わが国の重心動揺計検査は,一般的にフォースプ レートの出力を 20 Hzでサンプリングするのが暗黙 の前提になっている。しかし 100 Hzサンプリング に比べて,外周面積の精度低下などいくつかの問題 がある。また諸外国で使用されるような解析を 加えようとすると,50 Hz~100 Hzサンプリングデ ータが必要になる。われわれは 100 Hzサンプリン グの検査を行いたく環境整備,解析ソフトの作成を 行ってきた。しかし 20 Hzサンプリングのように 基準値として参照できる報告がないので,実際 の診療では利用しにくかった。以上の理由により健 常成人365名の 100 Hzサンプリングデータの収集を 行った。これをもとに重心動揺検査の基本的な検査 項目の基準値案を提示する。 対象と方法 本研究は,ヘルシンキ宣言ならびに文部科学省・ 厚生労働省が定める「人を対象とする医学系研究に 関する倫理指針」などの倫理指針を遵守するととも に,研究内容を被験者に充分説明し内容に応じて書 面で同意を得た。また研究名称「重心動揺検査の精 度向上のための研究」として臨床・疫学研究に関す る富山大学倫理審査委員会の承認(臨29―155)のも とに行った。 重心動揺計はユニメック社(東京都府中市府中町 3―3―9)の UM-HSTBを使用した。データ解析 用ソフトウェアについては本学会誌で報告したよ うに,Microsoft Excelのブック形式で自作した。 フォースプレートの出力電圧を 100 Hzでコンピュ ータに取り込んだのちに,テキスト形式でエクセル シートに貼り付け,その後は自動で解析が行われ る。解析項目は,外周面積,実効値面積,矩形面 In order to set a draft reference value for clinical stabilometry by 100 Hz sampling, we collected and reported the data of 365 healthy subjects. The subjects were divided into 7 ten-year age groups, from the 20 s to the 70 s, and a group of over 80. As a draft reference value, we thought that it might be reasonable to use the mean ±2×standard deviation and the 95 th percentile/5 th percentile together. In this analysis, mixed gender data were used, as, based on the results of statistical analysis, we considered that the reference value could be used as a standard value for both men and women. 原 著
我国的重心动摇仪检测的隐含前提是，一般以20hz的四叉率输出进行采样。但与100hz采样相比，存在外周面积精度下降等几个问题。另外，如果要进行国外使用的分析，就需要50hz ~ 100hz采样器。我们制定了能够进行100hz采样器检测的环境，并制作了分析软件。但由于没有像20hz采样那样可以作为基准值参考的报告，所以在实际诊疗中很难使用。根据以上的理由进行了365名健康成人的100hz采样数据的收集。以此为基础提出重心动摇检查的基本检查项目的标准值方案。对象和方法本研究在遵守赫尔辛基宣言以及文部科学省·厚生劳动省制定的“有关以人为对象的医学研究的伦理指针”等伦理指针的同时，将研究内容向被实验者充分说明并根据内容写。在面上得到了同意。另外，作为研究名称“为了提高重心动摇检查的精细度的研究”，获得了富山大学关于临床、流行病学研究的伦理审查委员会的批准(29 - 155)。重心动摇计使用了unimec公司(东京都府中市府中町3-3-9)的UM-HSTB。数据分析用软件方面，如本学会杂志上报告的那样，采用微软Excel手册形式自制。将力板输出电压以100hz导入计算机后，以文本形式粘贴到excel表格中，之后自动进行分析。分析项目为外周面积、有效值面积、矩形面In order to set a draft reference value for clinical stabilometry by 100hzsampling,we collected and reported the data of 365 healthy subjects. the subjects were divided into 7ten-year age groups, from the 20s to the 70s, and a group of over 80. As a draft reference value，we thought that it might be reasonable to use the mean±2×standard deviation and the 95thpercentile/ 5th percentile together. In this analysis，混合gender data were used, as，based on the results of statistical analysis，we considered that the reference value could be used as a standard value for both men and women.原著
{"title":"Attempt to set the reference value for the clinical stabilometry with a sampling frequency of 100Hz","authors":"M. Asai, N. Ueda, H. Shojaku","doi":"10.3757/jser.80.167","DOIUrl":"https://doi.org/10.3757/jser.80.167","url":null,"abstract":"わが国の重心動揺計検査は,一般的にフォースプ レートの出力を 20 Hzでサンプリングするのが暗黙 の前提になっている。しかし 100 Hzサンプリング に比べて,外周面積の精度低下などいくつかの問題 がある。また諸外国で使用されるような解析を 加えようとすると,50 Hz~100 Hzサンプリングデ ータが必要になる。われわれは 100 Hzサンプリン グの検査を行いたく環境整備,解析ソフトの作成を 行ってきた。しかし 20 Hzサンプリングのように 基準値として参照できる報告がないので,実際 の診療では利用しにくかった。以上の理由により健 常成人365名の 100 Hzサンプリングデータの収集を 行った。これをもとに重心動揺検査の基本的な検査 項目の基準値案を提示する。 対象と方法 本研究は,ヘルシンキ宣言ならびに文部科学省・ 厚生労働省が定める「人を対象とする医学系研究に 関する倫理指針」などの倫理指針を遵守するととも に,研究内容を被験者に充分説明し内容に応じて書 面で同意を得た。また研究名称「重心動揺検査の精 度向上のための研究」として臨床・疫学研究に関す る富山大学倫理審査委員会の承認(臨29―155)のも とに行った。 重心動揺計はユニメック社(東京都府中市府中町 3―3―9)の UM-HSTBを使用した。データ解析 用ソフトウェアについては本学会誌で報告したよ うに,Microsoft Excelのブック形式で自作した。 フォースプレートの出力電圧を 100 Hzでコンピュ ータに取り込んだのちに,テキスト形式でエクセル シートに貼り付け,その後は自動で解析が行われ る。解析項目は,外周面積,実効値面積,矩形面 In order to set a draft reference value for clinical stabilometry by 100 Hz sampling, we collected and reported the data of 365 healthy subjects. The subjects were divided into 7 ten-year age groups, from the 20 s to the 70 s, and a group of over 80. As a draft reference value, we thought that it might be reasonable to use the mean ±2×standard deviation and the 95 th percentile/5 th percentile together. In this analysis, mixed gender data were used, as, based on the results of statistical analysis, we considered that the reference value could be used as a standard value for both men and women. 原 著","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69878234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
