关键词: Função vestibular Implante vestibular Perda vestibular Vestibular function Vestibular implant Vestibular loss

Mesh : Adult Age Distribution Aged Cochlear Implantation Evoked Potentials Female Humans Male Meniere Disease / physiopathology Middle Aged Quality of Life Sex Distribution Vestibular Diseases / physiopathology surgery Vestibular Function Tests Vestibule, Labyrinth / physiology

来  源:   DOI:10.1016/j.bjorl.2019.07.011   PDF(Sci-hub)

Abstract:
BACKGROUND: People with vestibular loss present a deficit in the vestibular system, which is primarily responsible for promoting postural control, gaze stabilization, and spatial orientation while the head moves. There is no effective treatment for a bilateral loss of vestibular function. Recently, a vestibular implant was developed for people with bilateral loss of vestibular function to improve this function and, consequently, the quality of life of these patients.
OBJECTIVE: To identify in the scientific literature evidence that vestibular implants in people with vestibular deficit improves vestibular function.
METHODS: One hundred and forty six articles were found from five databases and 323 articles from the gray literature mentioning the relationship between vestibular implant and vestibular function in humans. The PICOS strategy (Population, Intervention, Comparison and Outcome) was used to define the eligibility criteria. The studies that met the inclusion criteria for this second step were included in a qualitative synthesis, and each type of study was analyzed according to the bias risk assessment of the Joanna Briggs Institute through the critical assessment checklist Joanna Briggs institute for quasi-experimental studies and the Joanna Briggs institute critical assessment checklist for case reports.
RESULTS: Of the 21 articles included in reading the full text, 10 studies were selected for the qualitative analysis in the present systematic review. All ten articles analyzed through the critical assessment checklist Joanna Briggs institute showed a low risk of bias. The total number of samples in the evaluated articles was 18 patients with vestibular implants.
CONCLUSIONS: Taken together, these findings support the feasibility of vestibular implant for restoration of the vestibulo-ocular reflex in a broad frequency range and illustrate new challenges for the development of this technology.
摘要:
背景:患有前庭功能丧失的患者存在前庭系统缺陷,主要负责促进姿势控制,凝视稳定,和头部移动时的空间方向。对于双侧前庭功能丧失没有有效的治疗方法。最近,为双侧前庭功能丧失的人开发了前庭植入物,以改善该功能,因此,这些患者的生活质量。
目的:在科学文献中发现前庭植入物可改善前庭功能。
方法:从五个数据库中找到了一百四十六篇文章,从灰色文献中找到了323篇文章,提到了前庭植入物与人类前庭功能之间的关系。PICOS战略(人口,干预,比较和结果)用于定义资格标准。符合第二步纳入标准的研究纳入了定性综合,根据JoannaBriggs研究所的偏倚风险评估,通过JoannaBriggs研究所的准实验研究关键评估清单和JoannaBriggs研究所的病例报告关键评估清单,对每种类型的研究进行了分析。
结果:在阅读全文的21篇文章中,本系统综述共选取10项研究进行定性分析。通过关键评估清单JoannaBriggs研究所分析的所有十篇文章都显示出偏见的低风险。评估文章中的样本总数为18例前庭植入物患者。
结论:综合来看,这些发现支持前庭植入物在宽频率范围内修复前庭眼反射的可行性,并说明了该技术发展的新挑战.
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