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Video-nystagmography test findings in post COVID-19 patients COVID-19后患者的视频眼球震颤检查结果
IF 0.7 Q3 Medicine Pub Date : 2021-08-08 DOI: 10.1080/21695717.2021.1976504
T. Abdelrahman, N. Shafik
Abstract Objectives There is growing evidence of neurological involvement of SARS-CoV-2 in some otoneurological subjective symptoms such as balance disorders. The aim of this work was to investigate the prevalence of equilibrium disorders such as dizziness and vertigo in a sample of COVID-19 patients after recovery. The effect of COVID-19 on the vestibular system and the correlation between the severity of the infection and the effect on the vestibular system was investigated. Methods Twenty Post COVID-19 subjects after complete cure who complain of dizziness were subjected to full history taking, Otological examination, Pure tone audiometry, and Videonystagmography test. Results Half of the patients have a history of the sense of imbalance attacks and most patients showed positional nystagmus followed by caloric weakness. Half of the patients that had a history of severe COVID-19 disease have a symmetrical caloric response. However, two-thirds with a history of either mild or moderate degree COVID-19 had asymmetrical caloric response with a significant difference between the incidence in severe versus mild and moderate degrees reflecting a significant association between the severity of the disease and the caloric asymmetry. Conclusion The SARS-CoV-2 virus can affect different parts of the vestibular system.
越来越多的证据表明,SARS-CoV-2在一些耳神经主观性症状(如平衡障碍)中涉及神经系统。本研究的目的是调查COVID-19患者康复后平衡性障碍(如头晕和眩晕)的患病率。研究新冠肺炎对前庭系统的影响以及感染严重程度与前庭系统影响的相关性。方法对20例新冠肺炎治愈后以头晕为主诉的患者进行全病史记录、耳科检查、纯音听力学和视频震振仪检查。结果半数患者有不平衡感发作史,多数患者表现为体位性眼球震颤伴热无力。有严重COVID-19病史的患者中有一半有对称的热量反应。然而,有轻度或中度COVID-19病史的三分之二患者的热量反应不对称,严重程度与轻度和中度发病率之间存在显著差异,反映了疾病严重程度与热量不对称之间的显著关联。结论SARS-CoV-2病毒可累及前庭系统不同部位。
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引用次数: 2
Vertigo in childhood: an overview 童年眩晕症:概述
IF 0.7 Q3 Medicine Pub Date : 2021-08-08 DOI: 10.1080/21695717.2021.1975985
C. Balzanelli, D. Spataro, L. O. Redaelli de Zinis
Abstract Objective The current chapter will focus on epidemiological, etiological, and clinical data to optimize diagnostic and therapeutic approach of balance disorders in childhood. Methods Personal experience and analysis of the literature. Results The vestibular system is one of the first functioning systems of the human body. The vestibulo ocular reflex (VOR) is present at birth, and its values approaches those of a normal adult by 2 months of age. The vestibulospinal and vestibulocollic mechanism and the effectiveness of the vestibular system in postural control develop along a more protracted time course. Postural stability is mainly controlled by visual inputs in infants and children, whereas somatosensory inputs are primary in adults. Children begin to properly use somatosensory information at 3-6 years of age. Competence of the sensory systems to manage intersensory conflict is reached around 15 years of age. Conclusion Balance disorders, at any stage of a children neurodevelopment, can be very debilitating, worsening their basic daily activities and they can lead to psycho-neurological, affective, and behavioral dysfunctions.
