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

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دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 6، شماره 2
خرداد و تیر 1396
صفحه 206-215

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سابقه مقاله

  • تاریخ دریافت: 24 خرداد 1395
  • تاریخ بازنگری: 08 تیر 1395
  • تاریخ پذیرش: 14 تیر 1395
  • تاریخ اولین انتشار: 01 تیر 1396

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