Agreement between functional and electrophysiologic measures in patients with unilateral peripheral vestibular system impairment.
Agreement between functional and electrophysiologic measures in patients with unilateral peripheral vestibular system impairment.
复制标题
单侧周围前庭系统损伤患者的功能和电生理测量之间的一致性。
DOI：
10.1055/s-0040-1715733
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发表时间：
2003
影响因子：
1.2
通讯作者：
D. McCaslin
中科院分区：
文献类型：
--
作者：
G. Jacobson;D. McCaslin
这项调查的目的是确定代偿性和非代偿性单侧外周前庭系统损伤的“基于生理学”的定义与自我感知的头晕残疾/障碍的“功能性”测量之间是否一致。对亨利福特医院平衡功能实验室 4 年期间评估的 122 名患者获得的数据进行了回顾性分析。将眼震电图和旋转测试数据制成表格。此外，还将头晕残疾/障碍的自我报告测量结果制成表格。患者被分为四组，一组代表正常的前庭测量测试结果，一组代表代偿性单侧外周前庭系统损伤，两组代表未代偿的单侧外周前庭系统损伤程度不断增加。自我报告测量的总分和分量表分数作为因变量。结果显示生理测量和功能测量之间缺乏一致性。我们将这些发现解释为证据，表明前庭系统代偿的半客观证据以外的因素可能会影响单侧周围前庭系统损伤后的功能恢复。
This investigation was conducted to determine whether there was congruence between "physiology-based" definitions of compensated and uncompensated unilateral peripheral vestibular system impairment and "functional" measures of self-perceived dizziness disability/handicap. A retrospective analysis was performed on data obtained from 122 patients evaluated in the Balance Function Laboratory at Henry Ford Hospital over a 4-year period. Both electronystagmography and rotational test data were tabulated. Additionally, results of a self-report measure of dizziness disability/handicap were tabulated. Patients were placed into four groups, with one group representing normal vestibulometric test results, one group representing compensated unilateral peripheral vestibular system impairment, and two groups representing increasing magnitudes of uncompensated unilateral peripheral vestibular system impairment. The total and subscale scores on the self-report measure served as the dependent variable. Results showed a lack of congruence between the physiologic and functional measures. We interpret these findings as evidence that factors other than semiobjective evidence of vestibular system compensation probably impact functional recovery following unilateral peripheral vestibular system impairment.