【摘要】目的本章将重点介绍流行病学、病因学和临床数据,以优化儿童平衡障碍的诊断和治疗方法。方法个人经验和文献分析。结果前庭系统是人体最早的功能系统之一。前庭眼反射(VOR)在出生时就存在,其值在2个月大时接近正常成人。前庭-脊髓和前庭-结肠机制以及前庭系统在姿势控制中的有效性是一个较长的时间过程。在婴儿和儿童中,姿势稳定性主要由视觉输入控制,而在成人中则主要由体感输入控制。儿童在3-6岁时开始正确使用体感信息。感觉系统处理感觉间冲突的能力在15岁左右达到。结论:在儿童神经发育的任何阶段,平衡障碍都可能使人非常虚弱,使他们的基本日常活动恶化,并可能导致心理-神经、情感和行为功能障碍。
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引用次数: 0
Vestibular rehabilitation in patients with persistent postural-perceptual dizziness: a scoping review 持续性体位-知觉头晕患者的前庭康复:范围综述
IF 0.7 Q3 Medicine Pub Date : 2021-08-08 DOI: 10.1080/21695717.2021.1975986
M. Tramontano, A. A. Princi, S. De Angelis, I. Indovina, L. Manzari
Abstract Objective In 2017, the Committee for Classification of Vestibular Disorders of the Bárány Society unified four dizziness disorders under the definition of persistent postural perceptual dizziness (PPPD). Currently, the efficacy of vestibular training (VR) in treating patients with PPPD is still under debate. The aim of this scoping review is to evaluate the possible clinical application of VR alone or in combination with other therapy in patients with PPPD. Methods Electronic databases searched in May 2021 were PubMed/MEDLINE, Cochrane Library and Physiotherapy Evidence Database and the data selection was conducted in accordance with the PRISMA-ScR extension for scoping reviews. Results Electronic searches identified 41 studies and after the selection process 7 studies met the inclusion criteria and were included. We reported a narrative summary of results and presented the overall clinical parameters and outcomes of all included studies in a tabular format. Conclusion An accurate instrumental assessment of the vestibular function is needed to guide the clinical reasoning in the management of patients with PPPD. Considering the lack of RCTs, a consensus is needed to develop a shared and robust framework to find the best rehabilitative treatment for individuals with PPPD.
【摘要】目的2017年Bárány学会前庭疾病分类委员会统一了持续性体位性知觉头晕(PPPD)定义下的四种头晕疾病。目前,前庭训练(VR)治疗PPPD患者的疗效仍存在争议。本综述的目的是评估VR单独或联合其他治疗在PPPD患者中的可能临床应用。方法于2021年5月检索PubMed/MEDLINE、Cochrane Library和Physiotherapy Evidence Database电子数据库,按照PRISMA-ScR扩展进行范围评价。结果电子检索共检索到41项研究,经过筛选,有7项研究符合纳入标准并被纳入。我们报告了结果的叙述性总结,并以表格形式呈现了所有纳入研究的总体临床参数和结果。结论对PPPD患者进行准确的前庭功能仪器评估是指导临床治疗的重要依据。考虑到缺乏随机对照试验,需要达成共识,制定一个共享的和强大的框架,为PPPD患者找到最佳的康复治疗。
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引用次数: 4
Obituary in memory of Giorgio Guidetti 为纪念乔治·guidtti而写的讣告
IF 0.7 Q3 Medicine Pub Date : 2021-08-06 DOI: 10.1080/21695717.2021.1943790
Giampiero Neri
Obituary Giorgio is no longer with us. On Sunday 14th of March 2021, only 67 years of age, the profet of the Italian Vestibology, passed away. A deep sorrow spread into the universe of the Italian Vestibology as well as across the border, mourning not only his professional persona, renouned for his study on vertigo and vestibular rehabilitation, but also as a human being, the kind of friend who could fill with inspiration the hearts and the minds of all those lucky enough to cross his path. He was born in Reggio Emilia on the 28th of September 1953. He then graduated and specialised in Otolaryngology in Modena. Following his specialisation in Audiology in Milan, he was influenced by the French school, particularly by Michel Toupet and Alain Semont, with whom he carried on a professional and personal level, for the rest of his life. He found himself at the centre of the vestibology cultural revolution, because whilst in France, he witnessed first hand the creation of the famous therapeutical benign paroxysmal positional vertigo manoeuvre, which he then brought back to Italy and promoted nationwide with great enthusiasm. Thanks to his tireless perseverance in