Subjective visual vertical and head position in patients with idiopathic scoliosis.

IF 2.9 3区医学 Q2 NEUROSCIENCES

Journal of Vestibular Research-Equilibrium & Orientation Pub Date : 2023-01-01 DOI:10.3233/VES-230005

Klára Kučerová, Marcela Šafářová, Vojtěch Illinger, Sára Koutná, Kristýna Šonská, Kateřina Levínská, Ondřej Čakrt

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Abstract

Background: Idiopathic scoliosis (IS) is a structural spinal deformity that can affect the position of the head. One of the etiological hypotheses is that it can be caused by dysfunction of the vestibular system, which can cause abnormal perception of subjective visual vertical (SVV).

Objective: This study aimed to evaluate the differences in head position and its possible correlation with the perception of SVV in children with IS.

Methods: We examined 37 patients with IS and 37 healthy individuals. The position of the head was evaluated from digital photographs, where we compared the coronal head tilt and the coronal shoulder angle. Measurement of SVV perception was performed using the Bucket method.

Results: Coronal head tilt values were significantly different between the groups (median 2.3° [interquartile range 1.8-4.2] vs 1.3° [0.9-2.3], p = 0.001; patients vs. controls). There was a significant difference in SVV between the groups (2.33° [1.40-3.25] vs 0.50° [0.41-1.10], p < 0.001; patients vs controls). There was a correlation between the side of head tilt and the side of SVV in patients with IS (χ2 = 5.6, p = 0.02).

Conclusions: Patients with IS had a greater head tilt in the coronal plane and impaired SVV perception.

查看原文本刊更多论文

特发性脊柱侧凸患者的主观视觉垂直和头部位置。

背景:特发性脊柱侧凸(IS)是一种可以影响头部位置的脊柱结构性畸形。一种病因假说认为，它可能是由前庭系统功能障碍引起的，前庭系统功能障碍可导致主观视觉垂直(SVV)感知异常。目的:本研究旨在探讨IS患儿头部位置的差异及其与SVV感知的可能相关性。方法:对37例IS患者和37例健康人进行检查。从数码照片中评估头部的位置，我们比较了冠状头倾斜和冠状肩角。采用Bucket法测量SVV感知。结果:两组间冠状头倾斜值有显著差异(中位数2.3°[四分位间距1.8-4.2]vs中位数1.3°[0.9-2.3]，p = 0.001;患者vs.对照组)。两组间SVV差异有统计学意义(2.33°[1.40-3.25]vs 0.50°[0.41-1.10]，p结论:IS患者冠状面头部倾斜较大，SVV感知受损。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vestibular Research-Equilibrium & Orientation 医学-耳鼻喉科学

CiteScore

5.00

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Vestibular Research is a peer-reviewed journal that publishes experimental and observational studies, review papers, and theoretical papers based on current knowledge of the vestibular system. Subjects of the studies can include experimental animals, normal humans, and humans with vestibular or other related disorders. Study topics can include the following: Anatomy of the vestibular system, including vestibulo-ocular, vestibulo-spinal, and vestibulo-autonomic pathways Balance disorders Neurochemistry and neuropharmacology of balance, both at the systems and single neuron level Neurophysiology of balance, including the vestibular, ocular motor, autonomic, and postural control systems Psychophysics of spatial orientation Space and motion sickness Vestibular rehabilitation Vestibular-related human performance in various environments

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