بررسی ناهنجاری های ساکول در بیماران مبتلا به ضربه به سر (مطالعه مروری)

نوع مقاله: مقاله مروری

نویسندگان

1 استادیار گروه شنوایی شناسی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 استادیار گروه جراحی اعصاب، دانشکده پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران

3 دانشیار گروه شنوایی شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی ایران، تهران، ایران

4 دانشیار گروه آمار زیستی، دانشگاه علوم پزشکی تهران، تهران، ایران

10.22038/jpsr.2020.44340.2040

چکیده

 هدف:
سرگیجه و عدم تعادل یکی از علایم شایع در افراد ضربه به سر می باشد. در این بیماران، سیستم وستیبولار (Vestibular) و مخصوصا ساکول نیز ممکن است آسیب ببیند که آسیب به ساکول باعث بروز مشکلات بیشتری در تعادل بیمار در حالت ایستاده می گردد. هدف از این مقاله، بررسی وضعیت سیستم ساکول در افراد دچار ضربه به سر می باشد. برای این موضوع بر مقالاتی تاکید شد که از آزمون های cVEMP و پوسچروگرافی استفاده کرده اند.
روش بررسی:
در این تحقیق، مقالات مرتبط در پایگاه های اطلاعاتی PubMed، Web of science، Scopus، Magiran و SID در بازه زمانی ژانویه 1980 تا دسامبر 2018 با کلید واژه های ساکول، ضربه به سر، سرگیجه و عدم تعادل مورد جستجو قرار گرفت و با رعایت ملاک های ورود و خروج، در نهایت 77 مقاله مورد بررسی قرار گرفت.
یافته ها:
در بسیاری از بیماران دارای ضربه به سر آسیب سیستم وستیبولار و آسیب ساکول مشاهده می گردد. نتایج آزمون های cVEMP و پوسچروگرافی در بیماران مختلف نشان دهنده فراوانی بالای این آسیب ها می باشد.
نتیجه گیری:
آسیب ساکول می توان تاثیر زیادی بر حفظ تعادل فرد مخصوصا در وضعیت ایستاده داشته باشد. البته دیگر عوامل مانند یک طرفه بودن یا دو طرفه بودن ضایعه میزان آسیب، میزان جبران مرکزی و تاثیر سیستم های حمایتی دیگر بر این نتایج تاثیرگذار می باشد.
 
 

