目的:描述在0至12岁儿童中进行的主要前庭评估测试以及转诊前庭评估的主要原因。
方法:该综述以以下问题为指导:在0至12岁儿童中进行的主要前庭评估测试是什么,以及转诊前庭评估的主要原因是什么?使用PVO策略,定义为:人口(P)-新生儿和儿童;研究变量(V)-前庭评估转诊的原因;研究结果(O):主要前庭评估测试和主要发现。这项研究是使用7月份的主要可用数据库进行的,2021年8月和9月,语言和出版日期没有限制,即:PubMed,WebofScience,在线科学电子图书馆(SciELO)拉丁美洲和加勒比健康科学文献(LILACS),ScienceDirect,Cochrane图书馆和Embase。描述符来自MeSH数据库:新生儿,婴儿,孩子,孩子们,前庭筛查,前庭婴儿筛查,前庭新生儿筛查,test,前庭功能,前庭功能测试。
结果:共确定了7,078项研究。阅读标题和摘要后,其中107人被选中,排除重复后剩下101。在全文阅读之后,共包括31篇文章。据观察,最常用的测试是:旋转测试,热量刺激和宫颈前庭诱发肌源性电位,转诊前庭评估的主要原因是听力损失和前庭筛查。
结论:对0至12岁儿童进行前庭筛查和/或评估的主要测试是旋转椅测试,热量刺激和颈前庭诱发的肌源性电位。因此,执行这些程序非常重要,因为前庭功能障碍的存在在研究人群中相当普遍。
OBJECTIVE: To describe the main vestibular assessment tests performed in children aged zero to twelve years and the main causes of referral for vestibular assessment.
METHODS: The
review was guided by the following question: What are the main vestibular assessment tests performed in children aged zero to twelve years and the main causes of referral for vestibular assessment? The PVO strategy was used, being defined as: Population (P) - newborns and children; study Variable (V) - causes of referral for vestibular assessment; study Outcome (O): the main vestibular assessment tests and the main findings. This study was carried out using the main available databases in the months of July, August and September 2021, with no restrictions regarding language and publication date, namely: PubMed, Web of Science, Scientific Electronic Library Online (SciELO), Latin-American and Caribbean Literature in Health Sciences (LILACS), ScienceDirect, Cochrane Library and Embase. The descriptors were obtained from the MeSH database: newborn, infant, child, children, vestibular screening, vestibular infant screening, vestibular newborn screening, test, vestibular function, vestibular function test.
RESULTS: A total of 7,078 studies were identified. After reading the titles and abstracts, 107 of them were selected, with 101 remaining after the exclusion of duplicates. After the full-text reading, 31 articles were included. It was observed that the most frequently used tests were: rotational tests, caloric stimulation and cervical vestibular evoked myogenic potential and the main causes of referral for vestibular evaluation were hearing loss and vestibular screening.
CONCLUSIONS: The main tests for vestibular screening and/or assessment of children aged zero to twelve years are the rotary chair testing, caloric stimulation and cervical-vestibular evoked myogenic potential. Consequently, performing these procedures is extremely important, since the presence of vestibular dysfunction is quite common in the studied population.