Ersin Kerem, Şerbetçioğlu Mustafa Bülent, Öztürk Şeyma Tuğba, Yılmaz Oğuz
Department of Audiology, Istanbul Medipol University, Kavacik, Beykoz, 34810 İstanbul, Turkey.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4138-4143. doi: 10.1007/s12070-021-02867-4. Epub 2021 Sep 21.
The aim of this study was to investigate the effects of the somatosensory system on the vestibular system and the interconnected ways they work together to maintain balance. The study was conducted on 54 individuals (27 females and 27 males), aged between 18-25 years. vHIT as well as cVEMP tests were used to evaluate the participants. Tests were carried out while sitting, standing on firm surface and standing on foam respectively. According to the posterior vHIT results, there was a significant difference between VOR gains obtained while sitting and standing on firm surface in right side as well as on the left side ( < 0,01). Moreover, when VOR gains in standing on firm and standing on foam results were compared to each other, statistical significance was found right and left posterior canals ( < 0,05). Concerning the results obtained from VEMP, a statistically significant difference was seen in the comparison of P1-N1 amplitudes of the right side on firm surface and standing on foam ( < 0,01). When the inputs from somatosensorial system are disturbed, the parts of the vestibular system that are primarily affected are the posterior SSC, saccule and inferior vestibular nerve. This can be interpreted as the inferior vestibular nerve being more affected than the superior vestibular nerve when posture is disturbed due to somatosensory cues being unavailable or unstable.
本研究的目的是调查躯体感觉系统对前庭系统的影响,以及它们共同维持平衡的相互连接方式。该研究对54名年龄在18至25岁之间的个体(27名女性和27名男性)进行。采用视频头脉冲试验(vHIT)以及颈肌前庭诱发肌源性电位(cVEMP)测试来评估参与者。测试分别在坐着、站在坚实表面和站在泡沫上时进行。根据后向vHIT结果,右侧和左侧在坐着和站在坚实表面时获得的视动眼反射(VOR)增益之间存在显著差异(<0.01)。此外,当比较站在坚实表面和站在泡沫上时的VOR增益结果时,左右后半规管均发现有统计学意义(<0.05)。关于从VEMP获得的结果,在比较站在坚实表面和站在泡沫上时右侧的P1-N1波幅时,发现有统计学意义(<0.01)。当躯体感觉系统的输入受到干扰时,前庭系统中主要受影响的部分是后半规管、球囊和前庭下神经。这可以解释为,当由于躯体感觉线索不可用或不稳定而导致姿势受到干扰时,前庭下神经比前庭上神经受到的影响更大。