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年龄对健康成年人使用750赫兹短纯音刺激时颈前庭诱发肌源性电位和眼前庭诱发肌源性电位的影响。

Effects of Age on Cervical Vestibular Evoked Myogenic Potentials and Ocular Vestibular Evoked Myogenic Potentials Using 750 Hz Tone Burst Stimuli among Healthy Adults.

作者信息

Sayed Sharifah Zainon, Abdul Wahat Nor Haniza

机构信息

Audiology Program, Centre for Rehabilitation and Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

出版信息

Malays J Med Sci. 2022 Aug;29(4):53-64. doi: 10.21315/mjms2022.29.4.6. Epub 2022 Aug 29.

Abstract

BACKGROUND

The vestibular evoked myogenic potentials (VEMPs) response characteristics depend on age, stimulus and individual anatomical differences. Therefore, normative data are required for accurate VEMPs interpretations. This cross-sectional study investigates VEMPs age-related changes among healthy adults using 750 Hz short alternating tone burst (TB) stimuli.

METHODS

Fifty adults aged between 23 years old and 76 years old with a mean of 51.56 (SD = 16.44) years old underwent air-conducted (AC) cervical VEMP (cVEMP) and head taps ocular VEMPs (oVEMPs) testing.

RESULTS

The cVEMPs and oVEMPs response rates reduced significantly at the age of 50-year-old and above. No significant age trends were observed for both cVEMPs and oVEMPs latencies and asymmetry ratios. However, amplitude reduced with increasing age for both cVEMPs, < 0.001 and oVEMPs, = 0.01. No significant differences in cVEMPs and oVEMPs latencies, amplitude or asymmetry ratios were identified between gender.

CONCLUSION

To the best of our knowledge, this is the first published normative data for cVEMPs and oVEMPS in Malaysia and Southeast Asia, obtained among healthy adults aged between 23 years old and 76 years old. Health professionals in the region can use these findings as VEMPs normative references in their clinical settings.

摘要

背景

前庭诱发肌源性电位(VEMPs)的反应特征取决于年龄、刺激和个体解剖差异。因此,准确解读VEMPs需要规范数据。本横断面研究使用750 Hz短纯音交替刺激(TB),调查健康成年人中VEMPs与年龄相关的变化。

方法

50名年龄在23岁至76岁之间、平均年龄为51.56岁(标准差 = 16.44)的成年人接受了气导(AC)颈肌前庭诱发肌源性电位(cVEMP)和头部轻拍眼肌前庭诱发肌源性电位(oVEMP)测试。

结果

cVEMP和oVEMP的反应率在50岁及以上时显著降低。cVEMP和oVEMP的潜伏期及不对称率均未观察到显著的年龄趋势。然而,cVEMP(P < 0.001)和oVEMP(P = 0.01)的波幅均随年龄增长而降低。性别之间的cVEMP和oVEMP潜伏期、波幅或不对称率均未发现显著差异。

结论

据我们所知,这是马来西亚和东南亚首次发表的关于23岁至76岁健康成年人cVEMP和oVEMP的规范数据。该地区的卫生专业人员可将这些研究结果作为其临床环境中VEMPs的规范参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae81/9438855/6d8946769e1f/06mjms2904_oaf1.jpg

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