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

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

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فصلنامه علمی- پژوهشی علوم پیراپزشکی وتوانبخشی
دوره 9، شماره 2
مرداد 1399
صفحه 87-97

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