ISSN: 1300 - 6525 E-ISSN: 2149 - 0880
kulak burun boğaz
ve baş boyun cerrahisi dergisi
http://dergi.kbb-bbc.org.tr
Kayıtlı İndeksler








ORIGINAL RESEARCH

Evaluation of Balance Using Cervical Vestibular Evoked Myogenic Potentials in Blind Individuals
Görme Engelli Bireylerde Dengenin Servikal Vestibüler Uyarılmış Miyojenik Potansiyeller Kullanılarak Değerlendirilmesi
Received Date : 15 Sep 2021
Accepted Date : 15 Dec 2021
Available Online : 30 Dec 2021
Doi: 10.24179/kbbbbc.2021-86222 - Makale Dili: EN
KBB ve BBC Dergisi. 2022;30(1):12-6
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: Our purpose in this study to investigate whether blindness affects vestibulocollic reflex. Material and Methods: Prospective case control series. We recorded cervical vestibular evoked myogenic potential in 29 blind and 26 sighted subjects and compared the latency and amplitude values. Results: 21 of the blind subjects were male and 8 female, the average of age was 41.72±11.83. 19 of the sighted subjects were male and 7 female, the average of age was 40.64±9.11. The average P13 latency value was 16.97±2.12 ms in the blind group and 15.40±0.88 ms in the sighted group. The average P13 latency value was longer in the blind group (p<0.005). In the blind subjects’ the average N23 latency was 24.92±2.77 ms. In the sighted subjects’ the average N23 latency was 23.73±0.85 ms. The average N23 latency value was longer in the blind group (p<0.005). The mean P13- N23 interpeak amplitude was 2.76±2.92 μV in the blind group. In the sighted group, it was 2.38±0.33 μV. There were not statistically significant differences between the mean P13-N23 interpeak amplitudes (p>0.005). Conclusion: We determined that the P13 latency values and N23 latency values were longer in the blind group. Our study has shown that cervical vestibular evoked myogenic potential responses in the blind individuals are different from the sighted individuals.
ÖZET
Amaç: Bu çalışmadaki amacımız, körlüğün vestibülokolik refleks yanıtları üzerindeki etkisini araştırmaktır. Gereç ve Yöntemler: Bu çalışma, prospektif vaka kontrol çalışmasıdır. Çalışmamızda, 29 görme engelli ve 26 normal görmeye sahip bireyde servikal vestibüler uyarılmış miyojenik potansiyeli kaydettik; latans ve amplitüd değerlerini karşılaştırdık. Bulgular: Görme engelli bireylerin 21’i erkek, 8’i kadın olup; yaş ortalaması 41,72±11,83 idi. Görmesi normal olanların 19’u erkek, 7’si kadın olup; yaş ortalaması 40,64±9,11 idi. Ortalama P13 latans değeri, görme engelli grupta 16,97±2,12 ms; görmesi normal olan grupta ise 15,40±0,88 ms idi. Görme engelli grupta ortalama P13 latans değeri, görmesi normal olan gruba göre daha uzamış saptandı (p<0,005). Görme engelli grupta ortalama N23 latans değeri 24,92±2,77 ms; görmesi normal olan grupta ise ortalama N23 latansı 23,73±0,85 ms idi. Görme engelli grupta ortalama N23 latans değeri, görmesi normal olan gruba göre daha uzamış olarak saptandı (p<0,005). Görme engelli grupta ortalama P13-N23 interpeak amplitüdü 2,76±2,92 μV; görmesi normal olan grupta ise 2,38±0,33 μV idi. Ortalama P13-N23 interpeak amplitüd değerleri karşılaştırıldığında, görme engelli olan grup ile görmesi normal olan grup arasında istatistiksel olarak anlamlı fark saptanmadı (p>0,005). Sonuç: Görme engelli grupta P13 ve N23 latans değerlerinin daha uzun olduğunu belirledik. Çalışmamızda, görme engellilerde servikal vestibüler uyarılmış miyojenik potansiyel yanıtlarının görmesi, normal bireylerden farklı olduğunu ortaya konmuştur.
