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A scoring chart to evaluate cases of probable vestibular migraine 评估可能的前庭偏头痛病例的计分表
IF 0.7 Q3 Medicine Pub Date : 2023-01-25 DOI: 10.1080/21695717.2023.2169371
Haider Alsarhan
Abstract Objectives To suggest a chart for the diagnosis of probable vestibular migraine for cases that cannot fit the internationally agreed diagnostic criteria. Methods This retrospective study enrolled patients who presented with chronic dizziness and attacks of severe vertigo in whom the diagnostic criteria for diagnosing probable vestibular migraine were not applicable, and there was no possibility to account for other vestibular diagnoses. The trial of vestibular migraine treatment was started without any labyrinthine sedatives for a month. Patients whose conditions improved and were vertigo free for the trial period were included in this study. Common complaints, clinical examination findings, and hearing and vestibular test results were analyzed. Findings observed in more than 50% of the included patients were added to a chart. The chart was implemented with a score and included female gender, bilateral tinnitus, aural fullness, significant headache, family history of migraine, and reported hypotension. Any one of them increased the score by one point, while bilateral low frequencies sensorineural hearing loss and bilateral frequency tuning of cervical vestibular evoked myogenic potentials increased the score by two points. Results All the patients had a score of 5 or more. Conclusion The diagnostic chart is useful for suggesting probable vestibular migraine in cases that do not comply with the internationally agreed diagnostic criteria.
摘要目的为不符合国际公认诊断标准的病例提供一种可能的前庭偏头痛的诊断图表。方法回顾性研究纳入慢性头晕和重度眩晕发作的患者,这些患者可能前庭偏头痛的诊断标准不适用,且无法解释其他前庭诊断。治疗前庭偏头痛的试验开始时不使用迷路镇静剂一个月。在试验期间病情改善且无眩晕的患者被纳入本研究。分析常见主诉、临床检查结果、听力和前庭测试结果。在超过50%的纳入患者中观察到的结果被添加到图表中。该图表采用评分法,包括女性、双侧耳鸣、听力充盈、明显头痛、偏头痛家族史和报告的低血压。每一项加1分,双侧低频感音神经性听力损失和双侧颈前庭诱发肌电位频率调谐均加2分。结果所有患者得分均在5分及以上。结论对于不符合国际公认诊断标准的前庭偏头痛患者,该诊断表可用于提示可能的前庭偏头痛。
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引用次数: 0
Consistency of two versions of hearing handicap inventory for elderly (HHIE and HHIE-S) with degree of hearing loss (HL) 老年人HHIE和HHIE- s两版听力障碍量表与听力损失程度的一致性分析
IF 0.7 Q3 Medicine Pub Date : 2023-01-19 DOI: 10.1080/21695717.2023.2168417
F. Faraji-Khiavi, A. Bayat, Rezvan Dashti, Behnaz Dindamal, Sasan Ghorbani Kalkhajeh
Abstract Objective Using self-assessment methods to assess hearing handicap in the elderly can play an important role in understanding their disease status and taking action to improve it. Thus, the present study was performed to determine the consistency of two versions hearing handicap inventory for elderly, namely HHIE and HHIE-S, with the degree of hearing loss(HL). Methods This is a cross-sectional study conducted on 110 elderly aged 60 years and above who referred to hearing clinics in province Khuzestan, Iran in 2019. In order to collect data, HHIE (including 25 questions) and HHIE-S (including 10 questions) were used. Data analysis was done using SPSS ver. 24. Independent sample t-test was used to compare HHIE and HHIE-S scores in terms of the degree of HL. Results The prevalence of mild, moderate and severe degrees of HL was 21.82%, 48.18% and 30.0%, respectively. The majority of the patients suffered from sensorineural hearing loss (77.28%). Comparison of HHIE/HHIE-S total score among patients with different degrees of HL showed statistically significant differences, and patients with a higher degree of hearing loss reported higher hearing handicaps. HHIE and HHIE-S total scores showed a positive large significant correlation (r = 0.815, p < 0.001).Our findings revealed a significant large positive association of the PTA with the total score of HHIE (r = 0.69, p < 0.001) and HHIE-S (r = 0.76, p < 0.001). Conclusions The large correlation between HHIE and HHIE-S measures observed in the current data supports that these two scales can be used interchangeably. These patient reported outcome inventories are congruent with hearing loss level, so they can be used as proper criteria for referring patients to audiologists in health system.