promoting, researching and improving the rehabilitating techniques, he allowed an increasing number of specialists to commit to the study of the internal ear, and in particular of the vertigo, which was therefore upgraded from a collateral and occasional symptom, to an important field of research. From 1996 until 2004 he was a Director of the Audio-vestibology and vestibular rehabilitation in the University Hospital in Modena, and later by the Hospital in Carpi. In 2015 he founded the Vertigo Centre in Modena, which in a few years became a landmark for the vestibular rehabilitation, as well as for the improvement of athletic performances, for Ferrari and Ducati drivers, basket and volleyball athetles. As Professor of Otoneurology in specialisation schools of Neurology, Otorinolaringology and Neurosurgery, in many Italian Universities and Director of many Master Classes in vestibology in Europe, Asia Africa and Latin America, he could pass onto his pupils the importance of the labyrinth, the need to treat it with extreme care during surgical procedures, and the criterias of its rehabilitation. If today we are much more knowledgable on vertigo and on vestibular rehabilitation, this is thanks to what Giorgio sowed in his life, the intricated nerwork of partnerships and collaborations he cultivated and obvioulsly his extensive knowledge on the subject. With his pioneering attitude, he faced topics which nobody thought it would be possible to face, such as the cognitive aspects of the vestibular damage or the extraordinary powers of rehabilitation and vestibular re-training. A modern view on the vestibular organ, projected into the future, especially by improving athletes’ performances, which allowed him to interact with outstanding olympic and paraolympic prefessional athletes. A versatile man who
乔治已经离开我们了。2021年3月14日星期日,年仅67岁的意大利前庭学教授去世。深深的悲伤蔓延到意大利前庭学的世界,也蔓延到国界之外,不仅哀悼他以研究眩晕和前庭康复而闻名的专业人物,也哀悼他作为一个人,一个能够给所有有幸遇到他的人的心灵和思想带来灵感的朋友。他于1953年9月28日出生在雷焦艾米利亚。毕业后,他在摩德纳专攻耳鼻喉科。在米兰专攻听力学之后,他受到了法国学派的影响,尤其是米歇尔·图佩和阿兰·塞蒙特,在他的余生中,他一直与他们保持着专业和个人的水平。他发现自己处于前庭学文化革命的中心,因为在法国时,他亲眼目睹了著名的良性阵发性位置性眩晕疗法的发明,然后他把这种疗法带回意大利,并以极大的热情在全国推广。由于他在促进、研究和改进康复技术方面孜孜不倦的坚持,他使越来越多的专家致力于内耳的研究,特别是眩晕,因此从附带和偶尔的症状升级为一个重要的研究领域。从1996年到2004年,他是摩德纳大学医院的听觉和前庭康复主任,后来是卡尔皮医院的主任。2015年,他在摩德纳创立了眩晕中心,几年后,该中心成为前庭康复的里程碑,并提高了法拉利和杜卡迪车手,篮球和排球运动员的运动成绩。作为神经学、耳鼻喉学和神经外科专科学校的耳神经学教授,以及意大利多所大学的耳神经学教授,以及欧洲、亚洲、非洲和拉丁美洲许多前庭学大师班的主任,他可以向他的学生传授迷宫的重要性,在手术过程中需要极其小心地治疗它,以及它的康复标准。如果今天我们对眩晕和前庭康复有了更多的了解,这要感谢乔治在他的生活中播下的种子,他培养的复杂的伙伴关系和合作网络,显然他在这个问题上的广泛知识。在他的开拓精神下,他面对了一些没有人认为有可能面对的话题,比如前庭损伤的认知方面,或者康复和前庭再训练的非凡力量。前庭器官的现代观点,投射到未来,特别是通过提高运动员的表现,这使他能够与优秀的奥运会和残奥会专业运动员互动。他是一个多才多艺的人,他也热爱马术和音乐,对他的家乡卡诺萨及其历史有着深深的热爱。他像新手一样好奇,但像大师一样自信,他证明自己有能力围绕一个想法召集一群人,并建立了意大利前庭学会,他是无可争议的主席。他的去世对我们所有人来说都是一个巨大的损失,但我们知道,他的遗产将继续下去,因为这群人,多亏了他,他们不仅是专业人士和研究人员,而且大多是朋友,他们尊重,纪律和科学技能,将有能力继续他的使命。你好乔治•
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引用次数: 0
Translation and cultural adaptation of the Persian version of Vestibular Disorders Activities of Daily Living scale (VADL): a validity and reliability study 波斯语版前庭功能障碍日常生活活动量表(VADL)的翻译与文化适应:效度与信度研究
IF 0.7 Q3 Medicine Pub Date : 2021-07-22 DOI: 10.1080/21695717.2021.1953786
Nasrin Hashemi, Homa Zarrinkoob, A. Akbarzadeh Baghban, S. Fatemi, Sirvan Najafi
