Vestibular and balance function in veterans with chronic dizziness associated with mild traumatic brain injury and blast exposure.
Vestibular and balance function in veterans with chronic dizziness associated with mild traumatic brain injury and blast exposure.
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DOI：
10.3389/fneur.2022.930389
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发表时间：
2022
影响因子：
3.4
通讯作者：
中科院分区：
文献类型：
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作者：
本研究的目的是检查与mTBI/blast相关的慢性头晕患者的前庭和平衡功能。采用前瞻性病例对照研究设计，对mTBI或爆炸暴露后出现头晕和/或失衡症状的退伍军人（n = 77）和健康对照组（n = 32）的眼运动、前庭功能和姿势稳定性进行研究。在跳眼准确度、0.01 Hz慢谐波加速时的VOR增益、颈前庭诱发肌电位不对称比、感觉组织测试综合平衡评分、动态步态指数总分和步态方面，组间差异均有统计学意义。mTBI/blast患者在前庭、眼运动和平衡/步态测试中的测试异常频率从0到70%不等，其中最常见的异常发生在平衡和步态功能测试中。72%的mTBI/blast参与者在一项或多项平衡和步态测试中发现异常。约34%的慢性头晕和mTBI/blast患者出现前庭测试异常，耳石器官功能测量（cemp为25%，oVEMP为18%）的异常发生率高于hSCC功能测量（SHA为8%，热量测试为6%）。mTBI/blast组中有18%出现眼运动功能异常。这些发现支持了对mTBI/爆炸相关损伤后眩晕个体进行全面前庭和平衡评估的必要性。
The purpose of this study was to examine vestibular and balance function in individuals with chronic dizziness associated with mTBI/blast. A prospective case-control study design was used to examine ocular motor, vestibular function, and postural stability in veterans with symptoms of dizziness and/or imbalance following an mTBI or blast exposure (n = 77) and a healthy control group (n = 32). Significant group differences were observed for saccadic accuracy, VOR gain during slow harmonic acceleration at 0.01 Hz, cervical vestibular evoked myogenic potentials asymmetry ratio, composite equilibrium score on the sensory organization test, total Dynamic Gait Index score, and gait. The frequency of test abnormalities in participants with mTBI/blast ranged from 0 to 70% across vestibular, ocular motor, and balance/gait testing, with the most frequent abnormalities occurring on tests of balance and gait function. Seventy-two percent of the mTBI/blast participants had abnormal findings on one or more of the balance and gait tests. Vestibular test abnormalities occurred in ~34% of the individuals with chronic dizziness and mTBI/blast, and abnormalities occurred more frequently for measures of otolith organ function (25% for cVEMP and 18% for oVEMP) than for measures of hSCC function (8% for SHA and 6% for caloric test). Abnormal ocular motor function occurred in 18% of the mTBI/blast group. These findings support the need for comprehensive vestibular and balance assessment in individuals with dizziness following mTBI/blast-related injury.
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影响因子：
1.4
作者：
Cochrane, Graham D.;Christy, Jennifer B.;Weise, Katherine K.
通讯作者：
Weise, Katherine K.
影响因子：
2.6
作者：
Chan, Fung M.;Galatioto, Jessica;Kim, Ana H.
通讯作者：
Kim, Ana H.
影响因子：
1.8
作者：
Fortenbaugh FC;Gustafson JA;Fonda JR;Fortier CB;Milberg WP;McGlinchey RE
通讯作者：
McGlinchey RE
影响因子：
2.4
作者：
Hebert, Jeffrey R.;Forster, Jeri E.;Brenner, Lisa A.
通讯作者：
Brenner, Lisa A.
DOI：
10.1001/archotol.134.10.1099
发表时间：
2008-10-01
影响因子：
--
作者：
Hsu, Wei-Chung;Wang, Jung-Der;Young, Yi-Ho
通讯作者：
Young, Yi-Ho