摘要目的采用自评方法对老年人的听力障碍进行评估,对了解老年人的听力障碍状况并采取相应的改善措施具有重要意义。因此,本研究旨在确定HHIE和HHIE- s两种版本的老年人听力障碍量表与听力损失程度(HL)的一致性。方法对2019年在伊朗胡齐斯坦省听力诊所就诊的110名60岁及以上老年人进行横断面研究。为了收集数据,采用HHIE(含25题)和HHIE- s(含10题)。数据分析采用SPSS ver软件。24. 采用独立样本t检验比较HHIE和HHIE- s评分对HL程度的影响。结果轻、中、重度HL患病率分别为21.82%、48.18%和30.0%。以感音神经性听力损失为主(77.28%)。不同程度HL患者HHIE/HHIE- s总分比较差异有统计学意义,听力损失程度越高的患者听力障碍程度越高。HHIE与HHIE- s总分呈显著正相关(r = 0.815, p < 0.001)。我们的研究结果显示PTA与HHIE总分(r = 0.69, p < 0.001)和HHIE- s总分(r = 0.76, p < 0.001)呈显著正相关。结论现有资料中观察到的HHIE和HHIE- s指标之间存在较大的相关性,支持这两种量表可以互换使用。这些患者报告的结果清单与听力损失水平一致,因此它们可以作为将患者转诊到卫生系统听力学家的适当标准。
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引用次数: 0
Assessment of temporal auditory processing in individuals with misophonia 恐音症患者时间听觉加工的评估
IF 0.7 Q3 Medicine Pub Date : 2023-01-19 DOI: 10.1080/21695717.2023.2169373
Kadri Ila, Emre Soylemez, N. Yilmaz, S. Ertugrul, Soner Turudu, Engin Karaboya, Çağlayan Adigul
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引用次数: 0
Effect of selective attention on auditory brainstem response 选择性注意对听觉脑干反应的影响
IF 0.7 Q3 Medicine Pub Date : 2023-01-18 DOI: 10.1080/21695717.2023.2168413
Sathish Kumar, Srikanth Nayak, Arivudai Nambi Pitchai Muthu
Abstract Introduction Auditory selective attention can enhance the processing of relevant information and inhibit irrelevant information. The attentional modulation of auditory processing is evidenced through cortical auditory event-related potentials and frequency following response. On the other hand, such attentional effects on brainstem evoked potentials showed mixed results. Hence, the current study aimed to investigate the effect of selective attention on Auditory Brainstem Response. Methods Sixteen young adults with bilateral normal hearing sensitivity were recruited for the study, and their auditory brainstem responses were recorded using IHS Smart EP version 3.92 for active listening, passive listening with the visual task, and passive listening with visual distracter conditions. Results The statistical analysis of the wave-V latency and amplitude obtained from three conditions revealed no effect on the latency; however, peak V amplitude was lower in passive listening with visual distractor condition than in active listening and passive listening with visual task condition. Further attentional modulation was seen only on the contralateral montage and not on the ipsilateral montage. Conclusion The current study results demonstrate the attentional modulation at earlier stages of auditory processing as evidenced by the increased amplitude of peak V.