Abstract Background Vestibular disorders can lead to functional limitations and deficits in performing routine daily life tasks. The Vestibular Disorders Activities of Daily Living scale (VADL) is a useful tool for impact assessment level of functional limitations in patients with vestibular disorders. Objective Translation, cultural adaptation and evaluation of the reliability and validity of VADL to Persian. Methods In this analytical–descriptive study, VADL was translated based on the native protocol of the International Quality of Life questionnaire and adapted to the conditions found in Iranian culture. Upon confirmation of face validity, this scale was performed on 90 Persian patients with vestibular disorders (aged between 25 and 85 years). After one week, 53 participants were asked to complete the questionnaire again. Finally, reliability was evaluated with both methods of internal consistency and test-retest reproducibility. Results Five items out of 28 were modified to adapt the scale to the culture of Iranians, and they were approved by the original designer of the questionnaire. Internal consistency was confirmed by Cronbach’s alpha coefficient of 0.94, and repeatability was confirmed by the Interclass Correlation Coefficient of 0.97. Conclusion The Persian version of VADL was relatively equivalent to the original content and it was in compliance with the terms of Persian culture with high validity and reliability. Therefore, it may be a useful tool for the assessment of functional limitation in some patients with vestibular disorders.
背景前庭功能障碍可导致功能限制和日常生活任务的缺陷。前庭功能障碍日常生活活动量表(VADL)是评估前庭功能障碍患者功能限制影响程度的有用工具。目的:对VADL的波斯语翻译、文化适应及信效度评价。方法在这项分析描述性研究中,VADL根据国际生活质量问卷的本地协议进行翻译,并适应伊朗文化的条件。在确认面部效度后,对90名患有前庭疾病的波斯患者(年龄在25至85岁之间)进行了该量表。一周后,53名参与者被要求再次完成调查问卷。最后,采用内部一致性和重测再现性两种方法对信度进行评价。结果28个条目中有5个被修改以适应伊朗人的文化,并得到问卷原设计者的认可。内部一致性通过Cronbach 's alpha系数为0.94来证实,重复性通过类间相关系数0.97来证实。结论波斯语版VADL与原文内容相当,符合波斯文化条款,具有较高的效度和信度。因此,它可能是评估某些前庭功能障碍患者功能限制的有用工具。
{"title":"Translation and cultural adaptation of the Persian version of Vestibular Disorders Activities of Daily Living scale (VADL): a validity and reliability study","authors":"Nasrin Hashemi, Homa Zarrinkoob, A. Akbarzadeh Baghban, S. Fatemi, Sirvan Najafi","doi":"10.1080/21695717.2021.1953786","DOIUrl":"https://doi.org/10.1080/21695717.2021.1953786","url":null,"abstract":"Abstract Background Vestibular disorders can lead to functional limitations and deficits in performing routine daily life tasks. The Vestibular Disorders Activities of Daily Living scale (VADL) is a useful tool for impact assessment level of functional limitations in patients with vestibular disorders. Objective Translation, cultural adaptation and evaluation of the reliability and validity of VADL to Persian. Methods In this analytical–descriptive study, VADL was translated based on the native protocol of the International Quality of Life questionnaire and adapted to the conditions found in Iranian culture. Upon confirmation of face validity, this scale was performed on 90 Persian patients with vestibular disorders (aged between 25 and 85 years). After one week, 53 participants were asked to complete the questionnaire again. Finally, reliability was evaluated with both methods of internal consistency and test-retest reproducibility. Results Five items out of 28 were modified to adapt the scale to the culture of Iranians, and they were approved by the original designer of the questionnaire. Internal consistency was confirmed by Cronbach’s alpha coefficient of 0.94, and repeatability was confirmed by the Interclass Correlation Coefficient of 0.97. Conclusion The Persian version of VADL was relatively equivalent to the original content and it was in compliance with the terms of Persian culture with high validity and reliability. Therefore, it may be a useful tool for the assessment of functional limitation in some patients with vestibular disorders.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77586698","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}
引用次数: 0
Lying down nystagmus in horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV) 卧式眼球震颤伴水平半规管良性阵发性位置性眩晕(HSC-BPPV)