2006年にメニエール病(以下メ病)の臨床研究を 目的に当施設を開設し,2020年に初診累計が1,500 名を超えた。患者は我慢強く仕事熱心で,周囲の評 価を満足とする特異な行動特性を示し,我慢や奉 仕が報われないと(報酬不足)発症する,ストレス 病と判明した。さらに,連日の有酸素運動の実 践が,めまい消失ばかりでなく聴力改善に有効なこ とをを報告してきた。ストレス病であれば,発 症誘因の解消で症状は改善,消失するはずである が,メ病の難聴は自律的に進行する。今回,有酸 素運動による症状別の予後,改善までの期間を集 計,分析した結果,内リンパ水腫の病態変化が予後 を左右する要因と判明したので報告する。 対象と方法 7年間に受診し,6カ月以上観察したメ病確実例 To clarify the dynamic changes in the membranous lesions of Meniere’s disease, the effects of aerobic exercise on different symptoms were analyzed. Out of a total of 351 patients with Meniere’s disease who performed aerobic exercises for 6 months or longer who were enrolled, 338 showed improvement of one or more symptoms: disappearance of vertigo in 97.6% of cases; complete resolution of ear fullness in 60.1% of cases; improvement of hearing impairment in 38.5% of cases; complete resolution or marked decrease of tinnitus in 29.6% of cases. On the other hand, complete recovery of hearing was noted in 29.5% of the 78 patients with low-tone loss, 12.5% of the 96 patients with high-tone loss, and only 4.1% of the 170 patients with hearing loss across all frequencies. More than half of the patients with high-tone hearing loss and hearing loss across all frequencies failed to show any change in the degree of hearing loss. Considering the findings of temporal bone pathology, it seems probable that the Reissner’s membrane, being ballooned and highly distended by endolymphatic hydrops, disturbs conduction of low-frequency waves by the perilymph, and the membrane, once it loses tension, is not resonant with either high-frequency waves or indeed waves of any frequency. Although aerobic exercise is effective to cure hydrops and improve membranous tension by activating homeostasis, its effect worsens with decreasing membranous tension. 原 著
2006年以梅尼埃病（以下简称梅氏病）的临床研究为目的开设了该设施，2020年初诊累计超过1500名。患者表现出坚忍不拔、热心工作、满足周围评价的特异行为特性，如果忍耐和奉仕得不到回报（报酬不足）就会发病，判明是压力病。并且，报告了连日的有氧运动的实际实践，不仅对眩晕消失，对听力改善也有效。如果是应激病，通过解除发病诱因，症状应该会改善、消失，但梅氏病的耳聋是自主进行的。这次，对有氧运动引起的各症状的预后、到改善为止的期间进行了集计、分析，结果判明了内淋巴水肿的病情变化是左右预后的主要原因，因此进行报告。对象和方法7年来就诊，观察了6个月以上的梅氏病确诊病例To clarify the dynamic changes in the membranous lesions of Meniere’s disease，the effects of aerobic exercise on different symptoms were analyzed。总出口351 patients with Meniere’s disease who performed aerobic exercises for 6 months or longer who were enrolled，338 showed improvement of one or more symptoms：disappearance of vertigo in 97.6%of cases；总回收率为60.1%；烧蚀率38.5%；complete resolution or marked decrease of tinnitus in29.6%of cases。On the other hand，complete recovery of hearing was noted in 29.5%of the 78 patients with low-tone loss，12.5%of the 96 patients with high-tone loss，and only4.1%of the 170 patients with hearing loss across all frequencies。ore than half of the patients with high-tone hearing loss and hearing loss across all frequencies failed to show any change in the degree of hearing loss。Considering the findings of temporal bone pathology，it seems probable that the Reissner’s membrane，being ballooned and highly distended by endolymphatic hydrops，disturbs conduction of low-frequency waves by the perilymph，and the membrane，once it loses tension，is not resont with withyfrequend s of any frequency。Although aerobic exercise is effective to cure hydrops and improve membranous tension by activating homeostasis，its effect worsens with decreasing membranous tension。原著
