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头部摇摆模式可以区分患有梅尼尔病的患者与外围前庭功能下降?

Jennifer L Kelly^1,2, Maura Cosetti^1,2, Anat V Lubetzky³

¹Ear Institute, New York Eye and Ear Infirmary of Mount Sinai, New York, NY, United States.

Frontiers in neurology

|March 15, 2024

概括

头部安装显示器 (HMD) 技术通过测量头部摆动来有效地识别前庭缺陷功能 (VH). 然而,这项试点研究发现头部摇摆并没有显著区分Meniere.

科学领域:

静脉系统疾病静脉系统疾病
姿势控制评估评估姿势控制评估
装在头部的显示器 (HMD) 技术

背景情况:

梅尼尔氏病 (Meniere's disease,简称MD) 呈现出偶发性,听力损失和耳,由于症状变化,造成诊断挑战.
客观诊断测试对MD有价值,而HMD的头部动力学显示出对前置功能障碍的敏感性.
这项研究探讨了HMD衍生的头部摆动,以区分MD,前置功能缺陷 (VH) 和健康对照.

研究的目的:

调查使用HMD进行头部摇摆测量的实用性,以区分患有Meniere病 (MD),前庭功能缺陷 (VH) 和健康个体的患者.
在不同的视觉条件下,评估头部摇摆参数对前庭缺陷的敏感性.

主要方法:

80名成年人 (30名对照组,32名VH,18名MD) 使用HTC Vive Pro Eye HMD进行了姿势控制评估.
在静态和动态视觉负载条件下,记录了前后,中侧,俯仰,偏斜和滚动方向的头部摆动.
头部摇摆的根平均平方速度 (VRMS) 在20秒和60秒间隔内得到量化.

主要成果:

患有VH的参与者在静态和动态视觉条件下,在多个方向的头部VRMS显著高于对照组.
在MD患者和对照组或VH组之间没有观察到头部摇摆的显著差异.
患有多发性硬化症的患者表现出头部摇摆的高变化,平均值在对照组和VH参与者之间有所下降.

结论:

用HMD测量的头部摆动对前庭功能缺陷 (VH) 很敏感,并显示出作为体位控制中感官集成的临床结果测量潜力.
需要进一步研究更大的样本大小,并考虑症状严重程度,以确定HMD衍生的头部摆动是否可以可靠地诊断Meniere病 (MD).
在不同测试持续时间的可移植性和一致的发现表明,临床内HMD评估的可行性.

关键词:

梅尼尔氏病是梅尼尔氏病的一种疾病.这是一个平衡的平衡,平衡的平衡.头部动力学头部动力学姿势控制姿势控制前体障碍在前体障碍.在前庭功能缺陷.

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