IF 0.7 Q3 Medicine Pub Date : 2021-07-03 DOI: 10.1080/21695717.2021.1943784
A. Vats, J. K. Sharma, G. Ramchandani, S. Kothari
Abstract Objective Determining the lateralizing value of lying-down nystagmus (LDN) in horizontal semicircular canal benign paroxysmal positional vertigo (HSC-BPPV). Methods The authors prospectively investigated LDN in 35 consecutive patients of HSC-BPPV (28 geotropic and 7 apogeotropic variants) attending an Otoneurology Centre in South Rajasthan India over a period of 20 months. Results LDN was present in 45.7% (16/35) patients of HSC-BPPV; 50% in those with geo-HSC-BPPV (14/28), and 28.6% (2/7) with apo-HSC-BPPV. When present, LDN directs contralaterally in 93% of geo-HSC-BPPV (13/14) and ipsilaterally in 100% of apo-HSC-BPPV (2/2). Only in 1 out of the 35 patients (2.9%), LDN was solitarily decisive in lateralizing the affected canal as the supine roll test elicited nystagmus of symmetric strength on the lateral head roll to either side. Conclusion LDN is an important secondary sign of lateralization (SSL) in patients with HSC-BPPV (both geotropic and apogeotropic variants). LDN direction is mainly corroborative, but rarely when the lateral head rolls to either side elicits horizontal positional nystagmus of symmetric strength to either side, it can be solitarily relied on for lateralization.
【摘要】目的探讨卧式眼球震颤(LDN)在水平半圆形管良性阵发性位置性眩晕(HSC-BPPV)中的侧视价值。方法对印度南拉贾斯坦邦耳神经学中心连续收治的35例HSC-BPPV患者(28例向地变异体和7例向地变异体)的LDN进行前瞻性研究。结果45.7%(16/35)的HSC-BPPV患者存在LDN;geo-HSC-BPPV为50% (14/28),apo-HSC-BPPV为28.6%(2/7)。当存在时,LDN对93%的geo-HSC-BPPV(13/14)和100%的apo-HSC-BPPV(2/2)具有对侧作用。在35例患者中,只有1例(2.9%),LDN单独决定了受影响的椎管偏侧,因为仰卧侧滚试验引起侧头侧滚到两侧对称强度的眼球震颤。结论LDN是HSC-BPPV(向地变异体和向地变异体)患者侧化(SSL)的重要继发征象。LDN方向主要是确证性的,但当侧头向两侧滚动时,很少会引起水平位置性眼震,其强度与两侧对称,可以单独依赖于侧化。
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引用次数: 0
Impact of more than three years of Carnatic music training on the working memory: an ERP study 三年以上卡纳蒂克音乐训练对工作记忆的影响:ERP研究
IF 0.7 Q3 Medicine Pub Date : 2021-07-03 DOI: 10.1080/21695717.2021.1943782
Neelesh Benet, K. Rajalakshmi, Vijay Kumar
Abstract Objective The impact of music training on development of various cognitive domains are extensively studied and established, however, the mechanism underlying such phenomenon is still unknown. In the present study, the role of more than three years of Carnatic music (a form of Indian music) training on working memory (WM) was tested using an event related potential (ERP) and a standard WM test. Method A total of 30 individuals comprised of 15 singers of age range between 16–30 years (M = 23 ± 3.2 years) and 15 non-singers aged between 16–30 years (M = 24 ± 2.9 years) participated in this study. These singers had overall 3 to 5 years of formal Carnatic music training experience. Short-term auditory working memory was assessed using Forward and backward digit span task and it was administered using the APEX software. Cortical activities such as attention, discrimination, and memory were testedusing P300and test was performed using Intelligent Hearing System. Results The results revealed that the mean P300 amplitude of singers (M = 5.80, SD = 2.09) was significantly higher compared to the non-singer (M = 3.50, SD = 1.44), t(25)=3.3, p < .05. The Mann-Whitney U-Test was administered and a significant difference between singers and non-singers (|z| = 3.135, p < .05) was observed for digit backward task. However, for digit forward test no significant difference (|z| = 1.523, p > .05) was obtained. Conclusion Findings of this study suggests that more than three years of Carnatic singing experience can enhance the neural coding to discriminate subtle differences leading to enhance working memory capacity.
