主观视觉垂直线和水平线检查软件的研发与应用

doi:10.6040/j.issn.1673-3770.0.2018.313

山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (6): 60-63.doi: 10.6040/j.issn.1673-3770.0.2018.313

主观视觉垂直线和水平线检查软件的研发与应用

张玉忠¹,魏馨雨¹,李英奇²,陈耔辰¹, 徐勇^1,3,成颖¹, 高滢¹, 陈飞云¹,胡娟¹,许珉¹,张青¹

1.西安交通大学第二附属医院耳鼻咽喉头颈外科, 陕西西安710004;
2.西安交通大学第二临床医学院, 陕西西安 710004;
3.西安市一四一医院耳鼻喉科, 陕西西安 710089

发布日期:2018-11-29
通讯作者: 张青. E-mail:zhqent@163.com
作者简介:张玉忠. E-mail: 18298343905@163.com
基金资助:
国家自然基金资助项目(81670945);陕西省国际科技合作重点项目(2017KW-048);西安交通大学医学院第二附属医院人才培养专项基金［RC(GG)201407］;西安交通大学第二附属医院新技术新疗法重点项目(2016YL-018)

Invention and application of subjective visual vertical and horizontal examination software

ZHANG Yuzhong¹, WEI Xinyu¹, LI Yingqi², CHEN Zichen¹, XU Yong^1,3, CHENG Ying¹, GAO Ying¹, CHEN Feiyun¹, HU Juan¹, XU Min¹, ZHANG Qing¹

The Second Clinical Medical College of Xian Jiaotong University, Xian 710004, Shaanxi, China;
3. Department of Otolaryngology, Xian 141 Hospital, Xian 710089, Shaanxi, China

Published:2018-11-29

摘要/Abstract

摘要： 目的自主研发主观视觉垂直线(SVV)、主观视觉水平线(SVH)检查软件。主要用于判断双侧耳石器功能的对称性和优势偏向侧,评估耳石器功能的静态代偿状态,指导前庭康复。方法研发SVV/SVH检查软件,结合消除视觉参考的桶状设备及暗环境检查室,收集80例健康志愿者检查数据,确定正常参考值范围。研究方法为横断面研究。结果 80例健康志愿者,SVV检查平均值偏离度范围为:-3.00°~3.00°,其平均值的均值(±标准差)为:-0.29(±1.42)°;SVH检查平均值偏离度范围为:-4.00°~3.50°,其平均值的均值(±标准差)为:-0.38(±1.84)°。结论自主研发的SVV/SVH软件95%正常值参考范围分别为:-3.13°~2.55°,-4.06°~3.30°;此检查软件和设备可以用于前庭耳石器机能状态的评估,与其他前庭检查设备如前庭诱发肌源性检查、双温试验、甩头试验等相结合,全面评估患者的前庭功能和前庭代偿状态,指导前庭康复。

关键词: 主观视觉垂直线, 主观视觉水平线, 前庭耳石器, 软件设计与应用

Abstract: Objective To develop software to examine the subjective visual vertical(SVV)and subjective visual horizontal(SVH). These parameters are mainly used to determine the symmetry and dominant side of bilateral otolith function, evaluate the static compensation state of otolith function, and guide vestibular rehabilitation. Methods The SVV/SVH software was developed and combined with a visual reference barrel device, and used in a dark examination room to collect data from 80 healthy volunteers to determine the normal reference range. This study was a cross-sectional study. Results In the 80 healthy volunteers, the average deviation of the SVV examination ranged from -3.00° to 3.00°. The mean(± standard deviation)was -0.29(±1.42)°. The mean deviation of SVH ranged from -4.00° to 3.50°. The mean value(± standard deviation)was -0.38(±1.84)°. Conclusion The 95% normal reference ranges of the SVV and SVH measured using the software were -3.13 to 2.55° and -4.06 to 3.30°, respectively. The software and equipment can be used to evaluate the functional status of the otolith. Combined with other vestibular examinations, such as vestibular-evoked myogenic potentials, caloric test, and video head impulse test, the software can be used to comprehensively evaluate the patients vestibular function and vestibular compensation status and guide vestibular rehabilitation.

