在患有头和平衡障碍的人中感知方向感
Fai A Alradady1, Pamela M Dunlap1, Patrick J Sparto1
1Department of Physical Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
Journal of vestibular research : equilibrium & orientation
|October 30, 2025
概括
患有头和平衡障碍的患者在症状出现后报告方向感 (SOD) 更差. 这项研究使用圣巴巴拉方向感量表 (SBSOD) 随着时间的推移跟踪了SOD.
科学领域:
- 垂体神经科学 垂体神经科学
- 人类的方向和导航.
- 临床心理学 临床心理学
背景情况:
- 静脉管功能障碍通常会影响患者的方向感 (SOD).
- 在患有头和平衡障碍的个体中量化自我感知SOD变化对于理解其功能影响至关重要.
研究的目的:
- 用圣塔巴巴拉方向感量表 (SBSOD) 来评估自我感知方向感 (SOD) 的变化,用于患有头和平衡障碍的人.
- 调查自我感知SOD与头障碍清单 (DHI),活动特定平衡信心 (ABC) 尺度和步行失向测试 (GDT) 之间的相关性.
主要方法:
- 一项前性队列研究,涉及56名患有头和平衡障碍的参与者.
- 参与者在三个时间点完成了SBSOD:回忆前,初始评估 (SBSOD-Eval) 和3个月后评估 (SBSOD-3M).
- 基线评估包括头障碍目录 (DHI),活动特定平衡信心 (ABC) 尺度和步行失向测试 (GDT),数据分析使用重复测量ANOVA和斯皮尔曼相关性.
主要成果:
- 平均SBSOD分数从头前 (4.8) 到评估 (4.6) 和评估后3个月 (4.5) 降低,在头前和两个后期时间点 (分别p = .03和p = .02) 之间发现了显著差异.
- SBSOD-Eval显示了与DHI总得分的显著负相关性 (r = -0.3,p = .019) 和与ABC得分的显著正相关性 (r = 0.4,p < .001).
- 在SBSOD-Eval和步行失向测试 (GDT) 之间没有发现显著的相关性.
结论:
- 患有头和平衡障碍的人通常在症状出现后报告他们的方向感下降.
- 较高的自我感知方向感 (更好的SBSOD分数) 与较低的感知残疾 (较低的DHI分数) 和更高的平衡信心 (更高的ABC分数) 相关.
- 这些发现突出了前庭功能障碍对空间定向和功能能力的影响.
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