{"title":"Changes of endolymphatic hydrops accompanied with progress and improvement of Meniere's disease","authors":"Masahiro Takahashi","doi":"10.3757/jser.80.195","DOIUrl":"https://doi.org/10.3757/jser.80.195","url":null,"abstract":"2006年にメニエール病(以下メ病)の臨床研究を 目的に当施設を開設し,2020年に初診累計が1,500 名を超えた。患者は我慢強く仕事熱心で,周囲の評 価を満足とする特異な行動特性を示し,我慢や奉 仕が報われないと(報酬不足)発症する,ストレス 病と判明した。さらに,連日の有酸素運動の実 践が,めまい消失ばかりでなく聴力改善に有効なこ とをを報告してきた。ストレス病であれば,発 症誘因の解消で症状は改善,消失するはずである が,メ病の難聴は自律的に進行する。今回,有酸 素運動による症状別の予後,改善までの期間を集 計,分析した結果,内リンパ水腫の病態変化が予後 を左右する要因と判明したので報告する。 対象と方法 7年間に受診し,6カ月以上観察したメ病確実例 To clarify the dynamic changes in the membranous lesions of Meniere’s disease, the effects of aerobic exercise on different symptoms were analyzed. Out of a total of 351 patients with Meniere’s disease who performed aerobic exercises for 6 months or longer who were enrolled, 338 showed improvement of one or more symptoms: disappearance of vertigo in 97.6% of cases; complete resolution of ear fullness in 60.1% of cases; improvement of hearing impairment in 38.5% of cases; complete resolution or marked decrease of tinnitus in 29.6% of cases. On the other hand, complete recovery of hearing was noted in 29.5% of the 78 patients with low-tone loss, 12.5% of the 96 patients with high-tone loss, and only 4.1% of the 170 patients with hearing loss across all frequencies. More than half of the patients with high-tone hearing loss and hearing loss across all frequencies failed to show any change in the degree of hearing loss. Considering the findings of temporal bone pathology, it seems probable that the Reissner’s membrane, being ballooned and highly distended by endolymphatic hydrops, disturbs conduction of low-frequency waves by the perilymph, and the membrane, once it loses tension, is not resonant with either high-frequency waves or indeed waves of any frequency. Although aerobic exercise is effective to cure hydrops and improve membranous tension by activating homeostasis, its effect worsens with decreasing membranous tension. 原 著","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47849271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Otolaryngology patients often exhibit symptoms of psychological disorders. For example, a clinical study, in which psychologists conducted structured interviews with neuro-otology outpatients, reported that nearly half of the patients needed psychological help. In addition, although a relationship between chronic vertigo (dizziness) symptoms and anxiety has been previously reported, a study of patients with Meniere’s disease or lightheadedness reported a complication of generalized anxiety disorder and depression. It has also been reported that patients with anxiety are at high risk of developing benign paroxysmal positional vertigo. The symptoms of chronic vertigo cannot be explained only by organic abnormalities; psychological Objective: Onset of psychogenic vertigo/dizziness is affected by psychosocial factors. Somatosensory amplification is one of the psychological factors associated with functional physical symptoms, but its relationship to psychogenic vertigo remains unclear. We investigated the relationship between the frequency of vertigo episodes and somatosensory amplification in patients with psychogenic vertigo. Methods: Participants were individuals aged 20 to 79 years complaining of psychogenic vertigo. They were referred by otolaryngologists to the department of psychosomatic medicine of a university hospital in Japan. The participants’ physical and mental conditions were evaluated using the Vertigo Symptom Scale-Short Form (VSS-sf), Somatosensory Amplification Scale (SSAS), and Hospital Anxiety and Depression Scale (HADS). Multiple linear regression analysis, with VSS-sf as the independent variable, was used to assess the associations. Results: Of