运动病中前庭眼反射的评估：vHIT、SHIMP与功能性头脉冲试验的比较
Evaluation of vestibulo-ocular reflex in motion sickness: A comparison of vHIT, SHIMP, and functional head impulse test.
文献信息
| PMID | 42771708 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Kubranur Bilgili |
| 作者单位 | Department of Audiology and Speech Disorders, Ege University Institute of Health Sciences, Izmir, Turkiye. |
| 期刊 | Journal of vestibular research : equilibrium & orientation |
| SCI 分区 | Q3 |
| IF | 3.1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
背景： 运动病（MS）是一种由真实或感知到的运动触发的自主神经状况。目前没有单一客观测试能可靠识别MS易感性或解释其前庭基础。目的：比较vHIT、SHIMP和功能性头脉冲试验（fHIT）——在有和没有视动刺激的情况下——在检测MS中前庭眼反射（VOR）功能障碍方面的作用，并探讨MS易感性、头晕相关残疾和焦虑之间的联系。方法：30名患有MS的成人和30名健康对照者接受了vHIT、SHIMP、fHIT和视动fHIT（fHIT-OPK）检查，同时完成了运动病易感性问卷简表（MSSQ-SF）、头晕残疾量表（DHI）和状态-特质焦虑量表（STAI）。结果：vHIT或SHIMP上，两组之间的VOR增益没有显著差异。MS组中，fHIT正确回答百分比（CA%）在右前半规管（p = 0.049）、左前半规管（p = 0.001）和右后半规管（p = 0.015）显著较低。fHIT-OPK显示右水平半规管存在额外损害（p = 0.031）。MS组的DHI和STAI评分显著升高。MSSQ-SF与DHI总分强相关（r = 0.914），与状态焦虑和特质焦虑中度相关（分别为r = 0.541和0.551）。结论：在检测MS中VOR相关功能障碍方面，fHIT比vHIT和SHIMP更敏感。视动刺激揭示了视觉-前庭整合缺陷。在该人群中，残疾和焦虑的主观测量应补充客观测试。
英文摘要
BackgroundMotion sickness (MS) is an autonomic condition triggered by real or perceived movement. No single objective test reliably identifies MS susceptibility or explains its vestibular basis.ObjectiveTo compare vHIT, SHIMP, and functional head impulse test (fHIT)-with and without optokinetic stimulation-in detecting vestibulo-ocular reflex (VOR) dysfunction in MS, and to examine links between MS susceptibility, dizziness-related handicap, and anxiety.MethodsThirty adults with MS and 30 healthy controls underwent vHIT, SHIMP, fHIT, and optokinetic fHIT (fHIT-OPK), along with the Motion Sickness Susceptibility Questionnaire-Short Form (MSSQ-SF), Dizziness Handicap Inventory (DHI), and State-Trait Anxiety Inventory (STAI).ResultsVOR gain did not differ significantly between groups on vHIT or SHIMP. fHIT percentage of correct answer (CA%) were significantly lower in the MS group for the right anterior (p = 0.049), left anterior (p = 0.001), and right posterior (p = 0.015) canals. fHIT-OPK revealed additional impairment in the right lateral canal (p = 0.031). DHI and STAI scores were significantly elevated in the MS group. MSSQ-SF correlated strongly with DHI total (r = 0.914) and moderately with state and trait anxiety (r = 0.541 and 0.551, respectively).ConclusionsfHIT is more sensitive than vHIT and SHIMP in detecting VOR-related dysfunction in MS. Optokinetic stimulation unmasks visual-vestibular integration deficits. Subjective measures of handicap and anxiety should complement objective testing in this population.