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Otol Neurotol:助听器和耳蜗移植对走路步态平衡的影响

2017-09-16 AlexYang MedSci原创

最近,研究人员进行了这样的一个假设,即具有听力损伤病人的听觉输入会改善走路时的平衡。听觉输入越来越成为平衡的一个附加输入。一些研究发现了在一个摇摆平台上,能够改善静力平衡的听觉线索。听觉对步态的影响,是一种动态的过程并且与跌倒的风险相联系,到目前为止仍旧没有完全的解释。如果听觉和平衡之间具有正相关关系,那么也就说明了改善听力能够提高平衡。研究人员利用惯性传感器定量13位双边助听器使用者和12名双边

最近,研究人员进行了这样的一个假设,即具有听力损伤病人的听觉输入会改善走路时的平衡。听觉输入越来越成为平衡的一个附加输入。一些研究发现了在一个摇摆平台上,能够改善静力平衡的听觉线索。听觉对步态的影响,是一种动态的过程并且与跌倒的风险相联系,到目前为止仍旧没有完全的解释。如果听觉和平衡之间具有正相关关系,那么也就说明了改善听力能够提高平衡。

研究人员利用惯性传感器定量13位双边助听器使用者和12名双边耳蜗移植(CI)使用者在听力设备开和关状态下的步态参数。结果测量包括了步态速度、步长变化、摇摆不定时间变化和双腿支撑阶段。研究发现,在助听器组和CI组中,在有听力设备协助和没有听力设备协助情况下,步态结果没有显著的差异。步态速度与跌倒风险具有最强的联系,在助听器使用者和和CI 使用者中95%置信区间差异分别为-2.16到1.52和-1.45到4.17cm/s(在听力设备协助和不协助情况下)。另外,在参与者中,一些个体在该4个参数中具有很大的变化。最后,研究人员指出,该研究结果没有统计学上的显著性,然而,一部分参与者的临床结果具有改善。这表明了听觉也许在一些病人中对平衡具有临床上的有益效果。

原始出处:

Weaver TS, Shayman CS, Hullar TE et al. The Effect of Hearing Aids and Cochlear Implants on Balance During Gait. Otol Neurotol. Oct 2017.

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    2017-11-30 xxxx1061
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    2018-04-11 cqlidoudou
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    2017-09-17 130****4638

    学习了谢谢分享

    0

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    2017-09-17 1ddf0692m34(暂无匿称)

    学习了.涨知识

    0

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