自我报告的眩晕障碍与前庭功能减退患者的功能能力相关。
Self-Reported Dizziness Handicap is Related to Functional Capacity in People with Vestibular Hypofunction.
文献信息
| PMID | 42853116 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Mariam Rojas-Ledezma |
| 作者单位 | School of Integrative Physiology and Athletic Training, University of Montana, Missoula, Montana (M.R.-L., A.K., J.Q., B.L.); School of Physical Therapy and Rehabilitation Science, University of Montana, Missoula, Montana (A.K., J.C., B.L.); Neural Injury Center, University of Montana, Missoula, Montana (M.R.-L., A.K., B.L.); and Johns Hopkins University School of Medicine, Baltimore, Maryland (M.S.). |
| 期刊 | Journal of neurologic physical therapy : JNPT |
| SCI 分区 | Q1 |
| IF | 4.6 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
背景与目的： 前庭功能减退（VH）患者报告身体活动（PA）水平较低，这与日常生活活动受限相对应。然而，身体功能与自我报告的眩晕障碍及前庭功能测量之间的明确关联尚未确立。我们的目的是研究在VH参与者中，功能性有氧能力和PA是否与眩晕障碍及前庭眼反射的客观评估相关。
方法： 共纳入36名参与者（14名男性，22名女性；70.11±12.2岁），有外周源性VH证据。自我报告的眩晕障碍和损害测量包括眩晕障碍量表和眩晕视觉模拟量表。客观测量包括视频头脉冲试验和计算机化动态视力。感兴趣的结局包括2分钟步行试验、平均每日步数、轻度PA和中度至剧烈PA。构建了控制年龄和性别的多元线性回归模型，并使用Benjamini-Hochberg进行调整。显著性设定为α=0.05。
结果： 自我报告的眩晕障碍和损害测量与2分钟步行试验显著相关（P≤0.05）。未发现PA与自变量之间的显著关联。
讨论与结论： 在调整年龄和性别后，更大的眩晕障碍与较低的功能性有氧能力相关。有趣的是，在检查前庭功能的客观测量时未观察到这种关系。在调整年龄和性别后，年龄与中度至剧烈PA时间减少相关，而前庭相关测量则不然。
英文摘要
BACKGROUND AND PURPOSE: Individuals with vestibular hypofunction (VH) report low levels of physical activity (PA), corresponding with restrictions when performing activities of daily living. However, a clear association between physical function and self-reported dizziness handicap and measures of vestibular function has not been established. Our purpose is to investigate whether functional aerobic capacity and PA are related to dizziness handicap and objective assessments of the vestibulo-ocular reflex in participants with VH.
METHODS: A total of 36 participants (14 males, 22 females; 70.11 ± 12.2 years) with evidence of VH of peripheral origin were included. Self-reported measures of dizziness handicap and impairment included the Dizziness Handicap Inventory and Visual Analogue Scale of dizziness. Objective measures included the Video Head Impulse Test and computerized Dynamic Visual Acuity. Outcomes of interest included the 2-minute walk test, average daily steps, light PA, and moderate-to-vigorous PA. Multiple linear regression models were built, controlling for age and sex, and adjusted using the Benjamini-Hochberg. Significance was set at alpha = 0.05.
RESULTS: Self-reported measures of dizziness handicap and impairment were significantly associated with the 2-minute walk test (P ≤ 0.05). No significant associations between PA and the independent variables were found.
DISCUSSION AND CONCLUSIONS: Greater dizziness handicap was associated with lower functional aerobic capacity when adjusting for age and sex. Interestingly, this relation was not observed when examining objective measures of vestibular function. After adjusting for age and sex, age was associated with reduced moderate-to-vigorous PA time, whereas the vestibular-related measures were not.