听觉选择性注意可以增强相关信息的加工,抑制无关信息。听觉加工的注意调节通过皮层听觉事件相关电位和频率跟随反应得到证实。另一方面,这种对脑干诱发电位的注意效应显示出不同的结果。因此,本研究旨在探讨选择性注意对听觉脑干反应的影响。方法选取16名双侧听力正常的青年为研究对象,采用IHS Smart EP版本3.92记录他们在主动倾听、被动倾听伴视觉任务和被动倾听伴视觉干扰条件下的听觉脑干反应。结果对三种条件下的波v潜伏期和振幅进行统计分析,发现对潜伏期没有影响;在视觉干扰条件下,被动听力组的V振幅峰值低于主动听力组和被动听力组。进一步的注意调制只出现在对侧蒙太奇上,而没有出现在同侧蒙太奇上。结论当前的研究结果表明,在听觉加工的早期阶段存在注意调制,表现为V峰振幅的增加。
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引用次数: 0
A scoring system for cochlear implant candidate selection using artificial intelligence 基于人工智能的人工耳蜗选择评分系统
IF 0.7 Q3 Medicine Pub Date : 2023-01-16 DOI: 10.1080/21695717.2023.2165371
A. Abousetta, Wafaa El Kholy, M. Hegazy, E. Kolkaila, A. Emara, Shaymaa A. Serag, Ahmed Salah Fathalla, Omnia Ismail
Abstract Objective: Cochlear implant (CI) candidate selection is a lengthy, complicated process that entails subjective judgment on the interaction of multiple pre-operative variables. It is assumed that setting a scoring system for the process of CI candidate selection would help in precise and reliable decision making. This would also provide a tool that would help in providing a better quality of life for CI patients. Methods: Retrospective cohort study was held out in three post-CI rehabilitation centers. A total of 100 children records were analyzed with two statistical methods; conventional and Artificial Intelligence (AI) using Machine Learning. Language age deficit, phonological deficit, and social deficit were invented as new measures of CI performance; used to represent the developmental delay of those children in a single numeric value (in months). Results: Artificial Intelligence analysis surpassed conventional statistical methods for the prediction of the outcome measures of post-CI performance. This was clearly expressed using linear regression models. The AI classification model validation for predictive accuracy of language age deficit, phonological deficit, and social deficit were 56.66%, 88.11%, and 40.46% respectively. Conclusion: The production of a preliminary CI scoring model used for prediction of performance of patients was achieved. More data should be collected and fed to the software in order to improve its performance.
摘要目的:人工耳蜗(CI)的选择是一个漫长而复杂的过程,需要对多个术前变量的相互作用进行主观判断。假设在CI候选人选择过程中设置一个评分系统将有助于准确可靠的决策。这也将提供一种工具,有助于为CI患者提供更好的生活质量。方法:回顾性队列研究在三家ci后康复中心进行。采用两种统计方法对100例患儿病历进行分析;传统智能和人工智能(AI)使用机器学习。语言年龄缺陷、语音缺陷和社交缺陷被发明作为CI表现的新指标;用于用单个数值(以月为单位)表示这些儿童的发育延迟。结果:人工智能分析在预测ci后表现的结局指标方面优于传统的统计方法。使用线性回归模型清楚地表达了这一点。人工智能分类模型对语言年龄缺陷、语音缺陷和社交缺陷的预测准确率分别为56.66%、88.11%和40.46%。结论:初步的CI评分模型用于预测患者的表现是成功的。为了提高软件的性能,应该收集更多的数据并将其输入软件。
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引用次数: 0
Visual function impairment in patients suffering from visually induced motion sickness. A preliminary observational longitudinal study 视觉晕车患者的视觉功能损害。初步观察性纵向研究
IF 0.7 Q3 Medicine Pub Date : 2023-01-02 DOI: 10.1080/21695717.2023.2165370
Leonardo Gabriele, S. De Angelis, Vittorio Roncagli, M. Tramontano, L. Manzari, Domenico Gabriele
Abstract Objective Visually induced Motion Sickness (VIMS) is a side effect induced by the physical motion of the person or visual motion that adversely affects otherwise individuals and decreases safety in situations that require high levels of concentration. The exact mechanisms behind the emergence of VIMS are still unknown but can be triggered by direct or indirect stimuli due to mismatches in the visual-vestibular autonomic pathways. The aim of this preliminary study was to explore the presence of visual dysfunctions in patients suffering from VIMS and then evaluate the potential role of a customized visual training (VT) on their perceived sickness symptoms. Methods A total of 9.675 medical records of patients who referred motion sickness were reviewed; 455 patients with a diagnosis of VIMS were included. A total of 95 patients (86 females and 9 males, mean age of 37,68 ± 9.20 years) met the inclusion criteria and were enrolled in this study. Two evaluation sessions were carried out immediately before (T0) and after 16 weeks (T1) of visual training (VT). The main goal of VT was to facilitate the visual center-periphery integration. VT was performed 1 day/week/16 weeks under therapist supervision in the Optometric centre and 5 days/week/16 weeks at home without supervision. Results The within-subjects comparison at times T0–T1 showed significant improvement of the symptoms in all the included patients. Conclusion Our results support the hypothesis that patients suffering from VIMS may present also a visual function impairment that can increase the dizziness-related symptoms. Furthermore, visual training can help patients with VIMS and visual dysfunction in reducing capture discomfort, stomach awareness, and nausea.