Key words: Subjective visual vertical, Subjective visual horizon, Vestibular otolith, Software design and application

中图分类号:

R764

张玉忠,魏馨雨,李英奇,陈耔辰, 徐勇,成颖, 高滢, 陈飞云,胡娟,许珉,张青. 主观视觉垂直线和水平线检查软件的研发与应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 60-63.

ZHANG Yuzhong, WEI Xinyu, LI Yingqi, CHEN Zichen, XU Yong, CHENG Ying, GAO Ying, CHEN Feiyun, HU Juan, XU Min, ZHANG Qing. Invention and application of subjective visual vertical and horizontal examination software[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 60-63.

参考文献

[1] 赵媛, 陈太生, 王巍, 等. 主观视觉重力线在前庭代偿评定中的应用初探[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(5):355-360. ZHAO Yuan, CHEN Taisheng, WANG Wei, et al. The application of subjective visual gravity in assessment of vestibular compensation: a pilot study[J]. Chin J Otorhinolaryngol Head Neck Surg, 2016, 51(5): 355-360.
[2] 贾宏博, 王锦玲. 主观视觉垂直线知觉与前庭器耳石功能评定[J].中华耳科学杂志, 2005,3(1):70-73. JIA Hongbo, WANG Jinling. Subjective visual vertical perception and vestibular otolith function assessment[J]. Chin J Otol, 2005, 3(1):70-73.
[3] Halmagyi GM, Curthoys IS. Clinical testing of otolith function[J]. Ann N Y Acad Sci, 1999, 871(1):195-204.
[4] Pavan TZ, Funabashi M, Carneiro JA, et al. Software for subjective visual vertical assessment: an observational cross-sectional study[J].Braz J Otorhinolaryngol, 2012, 78(5):51-58.
[5] Sun DQ, Zuniga MG, Davalos-Bichara M, et al. Evaluation of a bedside test of utricular function—the bucket test—in older individuals[J]. Acta Otolaryngol, 2014, 134(4):382-389.
[6] Tesio L, Longo S, Rota V. The subjective visual vertical: validation of a simple test[J]. Int J Rehabil Res, 2011, 34(4):307-315.
[7] Friedmann G. The judgement of the visual vertical and horizontal with peripheral and central vestibular lesions[J]. Brain, 1970, 93(2):313-328.
[8] Uloziene I, Totiliene M, Paulauskas A, et al. Subjective visual vertical assessment with mobile virtual reality system[J]. Medicina(Kaunas), 2017, 53(6):394-402.
[9] Tamura A, Wada Y, Kurita A, et al. Visual effects on the subjective visual vertical and subjective postural head vertical during static roll-tilt[J]. Laryngoscope Invest Otolaryngol, 2017, 2(3):125-130.
[10] Ferreira MM, Cunha F, Ganança CF, et al. Subjective visual vertical with the bucket method in Brazilian healthy individuals[J]. Braz J Otorhinolaryngol, 2016, 82(4):442-446.
[11] Venhovens J, Meulstee J, Verhagen WI. Static subjective visual vertical in healthy volunteers: the effects of different preset angle deviations and test-retest variability[J]. Neuroophthalmol, 2016, 40(3):113-119.
[12] Bohmer A, Rickenmann J. The subjective visual vertical as a clinical parameter of vestibular function in peripheral vestibular disease[J]. J Vestib Res, 1995, 5(1):35-45.
[13] Min KK, Ha JS, Kim MJ. et al. Clinical use of subjective visual horizontal and vertical in patients of unilateral vestibular neuritis[J]. Otol Neurotol, 2007, 28(4):520-525.
[14] Kumagami H, Sainoo Y, Fujiyama D, et al. Subjective visual vertical in acute attacks of Menieres disease[J]. Otol Neurotol, 2009, 30(2):206-209.
[15] Bronstein AM, Agarwal K. Subjective visual vertical in acute attacks of Menieres disease[J]. Otol Neurotol, 2010, 31(2):366.
[16] Ferreira MM, Ganança MM, Caovilla HH. Subjective visual vertical after treatment of benign paroxysmal positional vertigo[J]. Braz J Otorhinolaryngol, 2017, 83(6):659-664.
[17] Ashish G, Augustine AM, Tyagi AK, et al. Subjective visual vertical and horizontal in vestibular migraine[J]. J Int Adv Otol, 2017, 13(2):254-258.

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主观视觉垂直线和水平线检查软件的研发与应用

Invention and application of subjective visual vertical and horizontal examination software

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