数（EI）。分析 HIMP 和 SHIMP 参数与 DHI 评分和 EI 的相关性，并评估影响 AVN 患者恢复的因素。
T 期 SHIMP 抑制性扫视（%）、T 期 SHIMP VOR 增益和 T 期 SHIMP 抑制性扫视（%）与相应的 DHI 评分和 EI 显著相关（P<0.05）。T 期、T 期 HIMP VOR 增益和 T 期 SHIMP VOR 增益与相应的 DHI 评分和 EI 无相关性（P>0.05）。T 期 SHIMP 抑制性扫视（%）显著影响 EI（P<0.05）。
HIMP 和 SHIMP 均可评估 AVN 患者当前的前庭功能和恢复情况，但 SHIMP 能更准确地反映主观眩晕程度。同时，T 期 SHIMP 抑制性扫视（%）可作为评估 AVN 患者短期恢复的良好指标。
