معرفی ابزاری نوین در ارزیابی سیستم وستیبولار؛ مروری بر کاربردهای بالینی آزمون ویدئویی ایمپالس سر

نوع مقاله: مقاله مروری

نویسندگان

1 مربی گروه شنوایی‌شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 مرکز تحقیقات و فن آوری دانشجویان. دانشجوی کارشناسی ارشد شنوایی‌شناسی، گروه شنوایی‌شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

3 دکترای تخصصی شنوایی شناسی، عضو کادر آموزشی گروه شنوایی شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

مقدمه و اهداف
تعادل عملکردی فیزیولوژیک از جانب بدن است و حفظ آن با تعامل همزمان اطلاعات حسی سیستم­های وستیبولار، بینایی و حس پیکری صورت می­گیرد؛ از بین سه ورودی حسی تعادل، سیستم وستیبولار نیازمند توجه ویژه­ای در ارزیابی­ها و پژوهش­های بالینی است؛ چرا که حدود 50 درصد از بیماران مبتلا به گیجی و منگی، از اختلالات سیستم وستیبولار رنج می­برند. سیستم وستیبولار در حین حرکات سر مسئول ثبات تصاویر بر روی چشم­ها می­باشد. بدین منظور در حین حرکت سر، چشم­ها در جهت عکس حرکت سر ولی با دامنه­ای نسبتا مشابه، به حرکت واداشته می­شوند که این حرکت جبرانی، ناشی از رفلکس دهلیزی-چشمی(VOR) است. اختلالات وستیبولار با ایجاد نقص در VOR، موجب بروز حرکات اصلاحی چشم می­شوند که در آزمایش ویدئویی ایمپالس سر (VHIT) قابل ردیابی است. در مطالعه حاضر مروری کاربردهای بالینی VHIT مورد بررسی قرار گرفته است.
مواد و روش­ها
به منظور بررسی مروری کاربردهای بالینی VHIT، 52 مرجع در پایگاه­های اطلاعاتی Pubmed, Science Direct, Springer, Elsevier مورد بازنگری سیستماتیک قرار گرفت.
نتیجه ­گیری
VHIT ابزاری نوین در ارزیابی سیستم وستیبولار است و با استفاده از آن، هر مجرای نیم دایره به صورت مجزا و با دقت قابل ارزیابی است. به کارگیری این آزمون در کنار آزمون کالریک، یک مجموعه آزمون تکمیلی را به منظور بررسی عملکرد مجرای نیم دایره افقی فراهم می­سازد. VHIT آزمونی عینی و حساس در تشخیص اختلالات وستیبولار محیطی است و منجر به بهبود تشخیص افتراقی این اختلالات از اختلالات وستیبولار مرکزی می­گردد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Introducing a New Device for Vestibular Assessment: A Review on Clinical Applications of Video Head Impulse Test

نویسندگان [English]

  • Marzieh Sharifian Alborzi 1
  • Mahdi Panahian 2
  • Moslem Shaabani 3
1 MSc in Audiology, Departemant of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Student Research Committee. MSc Student in Audiology, Departemant of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 PhD in Audiology, Departemant of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background And Aim: Balance is a physiological function of the body. Balance maintenance is influenced by integration of sensory information from the vestibular, visual, and somatosensory systems. Among these systems, the vestibular system deserves attention, because about 50 percent of dizzy patients suffer from vestibular disorders. The vestibular system is responsible for the stability of images on the retina during the head movements. For this purpose, during head movements, eyes move with the same amplitude but oppositely. This function drives from vestibulo-ocular reflex (VOR). Vestibular disorders produce the deficit in VOR and lead to appearance of refixation movements in eyes that are observable by Video Head Impulse Test (VHIT). In the present article, we have reviewed clinical applications of the VHIT.
Materials And Methods: A total of 52 studies were obtained from Pubmed, ScienceDirect, Springer, and Elsevier databases, and then reviewed systemically in order to record clinical application of the VHIT reported.
Conclusion: VHIT is a new device for vestibular assessment, which can be used to evaluate semicircular canals, separately and accurately. Also, employing VHIT together with Caloric test, provides a supplementary test battery for evaluating lateral semicircular canal function.VHIT is an objective and sensitive test in the diagnosis of Peripheral vestibular disorders and leads to an improvement in differential diagnosis of peripheral vestibular system disorders from central vestibular system disorders.