کلیدواژه‌ها


  1. Chapman JC, Diaz-Arrastia R. Military traumatic brain injury: a review. Alzheimer's & dementia : the journal of the Alzheimer's Association 2014; 10(3 Suppl): 97-104.
  2. Zhou G, Brodsky JR. Objective vestibular testing of children with dizziness and balance complaints following sports-related concussions. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2015; 152(6): 1133-1139.
  3. Register-Mihalik JK, Mihalik JP, Guskiewicz KM. Balance deficits after sports-related concussion in individuals reporting posttraumatic headache. Neurosurgery 2008; 63(1): 76-80.
  4. Thomke F, Dieterich M. [Medicolegal assessment of post-traumatic vertigo]. Der Nervenarzt 2011; 82(12): 1548-1556.
  5. Naguib MB, Madian Y, Refaat M, Mohsen O, et al. Characterisation and objective monitoring of balance disorders following head trauma, using videonystagmography. J Laryngol Otol 2012; 126(1): 26-33.
  6. Dehail P, Petit H, Joseph PA, Vuadens P, Mazaux JM. Assessment of postural instability in patients with traumatic brain injury upon enrolment in a vocational adjustment programme. J Rehabil Med 2007; 39(7): 531-536.
  7. Mallinson AI, Longridge NS. Specific vocalized complaints in whiplash and minor head injury patients. The American journal of otology 1998; 19(6): 809-813.
  8. King JE, Pape MM, Kodosky PN. Vestibular Test Patterns in the NICoE Intensive Outpatient Program Patient Population. Mil Med 2018; 183(suppl_1): 237-244.
  9. Lei-Rivera L, Sutera J, Galatioto JA, Hujsak BD, Gurley JM. Special tools for the assessment of balance and dizziness in individuals with mild traumatic brain injury. NeuroRehabilitation 2013; 32(3): 463-472.
  10. Alsalaheen BA, Mucha A, Morris LO, Whitney SL, et al. Vestibular rehabilitation for dizziness and balance disorders after concussion. Journal of neurologic physical therapy: JNPT 2010; 34(2): 87-93.
  11. Kleffelgaard I, Roe C, Soberg HL, Bergland A. Associations among self-reported balance problems, post-concussion symptoms and performance-based tests: a longitudinal follow-up study. Disability and rehabilitation 2012; 34(9): 788-794.
  12. Greer N, Sayer N, Koeller E, Velasquez T, Wilt TJ. Outcomes Associated With Blast Versus Nonblast-Related Traumatic Brain Injury in US Military Service Members and Veterans: A Systematic Review. The Journal of head trauma rehabilitation 2018; 33(2): E16-E29.
  13. Kisilevski V, Podoshin L, Ben-David J, Soustiel JF, et al. Results of otovestibular tests in mild head injuries. Int Tinnitus J 2001; 7(2): 118-121.
  14. Kaufman KR, Brey RH, Chou LS, Rabatin A, et al. Comparison of subjective and objective measurements of balance disorders following traumatic brain injury. Med Eng Phys 2006; 28(3): 234-239.
  15. Scherer MR, Burrows H, Pinto R, Littlefield P, et al. Evidence of central and peripheral vestibular pathology in blast-related traumatic brain injury. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 2011; 32(4): 571-580.
  16. Ylikoski J, Palva T, Sanna M. Dizziness after head trauma: clinical and morphologic findings. The American journal of otology. 1982; 3(4): 343-352.
  17. Brusis T. [Sensorineural hearing loss after dull head injury or concussion trauma]. Laryngorhinootologie 2011; 90(2): 73-80.
  18. Ernst A, Basta D, Seidl RO, Todt I, et al. Management of posttraumatic vertigo. Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery 2005; 132(4): 554-558.
  19. Akin FW, Murnane OD. Head injury and blast exposure: vestibular consequences. Otolaryngol Clin North Am 2011; 44(2): 323-334.
  20. Suarez H, Alonso R, Arocena M, Suarez A, Geisinger D. Clinical characteristics of positional vertigo after mild head trauma. Acta oto-laryngologica 2011; 131(4): 377-381.
  21. Akin FW, Murnane OD, Hall CD, Riska KM. Vestibular consequences of mild traumatic brain injury and blast exposure: a review. Brain injury : [BI] 2017; 31(9): 1188-94.
  22. Roeser RJ vM, Hosford-Dunn H. Audiology diagnosis, second edition. Thieme. 2007, chapter 25, 540-566.
  23. Basford JR, Chou LS, Kaufman KR, Brey RH, et al. An assessment of gait and balance deficits after traumatic brain injury. Arch Phys Med Rehabil  2003; 84(3): 343-349.
  24. Jafarzadeh S, Bahrami E, Pourbakht A, Jalaie S, Daneshi A. Validity and reliability of the Persian version of the dizziness handicap inventory.  J Res Med Sci 2014; 19(8): 769-775.
  25. Jafarzadeh S, Bahrami E, Pourbakht A, Jalaie S. [Clinical Applications and Psychometric Properties of Dizziness Handicap Inventory in English, Persian and other Languages]. Journal of Paramedical Sciences & Rehabilitation 2017; 6(2): 99-109. [Persian}
