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健康个体中短纯音诱发的500Hz气导咬肌前庭诱发肌源性电位的重测信度

Test-Retest Reliability of Tone Burst-Induced 500 Hz Air-Conduction Masseter Vestibular Evoked Myogenic Potential in Healthy Individuals.

作者信息

Ramesh Keerthi, Thirunavukkarasu Kumaran, Alagendraraja Ramsankar Sujjuri

机构信息

Department of Audiology and Speech Language Pathology, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.

出版信息

J Audiol Otol. 2024 Oct;28(4):278-283. doi: 10.7874/jao.2023.00633. Epub 2024 Jul 9.

Abstract

BACKGROUND AND OBJECTIVES

Masseter vestibular evoked myogenic potential (mVEMP) is a newly developed tool which is used to assess the vestibulo-trigeminal neural and saccular functioning pathways. Recently, this test was added to a full test battery for evaluating the brainstem of people with neurological disorders and other vestibular diseases. For any test to qualify as a standard test, the test must have high reliability across all testing windows. Hence, the present study focused on validating the reliability of mVEMP in a large population.

SUBJECTS AND METHODS

The study included 50 healthy participants with normal hearing. All the participants were tested using mVEMP and underwent retest within a month after the initial test. All parameters (latencies, peak-to-peak amplitude, asymmetric ratio) were observed for both sessions. To determine the statistically significant differences between and across the sessions, non-parametric tests such as Mann-Whitney U and Wilcoxon signed-rank tests were used.

RESULTS

The test-retest reliability of all parameters were observed. The reliability was fair-to-good for P11 and N21 latencies. The other parameters showed less significance. There were no significant differences in sex and ear comparisons between and across the sessions.

CONCLUSIONS

Our study demonstrated that the mVEMP is a reliable test which can be used to assess peripheral vestibular system dysfunction and neurological conditions.

摘要

背景与目的

咬肌前庭诱发肌源性电位(mVEMP)是一种新开发的工具,用于评估前庭 - 三叉神经神经和球囊功能通路。最近,该测试被添加到用于评估神经系统疾病患者和其他前庭疾病患者脑干的完整测试组合中。对于任何一项测试要成为标准测试,该测试必须在所有测试窗口中都具有高可靠性。因此,本研究专注于在大量人群中验证mVEMP的可靠性。

受试者与方法

该研究纳入了50名听力正常的健康参与者。所有参与者均接受mVEMP测试,并在初次测试后一个月内进行重新测试。观察了两个测试阶段的所有参数(潜伏期、峰峰值幅度、不对称比率)。为了确定各测试阶段之间以及不同测试阶段的参数的统计学显著差异,使用了非参数检验,如曼 - 惠特尼U检验和威尔科克森符号秩检验。

结果

观察到所有参数的重测可靠性。P11和N21潜伏期的可靠性为中等至良好。其他参数的显著性较低。各测试阶段之间以及不同测试阶段的性别和耳朵比较均无显著差异。

结论

我们的研究表明,mVEMP是一种可靠的测试,可用于评估外周前庭系统功能障碍和神经系统状况。

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本文引用的文献

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Tone Burst Masseter Vestibular Evoked Myogenic Potentials: Normative Values and Test-Retest Reliability.
J Am Acad Audiol. 2021 May;32(5):308-314. doi: 10.1055/s-0041-1728718. Epub 2021 Jun 1.
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Vestibular Evoked Myogenic Potential (VEMP) Test-retest Reliability in Children.
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