摘要目的音乐训练对各认知领域发展的影响已被广泛研究和确立,但其机制尚不清楚。在本研究中,使用事件相关电位(ERP)和标准WM测试测试了三年以上的卡纳蒂克音乐(一种印度音乐)训练对工作记忆(WM)的作用。方法选取年龄16 ~ 30岁的歌手15例(M = 23±3.2岁)和年龄16 ~ 30岁的非歌手15例(M = 24±2.9岁)共30例进行研究。这些歌手总共有3到5年的正式卡纳蒂克音乐培训经验。短期听觉工作记忆采用前向和后向数字广度任务进行评估,并使用APEX软件进行管理。使用p300和智能听力系统分别测试大脑皮层的注意、辨别和记忆等活动。结果歌唱者的P300平均振幅(M = 5.80, SD = 2.09)显著高于非歌唱者(M = 3.50, SD = 1.44, t(25)=3.3, p .05)。结论3年以上的卡纳蒂克演唱经验可以增强神经编码,从而提高工作记忆能力。
{"title":"Impact of more than three years of Carnatic music training on the working memory: an ERP study","authors":"Neelesh Benet, K. Rajalakshmi, Vijay Kumar","doi":"10.1080/21695717.2021.1943782","DOIUrl":"https://doi.org/10.1080/21695717.2021.1943782","url":null,"abstract":"Abstract Objective The impact of music training on development of various cognitive domains are extensively studied and established, however, the mechanism underlying such phenomenon is still unknown. In the present study, the role of more than three years of Carnatic music (a form of Indian music) training on working memory (WM) was tested using an event related potential (ERP) and a standard WM test. Method A total of 30 individuals comprised of 15 singers of age range between 16–30 years (M = 23 ± 3.2 years) and 15 non-singers aged between 16–30 years (M = 24 ± 2.9 years) participated in this study. These singers had overall 3 to 5 years of formal Carnatic music training experience. Short-term auditory working memory was assessed using Forward and backward digit span task and it was administered using the APEX software. Cortical activities such as attention, discrimination, and memory were testedusing P300and test was performed using Intelligent Hearing System. Results The results revealed that the mean P300 amplitude of singers (M = 5.80, SD = 2.09) was significantly higher compared to the non-singer (M = 3.50, SD = 1.44), t(25)=3.3, p < .05. The Mann-Whitney U-Test was administered and a significant difference between singers and non-singers (|z| = 3.135, p < .05) was observed for digit backward task. However, for digit forward test no significant difference (|z| = 1.523, p > .05) was obtained. Conclusion Findings of this study suggests that more than three years of Carnatic singing experience can enhance the neural coding to discriminate subtle differences leading to enhance working memory capacity.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75107437","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}
引用次数: 0
Subjective visual vertical and horizontal: bucket test normative 主观视觉纵向和横向:水桶测试规范
IF 0.7 Q3 Medicine Pub Date : 2021-06-30 DOI: 10.1080/21695717.2021.1943786
T. Dessai, Anaswara Prasannan
Abstract Objective The Subjective Visual Vertical (SVV) and Subjective Visual Horizontal (SVH) are convincing tools to assess otolithic organ and/or central gravio-ceptive pathways. This study was undertaken to establish normative of SVV and SVH in different age groups from Indian population. Methods A total of 180 subjects divided into 6 groups 30 each with respect to age (10–20, 21–30, 31–40, 41–50, 51–60 years) were recruited in the study. Testing was administered using the bucket technique. The subject was instructed to rotate the bucket to match his/her perceptual visual vertical and horizontal. The movement of the bucket in the clockwise and counter-clockwise directions made the string tied to the weight rotate freely. This made it possible for the investigator to read the findings on protractor. Results SVH and SVV range between −1 to +3 which is in congruence with the findings of literature. However, there is no significant difference observed across age groups for both SVV and SVH. Conclusion The study provides normative for SVV and SVH which can be considered as reference values to assess a subject with acute peripheral vestibular pathology. The test findings can be grouped with counselling and rehabilitation to improve the subject’s quality of life.
