auditory

听觉
  • 文章类型: Journal Article
    跑步者的数量和与跑步相关的伤害(RRI)的发生率都在上升。实时生物反馈步态再训练为RRI预防提供了一种有前途的方法。然而,由于研究设计和报告结果的多样性,不同形式的反馈对跑步步态生物力学的影响仍存在不确定性.三个数据库:MEDLINE,pubmed,和SPORTDiscus进行了搜索,以确定截至2024年3月发表的相关研究,产生了4646篇文章供审查。使用Downs和Black质量检查表评估纳入研究的质量。主要结果,包括胫骨峰值加速度(PTA),垂直平均加载速率(VALR),和垂直瞬时加载速率(VILR),通过荟萃分析进行分析。24项研究符合纳入标准,并在本次审查中进行了分析。17项使用视觉生物反馈(VB),而14项选择听觉生物反馈(AB)。荟萃分析显示,在干预后和长期训练后,加载变量均减少。视觉和听觉反馈。值得注意的是,训练后负荷变量的减少更为明显,VB被证明比AB更有效。实时生物反馈干预在降低与RRI相关的负载变量方面是有效的。持续训练的影响更大,VB在有效性方面优于AB。
    The number of runners and the incidence of running-related injuries (RRIs) are on the rise. Real-time biofeedback gait retraining offers a promising approach to RRIs prevention. However, due to the diversity in study designs and reported outcomes, there remains uncertainty regarding the efficacy of different forms of feedback on running gait biomechanics. Three databases: MEDLINE, PUBMED, and SPORTDiscus were searched to identify relevant studies published up to March 2024, yielding 4646 articles for review. The quality of the included studies was assessed using the Downs and Black Quality checklist. Primary outcomes, including Peak Tibial Acceleration (PTA), Vertical Average Loading Rate (VALR), and Vertical Instantaneous Loading Rate (VILR), were analysed through meta-analysis. 24 studies met the inclusion criteria and were analysed in this review.17 used visual biofeedback (VB) while 14 chose auditory biofeedback (AB). The meta-analysis revealed a reduction in loading variables both immediately following the intervention and after extended training, with both visual and auditory feedback. Notably, the decrease in loading variables was more pronounced post-training and VB proved to be more effective than AB. Real-time biofeedback interventions are effective in lowering loading variables associated with RRIs. The impact is more substantial with sustained training, and VB outperforms AB in terms of effectiveness.
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  • 文章类型: Journal Article
    目的:这项研究的目的是全面回顾动物和人类研究,这些研究探索了omega-3PUFA在维持所有生命阶段听觉器官健康中的作用。
    方法:这篇叙述性综述涉及搜索Scopus,PubMed,谷歌学者,和Cochrane图书馆数据库提供1980年12月至2023年7月的相关文章。
    结果:一些动物和人类研究表明,缺乏和过量摄入长链omega-3PUFA,特别是二十二碳六烯酸(DHA),从胎儿发育到老年(老年性耳聋)可导致听觉神经传导障碍和听力下降。这些效果可能取决于剂量。一些研究表明,过量摄入欧米茄-3,而不是缺乏,会导致营养毒性和听力障碍。动物研究强调了高DHA含量的omega-3补充剂在解决听力损伤方面的积极影响。但是人类对这个问题的研究是有限的。此外,某些研究表明,omega-3PUFA可以预防或延迟与年龄相关的听力损失,血浆omega-3浓度高,特别是长链omega-3PUFA,与听力损失减少有关。此外,每周吃两次以上的鱼可能与成年后听力损失的风险较低有关。这些影响可能受年龄和性别的影响。然而,大多数研究都是在动物身上进行的,临床试验很少。关于ω-3PUFA对外周和中央前庭系统的影响的研究仍然有限。
    结论:本文探讨了ω-3对听觉前庭系统的影响,探索其对神经发育的影响,保护,和治疗。它不仅突出了具体的研究差距,而且为潜在的未来研究提供了有价值的见解。
    OBJECTIVE: The purpose of this study was to comprehensively review animal and human studies that explore the role of omega-3 PUFAs in maintaining the health of the auditory organ across all life stages.