KAYNAKLAR
  1. Adel Ghahraman M, Shomeil Shushtari S, Sedaie M, Jalaie S, Tavakkoli M. Effect of late-onset blindness on cervical vestibular evoked myogenic potentials. Am J Otolaryngol. 2020; 41(5):102575. [Crossref]  [PubMed] 
  2. McCaslin DL, Fowler A, Jacobson GP. Amplitude normalization reduces cervical vestibular evoked myogenic potential (cVEMP) amplitude asymmetries in normal subjects: proof of concept. J Am Acad Audiol. 2014;25(3):268-77. [Crossref]  [PubMed] 
  3. Schmid M, Nardone A, De Nunzio AM, Schmid M, Schieppati M. Equilibrium during static and dynamic tasks in blind subjects: no evidence of cross-modal plasticity. Brain. 2007;130(Pt 8):2097-107. [Crossref]  [PubMed] 
  4. Juodzbaliene V, Muckus K. The influence of the degree of visual impairment on psychomotor reaction and equilibrium maintenance of adolescents. Medicina (Kaunas). 2006;42(1):49-56. [PubMed] 
  5. Parreira RB, Grecco LAC, Oliveira CS. Postural control in blind individuals: A systematic review. Gait Posture. 2017;57:161-7. [Crossref]  [PubMed] 
  6. Murofushi T, Kaga K. Vestibular Evoked Myogenic Potential: Its Basics and Clinical Applications. 1st ed. Tokyo: Springer Japan; 2009. [Crossref] 
  7. Ito K, Karino S, Murofushi T. Effect of head position on vestibular evoked myogenic potentials with toneburst stimuli. Acta Otolaryngol. 2007;127(1):57-61. [Crossref]  [PubMed] 
  8. Rosengren SM, Welgampola MS, Colebatch JG. Vestibular evoked myogenic potentials: past, present and future. Clin Neurophysiol. 2010;121(5):636-51. [Crossref]  [PubMed] 
  9. Murofushi T, Matsuzaki M, Mizuno M. Vestibular evoked myogenic potentials in patients with acoustic neuromas. Arch Otolaryngol Head Neck Surg. 1998;124(5):509-12. [Crossref]  [PubMed] 
  10. Ernst A, Todt I, Seidl RO, Eisenschenk A, Blödow A, Basta D. The application of vestibular-evoked myogenic potentials in otoneu rosurgery. Otolaryngol Head Neck Surg. 2006;135(2):286-90. [Crossref]  [PubMed] 
  11. Sheykholeslami K, Murofushi T, Kermany MH, Kaga K. Bone-conducted evoked myogenic potentials from the sternocleidomastoid muscle. Acta Otolaryngol. 2000;120(6):731-4. [Crossref]  [PubMed] 
  12. Gazioglu S, Boz C. Ocular and cervical vestibular evoked myogenic potentials in multiple sclerosis patients. Clin Neurophysiol. 2012;123(9):1872-9. [Crossref]  [PubMed] 
  13. Kuo SW, Yang TH, Young YH. Changes in vestibular evoked myogenic potentials after Meniere attacks. Ann Otol Rhinol Laryngol. 2005;114(9):717-21. [Crossref]  [PubMed] 
  14. Chiarovano E, Darlington C, Vidal PP, Lamas G, de Waele C. The role of cervical and ocular vestibular evoked myogenic potentials in the assessment of patients with vestibular schwannomas. PLoS One. 2014;9(8): e105 026. [Crossref]  [PubMed]  [PMC] 
  15. Govender S, Dennis DL, Colebatch JG. Vestibular evoked myogenic potentials (VEMPs) evoked by air- and bone-conducted stimuli in vestibular neuritis. Clin Neurophysiol. 2015;126(10):2004-13. [Crossref]  [PubMed] 
  16. Yang TL, Young YH. Vestibular-evoked myogenic potentials in patients with otosclerosis using air- and bone-conducted tone-burst stimulation. Otol Neurotol. 2007;28(1):1-6. [Crossref]  [PubMed] 
  17. Nola G, Guastini L, Crippa B, Deiana M, Mora R, Ralli G. Vestibular evoked myogenic potential in vestibular neuritis. Eur Arch Otorhinolaryngol. 2011;268(11):1671-7. [Crossref]  [PubMed] 
  18. Seemungal BM, Glasauer S, Gresty MA, Bronstein AM. Vestibular perception and navigation in the congenitally blind. J Neurophysiol. 2007;97(6):4341-56. [Crossref]  [PubMed] 
  19. Aydoğ E, Aydoğ ST, Cakci A, Doral MN. Dynamic postural stability in blind athletes using the biodex stability system. Int J Sports Med. 2006;27(5):415-8. [Crossref]  [PubMed] 
  20. Rutkowska I, Bednarczuk G, Molik B, Morgulec-Adamowicz N, Marszałek J, Kaźmierska-Kowalewska K, et al. Balance functional assessment in people with visual impairment. J Hum Kinet. 2015;48:99-109. [Crossref]  [PubMed]  [PMC] 
  21. Chatard H, Tepenier L, Jankowski O, Aussems A, Allieta A, Beydoun T, et al. Effects of age-related macular degeneration on postural sway. Front Hum Neurosci. 2017;11:158. [Crossref]  [PubMed]  [PMC] 
  22. Schwartz S, Segal O, Barkana Y, Schwesig R, Avni I, Morad Y. The effect of cataract surgery on postural control. Invest Ophthalmol Vis Sci. 2005;46(3):920-4. [Crossref]  [PubMed] 
  23. Magliulo G, Iannella G, Gagliardi S, Iozzo N, Plateroti R, Plateroti P, et al. Usher's syndrome: evaluation of the vestibular system with cervical and ocular vestibular evoked myogenic potentials and the video head impulse test. Otol Neurotol. 2015;36(8):1421-7. [Crossref]  [PubMed] 
  24. Versino M, Colnaghi S, Callieco R, Bergamaschi R, Romani A, Cosi V. Vestibular evoked myogenic potentials in multiple sclerosis patients. Clin Neurophysiol. 2002;113(9):1464-9. [Crossref]  [PubMed]