کلیدواژه‌ها [English]

  • Balance
  • Vestibular
  • Video Head Impulse Test
  • Vestibulo Ocular Reflex
  • Vertigo
  • Dizziness
  1. Ak e. investigation of the use of the arms in recovering from postural perturbations: middle east technical university; 2014.##
  2. Macedo C, Gazzola JM, Ricci NA, Doná F, Ganança FF. Influence of sensory information on static balance in older patients with vestibular disorder. Brazilian journal of otorhinolaryngology. 2015;81(1):50-7. .##
  3. Tsukamoto HF, Costa VdSP, Junior S, Pelosi GG, Marchiori LLdM, Vaz CRS, et al. Effectiveness of a Vestibular Rehabilitation Protocol to Improve the Health-Related Quality of Life and Postural Balance in Patients with Vertigo. International archives of otorhinolaryngology. 2015;19(3):238-47. .##
  4. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction on balance suggestion from the field. Physical Therapy. 1986;66(10):1548-50. .##
  5. D'Silva LJ, Lin J, Staecker H, Whitney SL, Kluding PM. Impact of diabetic complications on balance and falls: contribution of the vestibular system. Physical therapy. 2015. .##
  6. Jacobson GP, Shepard NT. Balance function assessment and management: Plural Pub.; 2008. P. 1. ##
  7. MacDougall HG, Curthoys IS. Plasticity during vestibular compensation: the role of saccades. Frontiers in neurology. 2012;3. ##
  8. Murnane O, Mabrey H, Pearson A, Byrd S, Akin F. Normative Data and Test-Retest Reliability of the SYNAPSYS Video Head Impulse Test. J Am Acad Audiol. 2014 Mar;25(3):244-52. ##
  9. Böhler A, Mandala M, Ramat S, editors. A software program for the head impulse testing device (HITD). Engineering in Medicine and Biology Society (EMBC), 2010 Annual International Conference of the IEEE; 2010:6615-8. ##
  10. Perez-Fernandez N, Eza-Nuñez P. Normal Gain of VOR with Refixation Saccades in Patients with Unilateral Vestibulopathy. J Int Adv Otol. 2015;11(2):133-7. ##
  11. Jorns-Häderli M, Straumann D, Palla A. Accuracy of the bedside head impulse test in detecting vestibular hypofunction. Journal of Neurology, Neurosurgery & Psychiatry. 2007;78(10):1113-8. ####
  12. Baloh RW. Vestibular neuritis. New England Journal of Medicine. 2003;348(11):1027-32.
  13. MacDougall HG, Weber KP, McGarvie LA, Halmagyi GM, Curthoys IS.The video head impulse test: diagnostic accuracy in peripheral vestibulopathy.Neurology. 2009 Oct 6;73(14):1134-41. ##
  14. Agrawal Y, Schubert MC, Migliaccio AA, Zee DS, Schneider E, Lehnen N, et al. Evaluation of quantitative head impulse testing using search coils versus video-oculography in older individuals. Otology & Neurotology. 2014;35(2):283-8. ##
  15. Macdougall HG, McGarvie LA, Halmagyi GM, Curthoys IS, Weber KP. The video Head Impulse Test (vHIT) detects vertical semicircular canal dysfunction. PLoS One. 2013 Apr 22;8(4):e61488. ##
  16. Ulmer E, Bernard-Demanze L, Lacour M. Statistical study of normal canal deficit variation range. Measurement using the Head Impulse Test video system. Eur Ann Otorhinolaryngol Head Neck Dis. 2011 Nov;128(5):278-82. ##
  17. MacDougall HG, McGarvie LA, Halmagyi GM, Curthoys IS, Weber KP. Application of the video head impulse test to detect vertical semicircular canal dysfunction. Otol Neurotol. 2013 Aug;34(6):974-9. ##
  18. Blödow A, Pannasch S, Walther LE. Detection of isolated covert saccades with the video head impulse test in peripheral vestibular disorders. Auris Nasus Larynx. 2013 Aug;40(4):348-51. ##
