Sensory interaction posturography in patients with benign paroxysmal positional vertigo.
Sensory interaction posturography in patients with benign paroxysmal positional vertigo.
复制标题
良性阵发性位置性眩晕患者的感觉相互作用姿势描记法。
DOI：
10.1111/j.1365-2273.1993.tb00836.x
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
M. Norré
中科院分区：
文献类型：
--
作者：
M. Norré
良性阵发性位置性眩晕是一种非常常见的外周前庭障碍。功能障碍主要表现为眩晕和典型的眼球震颤。然而，前庭脊髓反射（VSR）也会受到干扰。这可以通过SPGIII（静态姿势测量III型）来证明，这是一种平台技术，以与equi测试相当的方式评估“感觉相互作用”。一半的BPPV患者表现出不正常的姿势测量结果。通过干扰视觉和/或本体感觉的感官输入，可以评估每种输入的单独贡献。我们看到了不同的“公式”，从完全正常的结果，到“整体”公式，即在所有测试条件下的无差别影响，再到具体的公式，我们发现了“闭眼”和“头向后弯曲”效应以及所谓的“前庭公式”。这些公式表达了不同程度的补偿，特别是视觉和本体感觉的“替代”补偿。这些结果证实，体位照相不能提供典型的结果模式，因此不能仅通过它来诊断外周前庭功能障碍的类型。结果提供了如何站立位置的功能信息，以实现这些患者的干扰vsr输入。这几个公式确实证明了不同的代偿模式是可能的，正如前庭代偿实验所显示的那样。
BPPV (benign paroxysmal positional vertigo) is a very common peripheral vestibular disturbance. The dysfunction becomes manifest mainly by vertigo and typical nystagmus. However, the vestibulospinal reflex (VSR) can also be disturbed. This can be shown by the SPGIII (static posturography type III), which is a platform technique evaluating 'sensory interaction' in a way comparable to that of the Equi-test. Half the patients with BPPV show disturbed posturographic results. By interfering with the sensory input of vision and/or proprioception, the separate contribution of each input can be evaluated. Different 'formulae' are seen, from complete normal results, through 'overall' formulae, i.e. an undifferentiated influence in all test-conditions, to specific formulae, where we find 'eye-closure' and 'head retroflexed'-effect and so-called 'vestibular formulae'. These formulae are an expression of the different degrees of compensation achieved by the centres and especially of the 'substituting' compensation by vision and proprioception. These results confirm that posturography does not provide a typical results-pattern, thus the type of peripheral vestibular disorder cannot be diagnosed by it alone. The results give functional information on how the standing position is achieved in these patients with a disturbed VSR-input. The several formulae prove that indeed different compensatory patterns are possible, as has been shown by experiments on vestibular compensation.