the 41 participants, 35 (12 males and 23 females) were included in the analysis. The VSS-sf scores showed positive correlations with the scores for the anxiety scale of the HADS and SSAS. Linear multiple regression analysis identified the VSS-sf scores as being positively associated with the scores on the SSAS (p<0.01) and negatively associated with age (p< 0.05). Conclusion: Our findings suggest that in patients with psychogenic vertigo, the vertigo episodes occur more frequently as somatosensory amplification increases, however, the frequency might decrease with age. 原 著
{"title":"Relationship between somatosensory amplification and frequency of vertigo episodes: a study of psychogenic vertigo","authors":"Kazuaki Hashimoto, M. Hashizume","doi":"10.3757/jser.80.187","DOIUrl":"https://doi.org/10.3757/jser.80.187","url":null,"abstract":"Otolaryngology patients often exhibit symptoms of psychological disorders. For example, a clinical study, in which psychologists conducted structured interviews with neuro-otology outpatients, reported that nearly half of the patients needed psychological help. In addition, although a relationship between chronic vertigo (dizziness) symptoms and anxiety has been previously reported, a study of patients with Meniere’s disease or lightheadedness reported a complication of generalized anxiety disorder and depression. It has also been reported that patients with anxiety are at high risk of developing benign paroxysmal positional vertigo. The symptoms of chronic vertigo cannot be explained only by organic abnormalities; psychological Objective: Onset of psychogenic vertigo/dizziness is affected by psychosocial factors. Somatosensory amplification is one of the psychological factors associated with functional physical symptoms, but its relationship to psychogenic vertigo remains unclear. We investigated the relationship between the frequency of vertigo episodes and somatosensory amplification in patients with psychogenic vertigo. Methods: Participants were individuals aged 20 to 79 years complaining of psychogenic vertigo. They were referred by otolaryngologists to the department of psychosomatic medicine of a university hospital in Japan. The participants’ physical and mental conditions were evaluated using the Vertigo Symptom Scale-Short Form (VSS-sf), Somatosensory Amplification Scale (SSAS), and Hospital Anxiety and Depression Scale (HADS). Multiple linear regression analysis, with VSS-sf as the independent variable, was used to assess the associations. Results: Of the 41 participants, 35 (12 males and 23 females) were included in the analysis. The VSS-sf scores showed positive correlations with the scores for the anxiety scale of the HADS and SSAS. Linear multiple regression analysis identified the VSS-sf scores as being positively associated with the scores on the SSAS (p<0.01) and negatively associated with age (p< 0.05). Conclusion: Our findings suggest that in patients with psychogenic vertigo, the vertigo episodes occur more frequently as somatosensory amplification increases, however, the frequency might decrease with age. 原 著","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46300414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