  26. Mallinson AI, Longridge NS. Dizziness from whiplash and head injury: differences between whiplash and head injury. The American journal of otology 1998; 19(6): 814-818.
  27. Gay RK. Neurocognitive measures in the assessment of vestibular disturbance in patients with brain injury. NeuroRehabilitation 2013; 32(3): 473-482.
  28. Treleaven J. Dizziness, unsteadiness, visual disturbances, and postural control: implications for the transition to chronic symptoms after a whiplash trauma Spine 1976; 36(25 Suppl): 211-217.
  29. Kogler A, Lindfors J, Odkvist LM, Ledin T. Postural stability using different neck positions in normal subjects and patients with neck trauma. Acta oto-laryngologica 2000; 120(2): 151-155.
  30. Agostini V, Chiaramello E, Bredariol C, Cavallini C, Knaflitz M. Postural control after traumatic brain injury in patients with neuro-ophthalmic deficits Gait Posture 2011; 34(2): 248-253.
  31. Vonk J, Horlings CG, Allum JH. Differentiating malingering balance disorder patients from healthy controls, compensated unilateral vestibular loss, and whiplash patients using stance and gait posturography. Audiology & neuro-otology 2010; 15(4): 261-272.
  32. Pothula VB, Chew F, Lesser TH, Sharma AK. Falls and vestibular impairment. Clinical otolaryngology and allied sciences 2004; 29(2): 179-82.
  33. Anand V, Buckley JG, Scally A, Elliott DB. Postural stability in the elderly during sensory perturbations and dual tasking: the influence of refractive blur. Invest Ophthalmol Vis Sci 2003; 44(7): 2885-2891.
  34. Shall MS. The importance of saccular function to motor development in children with hearing impairments Int j otolaryngol, 2009:2009: 972565.
  35. Gattu R, Akin FW, Cacace AT, Hall CD, et al. Vestibular, balance, microvascular and white matter neuroimaging characteristics of blast injuries and mild traumatic brain injury: Four case reports. Brain inj 2016; 30(12): 1501-1514.
  36. Shinjo Y, Jin Y, Kaga K. Assessment of vestibular function of infants and children with congenital and acquired deafness using the ice-water caloric test, rotational chair test and vestibular-evoked myogenic potential recording. Acta oto-laryngologica 2007; 127(7): 736-747.
  37. Tribukait A, Brantberg K, Bergenius J. Function of semicircular canals, utricles and saccules in deaf children. Acta oto-laryngologica 2004; 124(1): 41-48.
  38. Zhou D, Xu W, He L. Histopathology of nonacoustic labyrinth following head injury in guinea pigs. Zhonghua Er Bi Yan Hou Ke Za Zhi. 1994; 29(6): 350-352.
  39. Herdman SJ, Blatt P, Schubert MC, Tusa RJ. Falls in patients with vestibular deficits. The American journal of otology 2000; 21(6): 847-851.
  40. Hall CD, Schubert MC, Herdman SJ. Prediction of fall risk reduction as measured by dynamic gait index in individuals with unilateral vestibular hypofunction. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 2004; 25(5): 746-751.
  41. Murray KJ, Hill KD, Phillips B, Waterston J. The influence of otolith dysfunction on the clinical presentation of people with a peripheral vestibular disorder. Physical therapy 2007; 7(2): 143-152.
  42. Longridge NS, Mallinson AI. Across the board" posturography abnormalities in vestibular injury. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 2005; 26(4): 695-698.
  43. Whitney SL, Marchetti GF, Schade AI. The relationship between falls history and computerized dynamic posturography in persons with balance and vestibular disorders. Arch Phys Med Rehabil 2006; 87(3): 402-407.
  44. Macias JD, Massingale S, Gerkin RD. Efficacy of vestibular rehabilitation therapy in reducing falls. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2005; 133(3): 323-325.
  45. Jafarzadeh S, Golrokhian-Sani MR. The challenge of vestibular rehabilitation in a patient with bilateral vestibular dysfunction following surgery: A case report. Iranian journal of otorhinolaryngology 2018; 30(3): 167-170.
  46. Hoseinabadi R, Pourbakht A, Yazdani N, Kouhi A, et al. The Effects of the Vestibular Rehabilitation on the Benign Paroxysmal Positional Vertigo Recurrence Rate in Patients with Otolith Dysfunction. J audiol otol. 2018; 22(4): 204-208.
  47. Jafarzadeh S, Pourbakht A, Bahrami E, Jalaie S, Bayat A. Effect of Early Vestibular Rehabilitation on Vertigo and Unsteadiness in Patients with Acute and Sub-Acute Head Trauma. Iranian journal of otorhinolaryngology 2018; 30(97): 85-90.
  48. Scherer MR, Schubert MC. Traumatic brain injury and vestibular pathology as a comorbidity after blast exposure. Physical therapy 2009; 89(9): 980-92.
  49. Sessoms PH, Gottshall KR, Collins JD, Markham AE, et al. Improvements in gait speed and weight shift of persons with traumatic brain injury and vestibular dysfunction using a virtual reality computer-assisted rehabilitation environment. Military medicine 2015; 180(3 Suppl): 143-149.