摘要目的主观视觉垂直(SVV)和主观视觉水平(SVH)是评估耳石器官和/或中枢重力感受通路的有说服力的工具。本研究旨在建立印度人群中不同年龄组SVV和SVH的规范性。方法180名受试者按年龄分为6组(10 ~ 20岁、21 ~ 30岁、31 ~ 40岁、41 ~ 50岁、51 ~ 60岁),每组30人。使用桶技术进行测试。受试者被指示旋转桶,以匹配他/她的感知视觉垂直和水平。桶在顺时针和逆时针方向上的运动使系在重物上的绳子自由旋转。这使得研究者可以在量角器上读取结果。结果SVH和SVV在−1 ~ +3之间,与文献研究结果一致。然而,SVV和SVH在不同年龄组之间没有显著差异。结论SVV和SVH指标具有一定的规范性,可作为评价急性前庭周围病变的参考值。测试结果可以归类为咨询和康复,以提高受试者的生活质量。
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引用次数: 0
Individuals practicing meditation have enhanced subcortical auditory processing of speech 练习冥想的人可以增强大脑皮层下对言语的听觉处理
IF 0.7 Q3 Medicine Pub Date : 2021-06-30 DOI: 10.1080/21695717.2021.1943777
S. Sinha, M. Sahu
Abstract Background Meditation is a compound mental task that leads to several changes, both physiologically and psychologically. These physiological changes can occur in the auditory system as well, and this can change the way the stimulus gets coded in the auditory system at both the brainstem as well as cortical level. The present study aimed to investigate the encoding of speech at the brainstem in the individuals who practice meditation. Method Two groups of 10 male individuals participated in the study. The first group included ten individuals who practiced meditation for a minimum period of 6 months, and the other group consisted of 10 age-matched individuals who never practiced meditation. Speech evoked ABR was recorded for the right ears for all the individuals. FFT analysis of the waveforms was done, and the latency of wave V and amplitude of F0, F1, and F2 were noted. Results Results of the present study revealed a significantly higher amplitude of F1 and F2 individuals who practiced meditation. However, there was no such significant difference in the latency of wave V and amplitude of F0. Conclusion The present study reveals that meditation can alter the functioning of the encoding of speech sounds in individuals who practice meditation.