  19. Zellhuber S, Mahringer A, Rambold HA. Relation of video-head-impulse test and caloric irrigation: a study on the recovery in unilateral vestibular neuritis. Eur Arch Otorhinolaryngol. 2014 Sep;271(9):2375-83. ##
  20. Black RA, Halmagyi GM, Thurtell MJ, Todd MJ,Curthoys IS. The active head-impulse test in unilateral peripheral vestibulopathy. Arch Neurol. 2005 Feb;62(2):290-3. ##
  21. Rambold HA. Economic management of vertigo/dizziness disease in a county hospital: video-head-impulse test vs. caloric irrigation. European Archives of Oto-Rhino-Laryngology. 2015;272(10):2621-8. ##
  22. Cremer PD, Halmagyi GM, Aw ST, Curthoys IS, McGarvie LA, Todd MJ, Black RA, Hannigan IP. Semicircular canal plane head impulses detect absent function of individual semicircular canals. Brain. 1998 Apr;121 ( Pt 4):699-716. ##
  23. Miłoński J, Pietkiewicz P, Bielińska M, Kuśmierczyk K, Olszewski J. The use of videonystagmography head impulse test (VHIT) in the diagnostics of semicircular canal injuries in patients with vertigo. International journal of occupational medicine and environmental health. 2014;27(4):583-90. ##
  24. Weber KP, MacDougall HG, Halmagyi GM, Curthoys IS. Impulsive Testing of Semicircular‐Canal Function Using Video‐oculography. Annals of the New York Academy of Sciences. 2009;1164(1):486-91. ##
  25. Newman-Toker DE, Kattah JC, Alvernia JE, Wang DZ. Normal head impulse test differentiates acute cerebellar strokes from vestibular neuritis. Neurology. 2008 Jun 10;70(24 Pt 2):2378-85. ##
  26. Kremmyda O, Kirchner H, Glasauer S, Brandt T, Jahn K, Strupp M. False-positive head-impulse test in cerebellar ataxia. Front Neurol. 2012 Nov 12;3:162. ##
  27. Riska KM, Murnane O, Akin FW, Hall C. Video Head Impulse Testing (vHIT) and the Assessment of Horizontal Semicircular Canal Function. Journal of the American Academy of Audiology. 2015;26(5):518-23. ##
  28. Killian JE, Baker JF. Horizontal vestibuloocular reflex (VOR) head velocity estimation in Purkinje cell degeneration (pcd/pcd) mutant mice. Journal of neurophysiology. 2002;87(2):1159-64. ##
  29. Blödow A, Blödow J, Bloching MB, Helbig R, Walther LE. Horizontal VOR function shows frequency dynamics in vestibular schwannoma. European Archives of Oto-Rhino-Laryngology. 2015;272(9):2143-8. ##
  30. Ramat S, Colnaghi S, Boehler A, Astore S, Falco P, Mandalà M, Nuti D, Colagiorgio P, Versino M. A Device for the Functional Evaluation of the VOR in Clinical Settings. Front Neurol. 2012 Mar 23;3:39. ##
  31. Böhmer A, Straumann D, Kawachi N, Arai Y, Henn V. Three-dimensional analysis of caloric nystagmus in the rhesus monkey. Acta oto-laryngologica. 1992;112(2):916-26. ##
  32. Böhmer A, Straumann D, Suzuki J-I, Hess BJ, Henn V. Contributions of single semicircular canals to caloric nystagmus as revealed by canal plugging in rhesus monkeys. Acta oto-laryngologica. 1996;116(2):513-20. ##
  33. Fetter M, Aw S, Haslwanter T, Heimberger J, Dichgans J. Three-dimensional eye movement analysis during caloric stimulation used to test vertical semicircular canal function. Otology & Neurotology. 1998;19(2):180-7. ##
  34. Schmid-Priscoveanu A, Straumann D, Kori A. Torsional vestibulo-ocular reflex during whole-body oscillation in the upright and the supine position. Experimental brain research. 2000;134(2):212-9. ##