慢性めまい患者の身体症状について調査を行うと 頭痛が高頻度で見られた(図1)。また慢性めまい 患者301例を対象に頭痛について調査を行ったとこ ろ,頭痛が全くないのは48%で月に一回程度の頭痛 がある11%,月に二回以上頭痛があるが41%と過半 数で何らかの頭痛を認めた。また我々の別の検討で も片頭痛を有している症例が13%あった。頭痛専門 外来を受診した片頭痛患者では57.1%(176/308) と緊張型頭痛患者と比較して有意に多くめまい症状 の合併を認めた(図2)。海外の報告でも前兆の ない片頭痛(N=60)では70%,前兆のある片頭痛 (N=60)85%,慢性片頭痛(N=60)85%,であ りコントロール(N=60)では12%だった。 メニエール病と前庭性片頭痛の診断基準 メニエール病は反復するめまい,耳鳴,難聴を主 症状とする疾患でその病態は内リンパ水腫である。 各国で様々な診断基準(表1,2,3)が提唱され Patients with chronic dizziness often complain of headache; conversely, patients with headache complain of dizziness. Patients with migraine complain of dizziness more often than patients with tension-type headache. Diagnostic criteria for both Meniere disease and vestibular migraine have been reported recently. However, in some cases, it is difficult to clearly distinguish between Meniere’s disease and vestibular migraine. In the patients complains symptom, which is described in the diagnostic criteria of Meniere disease and vestibular migraine at the same time may define as Patients complaining of symptoms described in both the diagnostic criteria for Meniere’s disease and vestibular migraine may be defined as having vestibular migraine and Meniere’s disease overlap syndrome. Here, I would like to describe the etiology of migraine and Meniere’s disease. In Japan, migraine is reported to occur at a prevalence of 3.6 % in men and 12.9% in women, while Meniere’s disease is reported to occur at a prevalence of approximately 2―30 cases per 1,000,000 inhabitants. In otorhinolaryngologic? outpatient practice, Meniere’s disease and vestibular migraine are reported to account for about 8%―10% of patients. There are no objective tools yet to clearly diagnose either vestibular migraine or Meniere’s disease. Recently, the habituation of middle latency response was reported as a potential objective evaluation tool for the diagnosis of vestibular migraine. Further study is required to identify objective tools for the diagnosis of vestibular migraine and Meniere’s disease. パネルディスカッション「メニエール病と前庭性片頭痛:その類似点と相違点,関係性」
对慢性眩晕患者的身体症状进行了调查，发现头痛是高频率的症状(图1)。另外，以301例慢性眩晕患者为对象进行了有关头痛的调查，完全没有头痛的占48%，每月有一次头痛的占11%，每月有两次以上头痛的占41%，过半的人承认患有某种头痛。另外，在我们的其他研究中，也有13%的病例患有偏头痛。在头痛专科门诊就诊的偏头痛患者中，57.1%(176/308)的合并眩晕症状明显多于紧张型头痛患者(图2)。国外的报告也显示，无先兆偏头痛(N=60)为70%，有先兆偏头痛(N=60)为85%，慢性偏头痛(N=60)为85%，尾数控制(N=60)为12%。美尼尔氏病和前庭性偏头痛的诊断标准美尼尔氏病是以反复的眩晕，耳鸣，耳聋为主要症状的疾病，其病理是内淋巴水肿。各国提出了各种诊断标准(表1、2、3)Patients with chronic dizziness often complain of headache;conversely,headache complain of dizziness. patients with migraine complain of dizziness moreoften than patients with tension-type headache. Diagnostic criteria for both Meniere disease andvestibular migraine have been reported recently. However, in some cases，it is difficult to clearly distinguish between Meniere’s disease and vestibular migraine. In thepatients complains symptom，which is described in the diagnostic criteria of Meniere disease and vestibular migraine at the sametime may define as Patients complaining of symptoms described in both the diagnostic criteria forMeniere’s disease and vestibular migraine may be defined as having vestibular migraine and Meniere’sdisease overlap syndrome. Here，I would like to describe the etiology of migraine and Meniere’s disease. In Japan，migraine is reported to occur at a prevalence of 3.6 % in men and 12.9% in women，while Meniere’s disease is reported to occur at prevalence of approximately 2 - 30 cases per1,000,000 inhabitants. In otorhinolaryngologic?outpatient practice,Meniere’s disease and vestibular migraine are reported to account for about 8%—10% of patients.There are no objective tools yet to clearly diagnose either vestibular migraine or Meniere’s至. recently,the habituation of middle latency response was reported as a potential objective evaluation tool forthe diagnosis of vestibular migraine. Further study is required to identify objective tools for thediagnosis of vestibular migraine and Meniere’s disease.小组讨论“美尼尔氏综合症和前庭性偏头痛:它们的相似点和不同点，相关性”
