用于定义水平视线的参数:系统审查
Féthi Laouissat1, Sonia Ramos-Pascual2, Ankitha Kumble2
1Clinique Trenel, Sainte-Colombe, France.
Global spine journal
|March 19, 2025
概括
这次系统性审查发现了18种衡量水平凝视的方法,但没有单一的标准存在. 目前的方法显示结果的变化,突出需要可靠的,标准化的测量临床使用.
科学领域:
- 眼科和视觉科学 眼科和视觉科学
- 生物力学和运动学.
- 医学成像和测量 医学成像和测量
背景情况:
- 准确测量水平视线对于诊断和管理影响头部和眼睛运动的各种神经和肌肉骨疾病至关重要.
- 目前用于量化水平视线的方法缺乏标准化,导致临床评估和研究中的潜在不一致性.
研究的目的:
- 系统地审查和总结可用于测量水平视线的可用参数.
- 在患者和无症状人群中报告这些参数的典型值.
- 评估已识别的水平视线测量技术的可靠性和观察者之间的变异性.
主要方法:
- 在Medline和Embase数据库中进行了全面的文献搜索,使用关键词"水平凝视"和"凝视线".
- 包括2015年至2023年间发表的关于水平视线参数的文章.
- 数据提取的重点是测量参数,它们在不同人群中的值,以及可靠性指标.
主要成果:
- 在包括的26项研究中,确定了18个不同的水平视线测量参数.
- 麦格雷戈的斜率,C0-C2角和下巴眉垂直角 (CBVA) 是最常见的参数.
- 虽然观察者之间的可靠性通常是很好或很好,但在不同研究中观察到无症状个体之间的测量有显著差异.
结论:
- 尽管确定了许多水平视线参数,但目前还没有明确的黄金标准.
- 在不同研究中观察到的测量变异性表明当前方法的临床相关性有局限性.
- 有必要开发和验证一个标准化,可靠的黄金标准水平视线测量,结合了解剖学地标,并提供了对补偿机制的见解.
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