  35. Halmagyi GM, Curthoys IS. A clinical sign of canal paresis. Arch Neurol 1988;45:737–739. ##
  36. Formby C, Robinson D. Measurement of vestibular ocular reflex (VOR) time constants with a caloric step stimulus. Journal of vestibular research: equilibrium & orientation. 1999;10(1):25-39. ##
  37. Bell SL, Barker F, Heselton H, MacKenzie E, Dewhurst D, Sanderson A. A study of the relationship between the video head impulse test and air calorics. European Archives of Oto-Rhino-Laryngology. 2014;272(5):1287-94. ##
  38. Yoo M, Kim S, Lee J, Yang C, Lee H, Park H. Results of video head impulse and caloric tests in 36 patients with vestibular migraine and 23 patients with vestibular neuritis: A preliminary report. Clinical Otolaryngology. 2015. ##
  39. McGarvie LA, Curthoys IS, MacDougall HG, Halmagyi GM. What does the dissociation between the results of video head impulse versus caloric testing reveal about the vestibular dysfunction in Ménière’s disease? Acta oto-laryngologica. 2015;135(9):859-65. ##
  40. McCaslin DL, Jacobson GP, Bennett ML, Gruenwald JM, Green AP. Predictive properties of the video head impulse test: Measures of caloric symmetry and self-report dizziness handicap. Ear and hearing. 2014;35(5):e185-e91. ##
  41. Taylor RL, Kong J, Flanagan S, Pogson J, Croxson G, Pohl D, et al. Prevalence of vestibular dysfunction in patients with vestibular schwannoma using video head-impulses and vestibular-evoked potentials. Journal of neurology. 2015:1-10. ##
  42. Batuecas‐Caletrio A, Cruz‐Ruiz S, Muñoz‐Herrera A, Perez‐Fernandez N. The map of dizziness in vestibular schwannoma. The Laryngoscope. 2015;125(12):2784-9. ##
  43. Pérez-Fernández N, Gallegos-Constantino V, Barona-Lleo L, Manrique-   Huarte R. Clinical and video-assisted examination of the vestibulo-ocular reflex: a comparative study. Acta Otorrinolaringol Esp. 2012 Nov-Dec;63(6):429-35. ##
  44. Blödow A, Helbig R, Wichmann N, Bloching M, Walther LE. [The video head impulse test: first clinical experiences]. HNO. 2013 Apr;61(4):327-34. ##
  45. Lee H. Neuro-otological aspects of cerebellar stroke syndrome. J Clin Neurol. 2009 Jun;5(2):65-73. ##
  46. Hotson JR, Baloh RW. Acute vestibular syndrome. New England Journal of Medicine. 1998;339(10):680-5. ##
  47. Halmagyi GM. Diagnosis and management of vertigo. Clin Med 2005;5:159–165. ##
  48. Lee H, Sohn S-I, Cho Y-W, Lee S-R, Ahn B-H, Park B-R, et al. Cerebellar infarction presenting isolated vertigo frequency and vascular topographical patterns. Neurology. 2006;67(7):1178-83.
  49. Mantokoudis G, Tehrani ASS, Wozniak A, Eibenberger K, Kattah JC, Guede CI, et al. VOR gain by head impulse video-oculography differentiates acute vestibular neuritis from stroke. Otology & Neurotology. 2015;36(3):457-65. ##
  50. Heuberger M, Sağlam M, Todd NS, Jahn K, Schneider E, Lehnen N. Covert anti-compensatory quick eye movements during head impulses. PLoS One. 2014 Apr 14;9(4): e93086. ##
  51. Machner B, Sprenger A, Füllgraf H, Trillenberg P, Helmchen C. [Video-based head impulse test. Importance for routine diagnostics of patients with vertigo]. Nervenarzt. 2013 Aug;84(8):975-83. ##
  52. Machner B, Sprenger A, Füllgraf H, Trillenberg P, Helmchen C. [Video-based head impulse test. Importance for routine diagnostics of patients with vertigo]. Nervenarzt. 2013 Aug;84(8):975-83. ##