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听觉与平衡的相互作用。

Interaction of Hearing and Balance.

机构信息

Universitätsklinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, Martin-Luther-Universität Halle-Wittenberg, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.

出版信息

Laryngorhinootologie. 2023 May;102(S 01):S35-S49. doi: 10.1055/a-1960-4641. Epub 2023 May 2.

Abstract

There is increasingly assumed that, in addition to visual, vestibular and somatosensory afferents, hearing also plays a role in the regulation of balance. It seems that, especially in old age, progressive hearing loss is associated with a decrease in postural control. Several studies investigated this relationship in normal-hearing people, in patients with conventional hearing aids and with implantable hearing systems, as well as in patients with vestibular disorders. Despite the inhomogeneous study situation and lack of evidence, hearing seems to interact with the balance regulation system with potentially stabilizing effect. Furthermore, insights into audiovestibular interaction mechanisms could be achieved, which could possibly be integrated into therapeutic concepts of patients with vestibular disorders. However, further prospective controlled studies are necessary to bring this issue to an evidence-based level.

摘要

人们越来越认为,除了视觉、前庭和躯体感觉传入,听觉在平衡调节中也起着作用。似乎特别是在老年,进行性听力损失与姿势控制能力下降有关。一些研究调查了正常听力人群、使用传统助听器和植入式听力系统的患者以及前庭疾病患者的这种关系。尽管研究情况存在差异且缺乏证据,但听觉似乎与平衡调节系统相互作用,具有潜在的稳定作用。此外,还可以深入了解听觉-前庭相互作用机制,将其可能整合到前庭疾病患者的治疗概念中。然而,需要进一步进行前瞻性对照研究,才能使这一问题达到基于证据的水平。

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