视频头脉冲试验和计算机动态姿势描记与糖尿病患者自我报告的跌倒及姿势控制的关联：一项探索性横断面研究。
Associations of video head impulse test and computerized dynamic posturography with self-reported falls and postural control in people with diabetes: an exploratory cross-sectional study.
文献信息
| PMID | 42867656 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Aksayan Arunanthy Mahalingasivam |
| 作者单位 | Steno Diabetes Center North Denmark, Aalborg University Hospital, Aalborg, Denmark. aksayan.mahalingasivam@rn.dk. |
| 期刊 | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery |
| SCI 分区 | Q1 |
| IF | 2.3 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
背景： 糖尿病患者跌倒风险增加，可能与姿势控制受损、周围神经病变和前庭功能障碍有关。这项以跌倒为重点的二次分析检查了视频头脉冲试验（vHIT）和计算机动态姿势描记（CDP）指标是否与DIAFALL队列中既往自我报告的跌倒相关。
方法： 108名年龄40-80岁的参与者有跌倒数据：11名对照组、49名1型糖尿病（T1D）患者和48名2型糖尿病（T2D）患者。对先前收集的vHIT和CDP指标，包括感觉组织测试（SOT）和运动控制测试结果，与过去12个月内的跌倒进行了分析。逻辑回归检查了与跌倒的关联，二次Spearman分析探讨了选定的临床标志物。
结果： vHIT和CDP指标未能一致地识别有既往跌倒的参与者。在未调整分析中，较低的SOT4评分与总队列（p=0.02）和T1D亚组（p=0.04）的跌倒相关，但调整后不显著（分别为p=0.54和p=0.11）。在T1D中，较低的左前vHIT增益与跌倒相关，但这一发现基于少数事件，且未得到其他半规管指标的支持。
结论： vHIT和CDP未能稳健地识别既往自我报告的跌倒。研究结果为探索性，需要在前瞻性研究中确认。
英文摘要
BACKGROUND: People with diabetes have an increased risk of falls, potentially related to impaired postural control, peripheral neuropathy, and vestibular dysfunction. This secondary fall-focused analysis examined whether video head impulse test (vHIT) and computerized dynamic posturography (CDP) measures were associated with previous self-reported falls in the DIAFALL cohort.
METHOD: Fall data were available for 108 participants aged 40-80 years: 11 controls, 49 with type 1 diabetes (T1D), and 48 with type 2 diabetes (T2D). Previously collected vHIT and CDP measures, including Sensory Organisation Test (SOT) and Motor Control Test outcomes, were analysed in relation to falls within the previous 12 months. Logistic regression examined associations with falls, and secondary Spearman analyses explored selected clinical markers.
RESULTS: vHIT and CDP measures did not consistently identify participants with previous falls. Lower SOT4 scores were associated with falls in unadjusted analyses in the total cohort (p = 0.02) and T1D subgroup (p = 0.04), but not after adjustment (p = 0.54 and p = 0.11, respectively). In T1D, lower left anterior vHIT gain was associated with falls, but this finding was based on few events and unsupported by other canal measures.
CONCLUSION: vHIT and CDP did not robustly identify previous self-reported falls. Findings were exploratory and require confirmation in prospective studies.