{"title":"Similarity and differences between Meniere disease and vestibular migraine: outline and epidemiology","authors":"F. Goto","doi":"10.3757/jser.80.233","DOIUrl":"https://doi.org/10.3757/jser.80.233","url":null,"abstract":"慢性めまい患者の身体症状について調査を行うと 頭痛が高頻度で見られた(図1)。また慢性めまい 患者301例を対象に頭痛について調査を行ったとこ ろ,頭痛が全くないのは48%で月に一回程度の頭痛 がある11%,月に二回以上頭痛があるが41%と過半 数で何らかの頭痛を認めた。また我々の別の検討で も片頭痛を有している症例が13%あった。頭痛専門 外来を受診した片頭痛患者では57.1%(176/308) と緊張型頭痛患者と比較して有意に多くめまい症状 の合併を認めた(図2)。海外の報告でも前兆の ない片頭痛(N=60)では70%,前兆のある片頭痛 (N=60)85%,慢性片頭痛(N=60)85%,であ りコントロール(N=60)では12%だった。 メニエール病と前庭性片頭痛の診断基準 メニエール病は反復するめまい,耳鳴,難聴を主 症状とする疾患でその病態は内リンパ水腫である。 各国で様々な診断基準(表1,2,3)が提唱され Patients with chronic dizziness often complain of headache; conversely, patients with headache complain of dizziness. Patients with migraine complain of dizziness more often than patients with tension-type headache. Diagnostic criteria for both Meniere disease and vestibular migraine have been reported recently. However, in some cases, it is difficult to clearly distinguish between Meniere’s disease and vestibular migraine. In the patients complains symptom, which is described in the diagnostic criteria of Meniere disease and vestibular migraine at the same time may define as Patients complaining of symptoms described in both the diagnostic criteria for Meniere’s disease and vestibular migraine may be defined as having vestibular migraine and Meniere’s disease overlap syndrome. Here, I would like to describe the etiology of migraine and Meniere’s disease. In Japan, migraine is reported to occur at a prevalence of 3.6 % in men and 12.9% in women, while Meniere’s disease is reported to occur at a prevalence of approximately 2―30 cases per 1,000,000 inhabitants. In otorhinolaryngologic? outpatient practice, Meniere’s disease and vestibular migraine are reported to account for about 8%―10% of patients. There are no objective tools yet to clearly diagnose either vestibular migraine or Meniere’s disease. Recently, the habituation of middle latency response was reported as a potential objective evaluation tool for the diagnosis of vestibular migraine. Further study is required to identify objective tools for the diagnosis of vestibular migraine and Meniere’s disease. パネルディスカッション「メニエール病と前庭性片頭痛:その類似点と相違点,関係性」","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42368085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
前庭障害患者はめまい感,不安定感などをはじめ とした不快な症状を有する。これを軽減させる手段 の一つに前庭リハビリテーション(以下,前庭リ ハ)がある。2016年にアメリカ理学療法士協会によ って,末梢前庭機能低下に対する前庭リハの診療ガ イドラインが出版された。これによると,一側前 庭機能低下(unilateral vestibulopathy:UVP),両 側前庭機能低下(bilateral vestibulopathy:BVP)に 対する前庭リハはともにエビデンスレベルI(I~ IVでIが最も高い),推奨度A(A~DでAが最も Postural control is coordinated by the vestibular, somatosensory, and visual systems. Maintenance of equilibrium requires proper functioning of these systems. Vestibular rehabilitation is a form of physical therapy for disorders of the vestibular system. A practice guideline on vestibular rehabilitation for peripheral vestibular hypofunction was published by the American Physical Therapy Association in 2016. The rate of improvement is lower in cases of bilateral vestibulopathy as compared to those of unilateral vestibulopathy. There have been no reports of adequate functional recovery in cases of bilateral vestibulopathy. Vestibular rehabilitation includes gaze stability exercises, habituation exercises, substitution exercises, and balance training. Exercises tailored to the individual and performed under supervision are more effective than those performed alone at home. Vestibular rehabilitation tends to be monotonous in its approach, and it often takes long before improvement begins to be noted. This usually results in patients dropping out of the protocol. In recent years, there has been an increasing number of reports on vestibular rehabilitation using virtual reality. Virtual reality involves the use of screens and head-mounted displays. It has been found to lead to improvement of the vestibuloocular reflex, postural control, dizziness handicap inventory, and quality of life. Using virtual reality games for vestibular rehabilitation may lead to patients enjoying and immersing themselves more in the rehabilitation process. It may improve their motivation, and ultimately lead them to continue and help them persevere with vestibular rehabilitation. In this paper, we discuss vestibular rehabilitation, especially for patients with bilateral vestibulopathy, and vestibular rehabilitation using virtual reality. シンポジウム「Bilateral vestibulopathy: How to treat and manage?」
