椎脊柱亲感和前庭/眼运动功能:一项观察性研究,比较有和没有脑震荡史的年轻成年人
Katherine L Smulligan1, Patrick Carry1, Andrew C Smith2
1Department of Orthopedics, University of Colorado School of Medicine, Aurora, CO, USA; Sports Medicine Center, Children's Hospital of Colorado, Aurora, CO, USA.
概括
脑震荡史与持续的头,前庭/眼运动问题以及部脊柱 proprioception 损伤有关,即使是多年后. 这些发现强调了需要进行全面评估,以指导患者特定的脑震荡恢复策略.
科学领域:
- 神经科学是一个神经科学.
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 脑震荡会导致持续的症状,影响日常生活.
- 垂体和眼运动系统,以及椎脊柱亲感,对于平衡和协调至关重要.
- 脑震荡对这些系统的长期影响需要进一步调查.
研究的目的:
- 为了比较头,前体/眼运动症状和椎脊柱亲感在有和没有脑震荡史的成年人.
- 为了探索这些症状与脑震荡病史患者自身感知缺陷之间的关系.
主要方法:
- 招募了18-40岁的成年人,有或没有脑震荡史.
- 参与者完成了头障碍清单 (DHI),视觉前体检 (VVE) 和头部重新定位精度 (HRA) 测试.
- 线性回归模型分析了脑震荡史和结果之间的关联,以及脑震荡组中DHI,HRA和VVE之间的关联.
主要成果:
- 与对照组相比,有脑震荡病史的个体表现出明显更糟糕的HRA,更积极的VVE子测试,以及更高的DHI得分.
- 在脑震荡组中,阳性VVE子测试的数量与DHI得分有很强的相关性.
- 在脑震荡组中,HRA错误与DHI得分没有显著的关联.
结论:
- 静脉/眼运动功能障碍和椎脊柱 proprioception 障碍可能在脑震荡后持续数年.
- 这些慢性损伤强调了评估头,前庭/眼运动功能以及脑震荡后椎自觉的重要性.
- 建议针对患者进行量身定制的治疗,以解决这些持续的缺陷,以改善恢复.
相关概念视频
01:29The Vestibular System
39.5K
The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
39.5K
01:28Major Somatic Sensory Pathways
934
Sensory impulses related to touch, pressure, vibration, and proprioception from various body parts, such as the limbs, trunk, neck, and posterior head, travel to the cerebral cortex through the posterior column-medial lemniscus pathway. The pathway’s name derives from the two white-matter tracts that convey the impulses: the spinal cord's posterior column and the brainstem's medial lemniscus. First-order sensory neurons extend their axons into the spinal cord, forming the...
934
01:15Equilibrium and Balance
4.6K
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
4.6K