耳植入后患者的主观视觉垂直和姿势控制
Ondřej Čakrt1, Kryštof Slabý1, Klára Kučerová1
1Department of Rehabilitation and Sports Medicine, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
Journal of vestibular research : equilibrium & orientation
|August 14, 2023
概括
耳植入器 (CI) 患者在手术前表现出平衡障碍. 手术后,CI影响主观视觉垂直 (SVV) 感知,偏差与植入物侧相反,在两周内消失.
科学领域:
- 神经科学是一个神经科学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 静脉前腔系统 静脉前腔系统
背景情况:
- 耳植入器 (CI) 可以改变内耳组织病理学,并损害前庭功能.
- 了解手术前后平衡和空间感知的变化对于管理CI患者至关重要.
研究的目的:
- 与对照人群相比,评估CI候选人的术前空间感知和平衡.
- 评估耳植入后急性期的姿势图和主观视觉垂直 (SVV) 的术后变化.
主要方法:
- 使用静态体位图和SVV测量.
- 研究了39名CI患者和46名对照患者.
- 对CI患者进行了手术前,手术后的第二天 (D2) 和手术后的第14天 (D14) 的评估.
主要成果:
- 手术前的SVV在CI患者和对照人群之间没有差异.
- 在右侧和左侧植入患者之间在D2观察到SVV的显著差异 (p < 0.001),偏差与植入侧相反.
- 基线后泌尿图在各组之间有显著差异 (p < 0.05),但没有发现后泌尿图有显著的术后变化.
结论:
- CI候选人表现出先前存在的姿势控制缺陷.
- 耳植入急性影响SVV的感知,导致对侧偏差,在手术后两周内消失.
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