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评估运动病患者在视动和旋转刺激下的功能性头脉冲试验(fHIT)的效果。

Evaluation of effects of optokinetic and rotational stimuli with functional head impulse test (fHIT) in individuals with motion sickness.

机构信息

Department of Audiology, University of Health Sciences, Ankara, Turkey.

Department of Ear Nose Throat, Faculty of Medicine, University of Health Sciences, Ankara, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2023 Jul;280(7):3149-3156. doi: 10.1007/s00405-023-07819-y. Epub 2023 Jan 14.

Abstract

OBJECTIVES

To evaluate effects of optokinetic and rotational stimulus in individuals with and without motion sickness (MS) using fHIT.

METHODS

The study included subjects aged 18-40; 35 subjects with MS for MS group and 35 subjects without vertigo for control group. Percentage of the correct answer (% CA) with and without optokinetic stimulus (o-fHIT) in the frontal plane in the fHIT test was compared in both groups. In addition, both group subjects were seated on an ordinary rotating office chair. % CA was compared between groups by applying rotational fHIT (r-fHIT) test after the subjects were rotated randomly to the right and left and also simultaneously moved their heads in the vertical plane.

RESULTS

There was no significant difference in % CA in fHIT o-fHIT and r-fHIT in the control group. Both groups showed a significant difference in % CA for fHIT, o-fHIT, and r-fHIT for all SCCs (p < 0.05).

CONCLUSIONS

Since individuals with MS are affected by optokinetic and rotational stimuli, fHIT performed after these stimuli can be used as an objective confirming test for diagnosing MS.

摘要

目的

使用 fHIT 评估有和无运动病(MS)个体对视觉运动刺激和旋转刺激的反应。

方法

本研究纳入年龄在 18-40 岁的受试者;35 名有 MS 的受试者为 MS 组,35 名无眩晕的受试者为对照组。比较两组 fHIT 测试中额状面有无视动刺激(o-fHIT)时的正确答案百分比(% CA)。此外,两组受试者均坐在普通旋转办公椅上。在受试者随机向右侧和左侧旋转并同时在垂直平面内移动头部后,通过应用旋转 fHIT(r-fHIT)测试,比较两组之间的% CA。

结果

对照组在 fHIT o-fHIT 和 r-fHIT 中的% CA 无显著差异。两组在所有 SCC 中,fHIT、o-fHIT 和 r-fHIT 的% CA 均有显著差异(p<0.05)。

结论

由于 MS 个体受到视动和旋转刺激的影响,因此这些刺激后的 fHIT 可作为诊断 MS 的客观确认测试。

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