    METHODS: This narrative review involved searching Scopus, PubMed, Google Scholar, and Cochrane Library databases for relevant articles from December 1980 to July 2023.
    RESULTS: some animal and human studies suggest that both deficiency and excessive intake of long-chain omega-3 PUFAs, particularly docosahexaenoic acid (DHA), can lead to auditory neural conduction impairment and reduced hearing acuity from fetal development to old age (presbycusis). These effects are likely to be dependent on the dosage. Some research indicates that an excessive intake of omega-3, rather than a deficiency, can result in nutritional toxicity and hearing impairments. Animal studies highlight the positive impact of omega-3 supplements with high DHA content in addressing hearing damage, but human research on this subject is limited. Furthermore, certain studies propose that omega-3 PUFAs may prevent or delay age-related hearing loss, with high plasma omega-3 concentration, particularly long-chain omega-3 PUFA, linked to reduced hearing loss. Additionally, consuming fish more than twice a week may be associated with a lower risk of hearing loss in adulthood, with these effects potentially influenced by age and gender. However, the majority of studies have been conducted on animals, and clinical trials are scarce. Research on the influence of omega-3 PUFAs on the peripheral and central vestibular systems remains limited.
    CONCLUSIONS: This article delves into the impact of omega-3 on the auditory-vestibular system, exploring its influence on neurodevelopment, protection, and treatment. It not only highlights specific research gaps but also offers valuable insights for potential future studies.
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  • 文章类型: Systematic Review
    根据唤醒情绪假说,当暴露于听觉刺激时,唤醒和情绪的变化是认知表现的有害影响或改善的基础。支持或反对这一假设的发现是,然而,通常基于唤醒的主观评分,而不是唤醒的自主神经/生理指标。为了评估唤醒情绪假说,我们对31项研究心脏,皮肤电,当暴露于不同类型的听觉刺激(音乐,环境噪声,白噪声,和双耳节拍)与认知表现有关。我们的审查表明,音乐的影响,噪音,或者双耳心跳,皮肤电,与认知表现有关的瞳孔测量要么是混合的,要么不足以得出结论。重要的是,支持或反对唤醒情绪假说的证据充其量是间接的,因为自主神经唤醒和认知表现通常是分开考虑的。未来的研究需要从整体上直接评估听觉刺激对自主神经唤醒和认知表现的影响。
    According to the arousal-mood hypothesis, changes in arousal and mood when exposed to auditory stimulation underlie the detrimental effects or improvements in cognitive performance. Findings supporting or against this hypothesis are, however, often based on subjective ratings of arousal rather than autonomic/physiological indices of arousal. To assess the arousal-mood hypothesis, we carried out a systematic review of the literature on 31 studies investigating cardiac, electrodermal, and pupillometry measures when exposed to different types of auditory stimulation (music, ambient noise, white noise, and binaural beats) in relation to cognitive performance. Our review suggests that the effects of music, noise, or binaural beats on cardiac, electrodermal, and pupillometry measures in relation to cognitive performance are either mixed or insufficient to draw conclusions. Importantly, the evidence for or against the arousal-mood hypothesis is at best indirect because autonomic arousal and cognitive performance are often considered separately. Future research is needed to directly evaluate the effects of auditory stimulation on autonomic arousal and cognitive performance holistically.
