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驾驶员中耳导诱发眼前庭诱发肌源性电位的最佳反应

Optimum Response of Air-conduction Induced Ocular Vestibular Evoked Myogenic Potential in Drivers.

作者信息

Dhanesh Ramani, Praveena Jayakumar

机构信息

School of Allied Health Sciences, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.

Department of Audiology and Speech Language Pathology, SRM Medical College Hospital and Research Center, SRM Institute of Science and Technology, SRM Nagar, Chengalpattu, Tamil Nadu, India.

出版信息

Indian J Occup Environ Med. 2022 Jan-Mar;26(1):16-20. doi: 10.4103/ijoem.ijoem_287_21. Epub 2022 Apr 7.

Abstract

CONTEXT

During driving, the plane of movement in drivers is horizontal. Hence, utricles and vestibulo-ocular reflex (VOR) pathway are over stimulated. The ocular vestibular evoked myogenic potential (oVEMP) is utilized to evaluate the function of utricle and VOR pathway.

AIM

This study aimed to assess the function of utricle and VOR using oVEMP among the drivers and compare it with non-professional drivers.

STUDY DESIGN

Comparative cross-sectional study.

METHODS

A total of 30 non-professional drivers and 30 professional drivers between ages of 18 and 45 years were evaluated in this study. Drivers with minimum of 5 years driving experience and minimum 3 h of driving per day were included. The oVEMPs were recorded for all the participants using alternating polarity 500 Hz tone bursts stimuli.

STATISTICAL ANALYSIS

To calculate mean and standard deviation for all the groups, descriptive statistics was used and for group comparisons Independent -test, Analysis of Variance, and Mann-Whitney U test were used.

RESULTS

The oVEMP of professional drivers exhibited significant delay in peak latency of N1 and P1 than those of non-professional drivers. Significant delay in P1 latency and reduced peak amplitudes were observed in professional drivers with greater than 10 years of experience on comparison with drivers less than 10 years of experience.

CONCLUSIONS

Current study opens a new research in understanding the effect of over-stimulation of vestibular system in drivers. Driving for longer period may have effect on latency and amplitude parameters of oVEMP.

摘要

背景

在驾驶过程中,驾驶员的运动平面是水平的。因此,椭圆囊和前庭眼反射(VOR)通路受到过度刺激。眼前庭诱发肌源性电位(oVEMP)用于评估椭圆囊和VOR通路的功能。

目的

本研究旨在使用oVEMP评估驾驶员椭圆囊和VOR的功能,并将其与非职业驾驶员进行比较。

研究设计

比较性横断面研究。

方法

本研究共评估了30名年龄在18至45岁之间的非职业驾驶员和30名职业驾驶员。纳入的驾驶员需有至少5年驾驶经验且每天至少驾驶3小时。使用交替极性500Hz短音刺激为所有参与者记录oVEMP。

统计分析

使用描述性统计计算所有组的均值和标准差,使用独立样本t检验、方差分析和曼-惠特尼U检验进行组间比较。

结果

职业驾驶员的oVEMP在N1和P1的峰潜伏期上比非职业驾驶员有显著延迟。与驾驶经验少于10年的驾驶员相比,驾驶经验超过10年的职业驾驶员在P1潜伏期有显著延迟且峰值幅度降低。

结论

当前研究为理解驾驶员前庭系统过度刺激的影响开辟了新的研究方向。长时间驾驶可能会对oVEMP的潜伏期和幅度参数产生影响。

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