Silvestina Winston Furtal, Amith Thomas, K. Yerraguntla
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引用次数: 0
摘要
摘要:人体前庭系统的耳石有助于维持静平衡。旅行会导致静态平衡缺陷,从而导致晕动病。前庭诱发肌源性电位(VEMP)评估耳石功能与晕动病之间的关系的证据是对比的。当前的系统综述旨在了解报道前庭诱发肌原性与晕动病个体之间关联的已发表文章的结果。本研究使用的数据库为PubMed、Scopus、ProQuest、CINHAL和Web of Science。这些数据是从最后的文章中提取出来的,在这些文章中,VEMP是对有和没有晕动病的人进行的。共纳入125篇文献,其中5篇文献用于系统评价。本研究采用晕动病易感性问卷对晕动病患者和非晕动病患者进行评估。无论有无晕动病,颈椎VEMP (cemp)和眼部VEMP (oVEMP)的潜伏期和振幅都是正常的。然而,该综述表明,在晕动病患者中,cemp和oVEMP的耳间不对称比例都有显著变化。这表明耳石的功能不对称性可能存在变化。从回顾中可以清楚地看出,晕车可能会导致耳石改变,而这种改变对VEMP的耳间不对称比例的影响较小。这些发现可以进一步应用于晕车患者的诊断目的。
A Systematic Review of Vestibular Evoked Myogenic Potential in Individuals with Motion Sickness
Abstract The otolith of vestibular system in the human body helps in maintaining the static balance. Travelling can cause defect in static balance that may lead to motion sickness. The evidence showing the relation between vestibular evoked myogenic potential (VEMP) that assesses otolith function and motion sickness is contrasting. The current systematic review is aimed to understand outcomes of published articles in reporting association between vestibular evoked myogenic in individuals with motion sickness. For this study, the database used is PubMed, Scopus, ProQuest, CINHAL, and Web of Science. The data is extracted from the final articles where VEMP is done on individuals with and without motion sickness. The total articles included are 125 out of which five articles used for the systematic review. In this study, motion sickness susceptibility questionnaire is used to assess individuals with and without motion sickness. The latency and amplitude of both cervical VEMP (cVEMP) and ocular (oVEMP) of individuals with and without motion sickness are normal. However, the review indicates a significant change in the interaural asymmetry ratio of both cVEMP and oVEMP results in individuals with motion sickness. This shows that there might be a variation in the functional asymmetry in the otoliths. From the review, it is clear that there might be otolith changes due to motion sickness that can have a smaller impact on the interaural asymmetry ratio in VEMP. These findings can be further applied for the diagnostic purpose in individuals with motion sickness.