探索儿童和青少年姿势不稳与晕动病之间的关联。
Exploring the Association between Postural Instability and Motion Sickness in Children and Adolescents.
文献信息
| PMID | 42867233 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Laavanya Rajendran |
| 作者单位 | Department of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Jalan Universiti, Kuala Lumpur, Malaysia. |
| 期刊 | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery |
| SCI 分区 | Q1 |
| IF | 2.9 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 晕动病（MS）是一种常见疾病，可能损害儿童的日常功能。虽然感觉冲突理论（SCT）解释了症状的诱发，但它不能完全解释个体易感性。姿势不稳理论（PIT）提出，持续无法维持姿势稳定性先于并预测MS。我们旨在研究患有MS的儿童和青少年中MS与姿势稳定性之间的关联。
研究设计： 前瞻性病例对照研究。
地点： 四级转诊大学医院。
方法： 纳入40名参与者（年龄5-18岁）。MS根据Bárány学会标准定义。使用单腿站立测试（睁眼和闭眼）、Biodex平衡系统（静态和动态指数）以及改良感觉相互作用与平衡临床试验（MCTSIB）评估姿势稳定性。还评估了晕动病易感性（MSSQ-Short）和生活质量（PedQOL）。使用逻辑回归确定MS的预测因素。
结果： 患有MS的儿童和青少年在多项指标上表现出显著较差的姿势稳定性。在多变量分析中，闭眼单腿站立表现降低（AOR=0.82，P=.009）和较高的MCTSIB稳定性指数（泡沫上睁眼；AOR=1.83，P=.003）独立预测MS，动态前后摇摆显示出边缘显著性。
结论： 姿势控制受损是MS易感性的关键决定因素。简单的姿势不稳评估能够早期识别有MS风险的患者。促进针对性的平衡康复使得儿科人群中的MS管理从症状管理转向预防。
英文摘要
OBJECTIVE: Motion sickness (MS) is a common condition that may impair daily functioning in children. While Sensory Conflict Theory (SCT) explains symptom provocation, it does not fully account for individual susceptibility. The Postural Instability Theory (PIT) proposes that persistent inability to maintain postural stability precedes and predicts MS. We aim to investigate the association between MS and postural stability in children and adolescents with MS.
STUDY DESIGN: Prospective case-control study.
SETTING: A quaternary referral university hospital.
METHODS: 40 participants (aged 5-18 years) were included. MS was defined according to Bárány Society criteria. Postural stability was assessed using the single-leg stance test (eyes open and closed), the Biodex Balance System (static and dynamic indices), and the Modified Clinical Test of Sensory Interaction and Balance (MCTSIB). Motion sickness susceptibility (MSSQ-Short) and quality of life (PedQOL) were also evaluated. Logistic regression was used to identify predictors of MS.
RESULTS: Children and adolescents with MS demonstrated significantly poorer postural stability across multiple measures. In multivariable analysis, reduced eyes-closed single-leg stance performance (AOR = 0.82, P = .009) and higher MCTSIB stability index (eyes open on foam; AOR = 1.83, P = .003) independently predicted MS, with dynamic anterior-posterior sway showing borderline significance.
CONCLUSION: Impaired postural control is a key determinant of MS susceptibility. Simple assessments of postural instability enable early identification of patients at risk of MS. Facilitating targeted balance rehabilitation allows a shift from symptomatic management toward prevention of MS in pediatric populations.