摘要目的视动病(visual induced Motion Sickness, VIMS)是一种由人的身体运动或视觉运动引起的副作用,在需要高度集中注意力的情况下对个体产生不利影响,降低安全性。VIMS出现的确切机制尚不清楚,但可能由视觉-前庭自主神经通路不匹配引起的直接或间接刺激触发。本初步研究的目的是探讨VIMS患者视觉功能障碍的存在,然后评估定制视觉训练(VT)对其感知疾病症状的潜在作用。方法回顾9,675例转诊晕动病患者的病历;纳入455例诊断为VIMS的患者。符合纳入标准的患者共95例,其中女性86例,男性9例,平均年龄37(68±9.20岁)。在视觉训练(VT)前(T0)和16周后(T1)进行两次评估。VT的主要目的是促进视觉中心-周边的整合。VT在验光中心进行1天/周/16周,在治疗师的监督下进行,在家中进行5天/周/16周,没有监督。结果t0 ~ t1时间组内比较,所有患者症状均有明显改善。结论本研究结果支持了VIMS患者可能同时存在视觉功能障碍的假设,而视觉功能障碍可增加眩晕相关症状。此外,视觉训练可以帮助VIMS和视觉功能障碍患者减少捕捉不适、胃意识和恶心。
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引用次数: 0
Classification of cervicogenic dizziness 颈源性头晕的分类
IF 0.7 Q3 Medicine Pub Date : 2023-01-02 DOI: 10.1080/21695717.2023.2168415
Yun-Hee Sung
Abstract Objective Cervicogenic dizziness is currently excluded from diagnosis because of the insufficient understanding of the causes underlying this condition. To solve this problem, it is necessary to understand the cause of cervicogenic dizziness. Methods Literature research in PubMed and google scholar. Results The total number of included studies was 59. Conclusion Cervicogenic dizziness is a topic of debate. Among patients with dizziness, some patients frequently complain of lightheadedness, headache, and pain along with dizziness rather than true vertigo. Many clinicians mention that representative symptoms of cervicogenic dizziness are difficult to identify because these symptoms may be caused by other diseases. This study explained the causes of cervicogenic dizziness by dividing them into three categories (neuro-vascular problem, spine disease and soft tissue problems caused by with or without trauma) and six factors (sympathetic dysfunction, vertebrobasilar insufficiency, cervical degenerative disease, rheumatoid arthritis, accidents with trauma, and abnormal posture without trauma).
摘要目的由于对颈源性头晕的病因了解不足,目前已被排除在诊断之外。要解决这个问题,有必要了解颈源性头晕的原因。方法在PubMed和google scholar中查阅文献。结果共纳入59项研究。结论颈源性头晕是一个有争议的话题。在头晕患者中,部分患者常主诉头晕时伴有头晕、头痛和疼痛,而不是真正的眩晕。许多临床医生提到,宫颈源性头晕的代表性症状难以识别,因为这些症状可能由其他疾病引起。本研究将颈源性头晕的原因分为三大类(神经血管问题、脊柱疾病和有无外伤引起的软组织问题)和六大类(交感神经功能障碍、椎基底动脉功能不全、颈椎退行性疾病、类风湿关节炎、外伤事故、无外伤异常姿势)。
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引用次数: 0
Auditory Brainstem Response in Autistic Children: Implications for Sensory Processing. 自闭症儿童的听觉脑干反应:对感觉处理的影响。
IF 0.7 Q3 Medicine Pub Date : 2023-01-01 Epub Date: 2023-03-15 DOI: 10.1080/21695717.2023.2181558
Garrett Cardon, Madelyn Cate, Sarah Cordingley, Brittany Bown

Purpose: Autistic individuals frequently experience sensory processing difficulties. Such difficulties can significantly impact important functions and quality of life. We are only beginning to understand the neural mechanisms of atypical sensory processing. However, one established way to measure aspects of auditory function is the auditory brainstem response (ABR). While ABR has been primarily hypothesized thus far as a means of early detection/diagnosis in autism, it has the potential to aid in examining sensory processing in this population.

