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儿童从 0 岁到 12 岁的前庭评估:综合回顾。

Vestibular assessment in children aged zero to twelve years: an integrative review.

机构信息

Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.

Universidade Federal de Pernambuco (UFPE), Curso de Fonoaudiologia, Recife, PE, Brazil.

出版信息

Braz J Otorhinolaryngol. 2022 Nov-Dec;88 Suppl 3(Suppl 3):S212-S224. doi: 10.1016/j.bjorl.2022.09.006. Epub 2022 Oct 14.

DOI:10.1016/j.bjorl.2022.09.006
PMID:36347786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9761112/
Abstract

OBJECTIVE

To describe the main vestibular assessment tests performed in children aged zero to twelve years and the main causes of referral for vestibular assessment.

METHODS

The review was guided by the following question: What are the main vestibular assessment tests performed in children aged zero to twelve years and the main causes of referral for vestibular assessment? The PVO strategy was used, being defined as: Population (P) - newborns and children; study Variable (V) - causes of referral for vestibular assessment; study Outcome (O): the main vestibular assessment tests and the main findings. This study was carried out using the main available databases in the months of July, August and September 2021, with no restrictions regarding language and publication date, namely: PubMed, Web of Science, Scientific Electronic Library Online (SciELO), Latin-American and Caribbean Literature in Health Sciences (LILACS), ScienceDirect, Cochrane Library and Embase. The descriptors were obtained from the MeSH database: newborn, infant, child, children, vestibular screening, vestibular infant screening, vestibular newborn screening, test, vestibular function, vestibular function test.

RESULTS

A total of 7,078 studies were identified. After reading the titles and abstracts, 107 of them were selected, with 101 remaining after the exclusion of duplicates. After the full-text reading, 31 articles were included. It was observed that the most frequently used tests were: rotational tests, caloric stimulation and cervical vestibular evoked myogenic potential and the main causes of referral for vestibular evaluation were hearing loss and vestibular screening.

CONCLUSION

The main tests for vestibular screening and/or assessment of children aged zero to twelve years are the rotary chair testing, caloric stimulation and cervical-vestibular evoked myogenic potential. Consequently, performing these procedures is extremely important, since the presence of vestibular dysfunction is quite common in the studied population.

摘要

目的

描述 0 至 12 岁儿童中进行的主要前庭评估测试以及前庭评估转介的主要原因。

方法

本综述的问题如下:0 至 12 岁儿童中进行的主要前庭评估测试以及前庭评估转介的主要原因是什么?采用 PVO 策略,定义为:人群(P)-新生儿和儿童;研究变量(V)-前庭评估转介的原因;研究结果(O):主要的前庭评估测试和主要发现。本研究于 2021 年 7 月、8 月和 9 月使用主要的现有数据库进行,不限制语言和出版日期,包括:PubMed、Web of Science、科学电子图书馆在线(SciELO)、拉丁美洲和加勒比健康科学文献(LILACS)、ScienceDirect、Cochrane 图书馆和 Embase。从 MeSH 数据库中获得描述符:新生儿、婴儿、儿童、儿童、前庭筛查、婴儿前庭筛查、新生儿前庭筛查、测试、前庭功能、前庭功能测试。

结果

共确定了 7078 项研究。在阅读标题和摘要后,选择了 107 项,排除重复项后,其中 101 项仍保留。在全文阅读后,共纳入 31 篇文章。观察到最常使用的测试是:旋转测试、冷热刺激和颈源性前庭诱发肌源性电位,前庭评估转介的主要原因是听力损失和前庭筛查。

结论

0 至 12 岁儿童的前庭筛查和/或评估的主要测试是转椅测试、冷热刺激和颈源性前庭诱发肌源性电位。因此,进行这些程序非常重要,因为在研究人群中,前庭功能障碍的存在相当常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6108/9761112/4718460fb157/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6108/9761112/4718460fb157/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6108/9761112/4718460fb157/gr1.jpg

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Methodological aspects of testing vestibular evoked myogenic potentials in infants at universal hearing screening program.在普遍听力筛查计划中测试婴儿前庭诱发肌源性电位的方法学方面。
Sci Rep. 2019 Nov 21;9(1):17225. doi: 10.1038/s41598-019-53143-z.
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