Li Yue, Zhang Qin, Ma Xiaobao, Shen Jiali, Jin Yulian, Chen Xiangping, Yang Jun, Chen Jianyong
Department of Otorhinolaryngology-Head & Neck Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine;Shanghai Jiaotong University School of Medicine Ear Institute;Shanghai Key Laboratory of Translational Medicine on Ear and Nose diseases,Shanghai,200092,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Sep;36(9):665-669. doi: 10.13201/j.issn.2096-7993.2022.09.003.
To investigate the effect of different rotations modes of control rod on testing results of the subjective visual vertical (SVV). Twenty-four normal young volunteers were selected for this study, and the control rod of SVV was rotated in clockwise, counterclockwise and any direction at the head tilt-positions of 0°, 45° left and 45° right. The differences of SVV deflection angle values at different rotation modes were analyzed. ①The deviation angle values of SVV obtained by rotating the control rod in clockwise, counterclockwise and any direction at the head tilt-positions of 0° were 1.56°±0.21°, 3.05°±0.24°, and 2.16°±0.22°, respectively,and the difference was statistically significant (<0.05),the deviation angle value of SVV in clockwise direction was smaller; ②At head tilt-positions of 45° left, the SVV deviation angle values obtained by rotating the control rod in three rotation modes were 2.59°±0.53°, 4.03°±0.51°, and 3.49°±0.54°, respectively, and the difference was statistically significant(<0.05),the deviation angle value in the clockwise direction was also smaller; ③At the head tilt-positions of 45° right, the SVV deviation angle values in three modes were 4.68°±0.58°, 7.23°±0.72°, and 5.93°±0.96°, respectively, and the difference was statistically significant (<0.05),the deviation value of SVV was also smaller when rotated in the clockwise direction; ④Comparison of SVV deviation angle values in three rotation modes at the head tilt-positions of 45° left and 45° right showed that there was no statistical difference in clockwise and in any direction (>0.05), while the difference was statistically significant when rotated in the counterclockwise direction (<0.05). Different rotation modes of the control rod during SVV testing will affect the test results. Rotating the control rod in clockwise direction to make the SVV values more accurate is recommended.
为研究控制杆不同旋转模式对主观视觉垂直(SVV)测试结果的影响。选取24名正常青年志愿者进行本研究,在头部倾斜0°、向左45°和向右45°位置时,将SVV的控制杆分别按顺时针、逆时针和任意方向旋转,分析不同旋转模式下SVV偏转角值的差异。①在头部倾斜0°位置时,控制杆按顺时针、逆时针和任意方向旋转得到的SVV偏差角值分别为1.56°±0.21°、3.05°±0.24°和2.16°±0.22°,差异有统计学意义(<0.05),顺时针方向的SVV偏差角值较小;②在头部向左倾斜45°位置时,控制杆在三种旋转模式下得到的SVV偏差角值分别为2.59°±0.53°、4.03°±0.51°和3.49°±0.54°,差异有统计学意义(<0.05),顺时针方向的偏差角值也较小;③在头部向右倾斜45°位置时,三种模式下的SVV偏差角值分别为4.68°±0.58°、7.23°±0.72°和5.93°±0.96°,差异有统计学意义(<0.05),顺时针方向旋转时SVV的偏差值也较小;④在头部向左和向右倾斜45°位置时,三种旋转模式下SVV偏差角值的比较显示,顺时针和任意方向旋转时差异无统计学意义(>0.05),而逆时针方向旋转时差异有统计学意义(<0.05)。SVV测试过程中控制杆的不同旋转模式会影响测试结果。建议顺时针旋转控制杆以使SVV值更准确。