Method: Thus, we investigated standard ABR waveform characteristics in age-matched groups of autistic and typically developing children during various stimulus and intensity conditions. We also examined within ear waveform cross correlations and inter-aural cross correlations (IACC) to assess replicability and synchrony of participants' ABRs, which was a novel approach to ABR analysis in this population.

Results: We observed longer peak latencies (esp. wave III and V) and interpeak latencies in the autism and typically developing groups in different conditions. There were no statistically significant results in cross correlation or IACC.

Conclusions: These results suggest that brainstem auditory function may differ slightly, but is mostly similar, between autistic and typically developing children. We discuss these findings in terms of their implications for sensory processing and future utility.

目的:自闭症患者经常会遇到感官处理方面的困难。这些困难会严重影响重要功能和生活质量。我们才刚刚开始了解非典型感觉处理的神经机制。然而,听觉脑干反应(ABR)是测量听觉功能的一种既定方法。迄今为止,ABR 主要被假定为自闭症早期检测/诊断的一种手段,但它也有可能帮助研究自闭症患者的感觉处理过程:因此,我们研究了自闭症儿童和发育正常儿童在不同刺激和强度条件下的标准 ABR 波形特征。我们还检查了耳内波形交叉相关性和耳际交叉相关性(IACC),以评估参与者 ABR 的可复制性和同步性,这是在该人群中进行 ABR 分析的一种新方法:我们观察到自闭症组和典型发育组在不同条件下的峰值潜伏期(尤其是第三波和第五波)和峰间潜伏期更长。在交叉相关性或 IACC 方面没有统计学意义的结果:这些结果表明,自闭症儿童和发育正常儿童的脑干听觉功能可能略有不同,但大多相似。我们将从这些发现对感觉处理和未来用途的影响角度对其进行讨论。
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引用次数: 0
Diagnostic performance of a modified visual perception test 改进的视知觉测试的诊断性能
IF 0.7 Q3 Medicine Pub Date : 2022-12-19 DOI: 10.1080/21695717.2022.2155777
Mayada Elsherif, M. Mourad, N. Hamouda, Rania Abdou, Taima Salem
Abstract Background During the process of learning to read, the dorsal pathway assesses the visual word form area (VWFA) in focussing on each letter and its sequence. Children with learning difficulty such as dyslexia have immature processing in these areas of the brain. The aim of the study is to modify the dynamic perceptual test to increase its diagnostic value to differentiate between dyslexic and non-dyslexic children. Methods Forty children were included divided into two subgroups, control group consists of 20 good reading skills children and study group consists of 20 dyslexic children according to the Arabic version of the dyslexia assessment. All children underwent psychometric, dyslexic evaluation, Phonological awareness skills assessment and the modified dynamic visual perception. Results There was statistically significant different between groups on saccadic and distractor tasks. The performance of control children was better than dyslexic children for identification of the optotype presented to them as well as the colour of the arrow. Conclusion The distractor direction and colour was the most specific in the modified dynamic perception in differentiating dyslexic from non-dyslexic children.
在学习阅读的过程中,背侧通路评估视觉构词区(VWFA)对每个字母及其顺序的关注。有学习困难的儿童,如诵读困难症,在大脑的这些区域处理不成熟。本研究的目的是修改动态知觉测试,以提高其诊断价值,以区分阅读困难和非阅读困难儿童。方法将40例儿童按阿拉伯语版阅读障碍评估量表分为两组,对照组20例阅读能力良好儿童和学习组20例阅读障碍儿童。所有儿童均进行了心理测量、阅读障碍评估、语音意识技能评估和改进的动态视觉感知。结果两组在跳差和分心任务上差异有统计学意义。对照儿童在识别所呈现的光型和箭头颜色方面的表现优于阅读障碍儿童。结论干扰物的方向和颜色是区分阅读困难儿童和非阅读困难儿童的最特异的动态知觉。
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引用次数: 0
Evaluation of the effect of the menstrual cycle on hearing 月经周期对听力影响的评价
IF 0.7 Q3 Medicine Pub Date : 2022-12-08 DOI: 10.1080/21695717.2022.2148991
Beyza Kaya, Hatice Nihan Çiftçi, Zehra Çelebi, Oğuz Yılmaz, M. Şerbetçioğlu
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引用次数: 0
期刊
Hearing Balance and Communication
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