  50. Basta D, Clarke A, Ernst A, Todt I. Stance performance under different sensorimotor conditions in patients with post-traumatic otolith disorders. Journal of vestibular research : equilibrium & orientation 2007; 17(1): 25-31.
  51. Lahat E, Barr J, Klin B, Dvir Z, et al. Postural stability by computerized posturography in minor head trauma. Pediatr Neurol 1996; 15(4): 299-301.
  52. Basta D, Todt I, Scherer H, Clarke A, Ernst A. Postural control in otolith disorders. Hum Mov Sci 2005; 24(2): 268-279.
  53. Longridge NS, Mallinson AI. Visual vestibular mismatch in work-related vestibular injury. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 2005; 26(4): 691-694.
  54. Pickett TC, Radfar-Baublitz LS, McDonald SD, Walker WC, Cifu DX. Objectively assessing balance deficits after TBI: Role of computerized posturography. Journal of rehabilitation research and development 2007; 44(7): 983-990.
  55. Lee JD, Park MK, Lee BD, Park JY, et al. Otolith function in patients with head trauma. Eur Arch Otorhinolaryngol 2011; 268(10): 1427-1430.
  56. Aligene K, Lin E. Vestibular and balance treatment of the concussed athlete. NeuroRehabilitation 2013; 32(3): 543-53.
  57. Morisse E, Favarel-Garrigues JF, Couadau E, Mikulski M, et al. Incidence of hospital-admitted severe traumatic brain injury and in-hospital fatality rates in a Pacific Island country: A 5-year retrospective study. Brain inj 2014; 28(11): 1436-1440.
  58. Andelic N, Anke A, Skandsen T, Sigurdardottir S, et al. Incidence of hospital-admitted severe traumatic brain injury and in-hospital fatality in Norway: a national cohort study. Neuroepidemiology 2012; 38(4): 259-267.
  59. Masson F, Thicoipe M, Aye P, Mokni T, et al. Epidemiology of severe brain injuries: a prospective population-based study. The Journal of trauma 2001; 51(3): 481-489.
  60. Wu X, Hu J, Zhuo L, Fu C,  et al. Epidemiology of traumatic brain injury in eastern China, 2004: a prospective large case study. The Journal of trauma 2008; 64(5): 1313-1319.
  61. Johnson CM, Perez CF, Hoffer ME. The implications of physical injury on otovestibular and cognitive symptomatology following blast exposure. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2014; 150(3): 437-440.
  62. Lien S, Dickman JD. Vestibular Injury After Low-Intensity Blast Exposure. Front neurol 2018; 9: 297.
  63. Hoffer ME, Schubert MC, Balaban CD. Early Diagnosis and Treatment of Traumatic Vestibulopathy and Postconcussive Dizziness Neurologic clinics 2015; 33(3): 661-668.
  64. Hoffer ME, Balaban C, Gottshall K, Balough BJ, et al. Blast exposure: vestibular consequences and associated characteristics. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 2010; 31(2): 232-6.
  65. Saber Tehrani AS, Coughlan D, Hsieh YH, Mantokoudis G, et al. Rising annual costs of dizziness presentations to u.s. Emergency departments. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2013; 20(7): 689-696.
  66. Gurley JM, Hujsak BD, Kelly JL. Vestibular rehabilitation following mild traumatic brain injury. NeuroRehabilitation 2013; 32(3): 519-528.
  67. Knoll RM, Ishai R, Trakimas DR, Chen JX, et al. Peripheral Vestibular System Histopathologic Changes following Head Injury without Temporal Bone Fracture. Otolaryngol head neck surg 2019; 160(1): 122-130.
  68. Hebert JR, Forster JE, Stearns-Yoder KA, Penzenik ME, Brenner LA. Persistent Symptoms and Objectively Measured Balance Performance Among OEF/OIF Veterans With Remote Mild Traumatic Brain Injury. J head trauma rehabil 2018; 33(6): 403-411.
  69. Allum JH, Pfaltz CR. Visual and vestibular contributions to pitch sway stabilization in the ankle muscles of normals and patients with bilateral peripheral vestibular deficits. Experimental brain research 1985; 58(1) :82-94.
  70. Chandrasekhar SS. The assessment of balance and dizziness in the TBI patient. NeuroRehabilitation 2013; 32(3): 445-454.
  71. Herdman sj. vestibular rehabilitation, fourth edition: CPR; 2014, chapter 26, 504-530.
  72. Sargent EW, Bankaitis AE, Hollenbeak CS, Currens JW. Mastoid oscillation in canalith repositioning for paroxysmal positional vertigo. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 2001; 22(2): 205-209.
  73. Black FO, Nashner LM. Postural disturbance in patients with benign paroxysmal positional nystagmus. The Annals of otology, rhinology, and laryngology 1984; 93(6 Pt 1): 595-9.
  74. Herdman S RT. Physical therapy mananegement of bening positional vertigo in Herdman, susan j, vestibular rehabilitation, fourth edition, CPR; 2014 chapter 20: 324-355.