冥想是一项复合的心理任务,它会导致生理和心理上的几种变化。这些生理变化也会发生在听觉系统中,这可以改变刺激在听觉系统中编码的方式在脑干和皮层水平上都是如此。本研究旨在探讨冥想者的脑干语言编码。方法分为两组,每组10人。第一组包括10名至少练习6个月冥想的人,另一组由10名年龄相当的人组成,他们从未练习过冥想。所有受试者的右耳语音诱发ABR均被记录下来。对波形进行FFT分析,记录波形V的潜伏期和F0、F1、F2的幅值。结果本研究结果显示,练习冥想的个体F1和F2的振幅明显更高。而V波潜伏期和F0波幅值差异不显著。结论本研究揭示了冥想可以改变个体的语音编码功能。
{"title":"Individuals practicing meditation have enhanced subcortical auditory processing of speech","authors":"S. Sinha, M. Sahu","doi":"10.1080/21695717.2021.1943777","DOIUrl":"https://doi.org/10.1080/21695717.2021.1943777","url":null,"abstract":"Abstract Background Meditation is a compound mental task that leads to several changes, both physiologically and psychologically. These physiological changes can occur in the auditory system as well, and this can change the way the stimulus gets coded in the auditory system at both the brainstem as well as cortical level. The present study aimed to investigate the encoding of speech at the brainstem in the individuals who practice meditation. Method Two groups of 10 male individuals participated in the study. The first group included ten individuals who practiced meditation for a minimum period of 6 months, and the other group consisted of 10 age-matched individuals who never practiced meditation. Speech evoked ABR was recorded for the right ears for all the individuals. FFT analysis of the waveforms was done, and the latency of wave V and amplitude of F0, F1, and F2 were noted. Results Results of the present study revealed a significantly higher amplitude of F1 and F2 individuals who practiced meditation. However, there was no such significant difference in the latency of wave V and amplitude of F0. Conclusion The present study reveals that meditation can alter the functioning of the encoding of speech sounds in individuals who practice meditation.","PeriodicalId":43765,"journal":{"name":"Hearing Balance and Communication","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83728378","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}
引用次数: 0
Neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in Ménière’s disease and vestibular neuritis 中性粒细胞与淋巴细胞比值(NLR)和血小板与淋巴细胞比值(PLR)在msami病和前庭神经炎中的应用
IF 0.7 Q3 Medicine Pub Date : 2021-06-29 DOI: 10.1080/21695717.2021.1943779
N. Quaranta, A. E. Salzo, V. Pontillo, E. Scarano, B. Sergi, P. Picciotti
Abstract Objective several hypothesis including viral infection, vascular disturbance, and immune-mediated mechanisms have been proposed in Menière disease (MD) and vestibular neuritis (VN) and the role of inflammation has been also investigated. To evaluate the role of neutrophil to lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and metabolic parameters in MD and VN patients. Methods we retrospectively studied 120 subjects (40 affected by MD, 40 by VN and 40 normal controls). We analyzed glycaemia, Haematocrit Blood Test (HCT), leukocytes, neutrophils, lymphocytes, platelets, cholesterol, prothrombin time and the related international normalized ratio (PT-INR), fibrinogen, erythrocyte sedimentation rate (ESR), NLR and PLR. Results Neutrophils, leukocytes, cholesterol, ESR, NLR and PLR values of MD patients are significantly higher than normal controls. Higher significant values are reported for glycaemia, neutrophils, lymphocytes, leucocyte, fibrinogen, ESR, NLR and PLR in VN patients compared to NC. Conclusions High levels of NLR and PLR indicate the presence of an acute inflammatory state in both MD and VN. Our data confirm the role of proinflammatory state leading to microvascular injury together with risk factors for atherogenesis.
摘要目的在meni病(MD)和前庭神经炎(VN)中提出了病毒感染、血管紊乱和免疫介导的假说,并探讨了炎症在其中的作用。探讨中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)和代谢参数在MD和VN患者中的作用。方法回顾性研究120例(MD患者40例,VN患者40例,正常人40例)。我们分析了血糖、红细胞压积试验(HCT)、白细胞、中性粒细胞、淋巴细胞、血小板、胆固醇、凝血酶原时间及相关的国际标准化比率(PT-INR)、纤维蛋白原、红细胞沉降率(ESR)、NLR和PLR。结果MD患者中性粒细胞、白细胞、胆固醇、ESR、NLR、PLR值均显著高于正常对照组。与NC患者相比,VN患者的血糖、中性粒细胞、淋巴细胞、白细胞、纤维蛋白原、ESR、NLR和PLR有更高的显著值。结论NLR和PLR的高水平表明MD和VN均存在急性炎症状态。我们的数据证实了促炎状态导致微血管损伤以及动脉粥样硬化的危险因素的作用。
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引用次数: 3
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Hearing Balance and Communication
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