{"title":"Vestibular rehabilitation for bilateral vestibulopathy","authors":"Masashi Matsumura, T. Murofushi","doi":"10.3757/jser.80.223","DOIUrl":"https://doi.org/10.3757/jser.80.223","url":null,"abstract":"前庭障害患者はめまい感,不安定感などをはじめ とした不快な症状を有する。これを軽減させる手段 の一つに前庭リハビリテーション(以下,前庭リ ハ)がある。2016年にアメリカ理学療法士協会によ って,末梢前庭機能低下に対する前庭リハの診療ガ イドラインが出版された。これによると,一側前 庭機能低下(unilateral vestibulopathy:UVP),両 側前庭機能低下(bilateral vestibulopathy:BVP)に 対する前庭リハはともにエビデンスレベルI(I~ IVでIが最も高い),推奨度A(A~DでAが最も Postural control is coordinated by the vestibular, somatosensory, and visual systems. Maintenance of equilibrium requires proper functioning of these systems. Vestibular rehabilitation is a form of physical therapy for disorders of the vestibular system. A practice guideline on vestibular rehabilitation for peripheral vestibular hypofunction was published by the American Physical Therapy Association in 2016. The rate of improvement is lower in cases of bilateral vestibulopathy as compared to those of unilateral vestibulopathy. There have been no reports of adequate functional recovery in cases of bilateral vestibulopathy. Vestibular rehabilitation includes gaze stability exercises, habituation exercises, substitution exercises, and balance training. Exercises tailored to the individual and performed under supervision are more effective than those performed alone at home. Vestibular rehabilitation tends to be monotonous in its approach, and it often takes long before improvement begins to be noted. This usually results in patients dropping out of the protocol. In recent years, there has been an increasing number of reports on vestibular rehabilitation using virtual reality. Virtual reality involves the use of screens and head-mounted displays. It has been found to lead to improvement of the vestibuloocular reflex, postural control, dizziness handicap inventory, and quality of life. Using virtual reality games for vestibular rehabilitation may lead to patients enjoying and immersing themselves more in the rehabilitation process. It may improve their motivation, and ultimately lead them to continue and help them persevere with vestibular rehabilitation. In this paper, we discuss vestibular rehabilitation, especially for patients with bilateral vestibulopathy, and vestibular rehabilitation using virtual reality. シンポジウム「Bilateral vestibulopathy: How to treat and manage?」","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47996890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of coexisting benign paroxysmal positional vertigo and orthostatic hypotension that appear positional vertigo","authors":"Takaki Inui","doi":"10.3757/JSER.80.125","DOIUrl":"https://doi.org/10.3757/JSER.80.125","url":null,"abstract":"","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41487064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vestibular symptoms and associated gene mutations in non-syndromic hereditary deafness: a review of the literature and the database","authors":"Y. Maeda, T. Ikezono","doi":"10.3757/JSER.80.63","DOIUrl":"https://doi.org/10.3757/JSER.80.63","url":null,"abstract":"","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":"80 1","pages":"63-74"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45107059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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