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  • 文章类型: Journal Article
    引言宫内生长受限的因素是导致胎龄小于足月婴儿(SGA)出生的原因。科学证据表明,这种限制可能导致神经成熟过程的变化。目的分析足月和SGA儿童脑干听觉诱发电位波的绝对潜伏期和峰间间隔,以探讨该人群是否存在神经成熟的变化。数据综合搜索报道SGA新生儿脑干听觉诱发电位与对照组相比评估的文章,适合他们的胎龄,都是足月出生的,在截至2021年10月31日的整个数据库期间,研究都是基于MEDLINE/PubMedCentral以及拉丁美洲和加勒比健康科学文献和虚拟健康图书馆电子数据库进行的.在数据库研究中总共发现了311项研究。在这个总数中,该综述包括10项研究,其中5人符合荟萃分析的条件,共有473名男女参与者参与,193名参与者属于研究组,280名参与者属于对照组。两组之间的差异仅在V波的绝对潜伏期中观察到(95%置信区间[CI]:0.02-0.15;p<0.01)。结论脑干听觉诱发电位测量脑干神经传导功能障碍的出现是SGA状态的原因。可能是由于该人群的听觉通路的成熟过程。
    Introduction  Factors of intrauterine growth restriction have been responsible for the births of full-term babies small for their gestational age (SGA). Scientific evidence points that this restriction can cause changes in the neural maturation process. Objectives  To analyze the absolute latencies and interpeak intervals of brainstem auditory evoked potential waves in full-term and SGA children to investigate whether there are changes of neural maturation in this population. Data Synthesis  The search for articles that reported the assessment of brainstem auditory evoked potential in SGA newborns compared with a control, appropriate for their gestational age, both born full-term, for the entire period available in the database research until October 31, 2021 was performed based on the MEDLINE/PubMed Central and on the Latin America and the Caribbean Health Sciences Literature and Virtual Health Library electronic databases. A total of 311 studies were found in the database research. Out of this total, 10 studies were included in the review, 5 of which were eligible for the meta-analysis, involving a total of 473 participants of both genders, with 193 participants belonging to the study group and 280 to the control group. Differences between the groups were only observed in the absolute latency of wave V (95% confidence interval [CI]: 0.02-0.15; p  < 0.01). Conclusion  The SGA condition is responsible for the appearance of brainstem neural conduction dysfunction measured by the brainstem auditory evoked potentials, probably by the maturation process of the auditory pathway of this population.
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  • 文章类型: Meta-Analysis
    背景:卒中是成人获得性残疾最普遍的原因之一。最近的实验研究报告了基于WiiFit的反馈对改善中风幸存者的整体平衡和步态的有益影响。
    方法:我们使用以下关键字对文献进行了系统回顾,以检索数据:反馈,生物反馈,中风,视觉,听觉,触觉,虚拟现实,电子游戏康复,任天堂Wii中风,电子游戏中风,exergamestroke,任天堂Wii康复,balance,和步态。Berg平衡量表(BBS)关于WiiFit为基础的康复伴随常规治疗效果的RCT的回顾和荟萃分析,定时和去(TUG),功能达到测试,并对中风幸存者进行步态(速度)。
    目的:确定基于WiiFit的反馈结合传统疗法对中风幸存者平衡和步态的影响。
    结果:纳入22项研究。荟萃分析结果显示,使用TUG测量的功能性步行有统计学意义的改善(p<0.0001),使用BBS测量的天平(p=0.0001),和功能达到测试(p=0.01),但不是在基于WiiFit的反馈之后的步态速度(p=0.32)。关于反馈的类型,当使用视觉和听觉混合反馈时,BBS评分存在显著差异.
    结论:基于WiiFit的反馈对改善中风患者的平衡具有预期效果,使其成为物理治疗的合适辅助手段。
    Stroke is one of the most widespread reasons for acquired adult disability. Recent experimental studies have reported the beneficial influence of Wii Fit-based feedback on improving overall balance and gait for stroke survivors.
    We conducted a systematic review of the literature using the following keywords to retrieve the data: feedback, biofeedback, stroke, visual, auditory, tactile, virtual reality, videogame rehabilitation, Nintendo Wii stroke, videogame stroke, exergame stroke, Nintendo Wii rehabilitation, balance, and gait. A review and meta-analysis of RCTs regarding Wii Fit-based rehabilitation accompanied by conventional therapy effects on Berg Balance Scale (BBS), Timed Up and Go (TUG), functional reach test, and gait (speed) in stroke survivors was conducted.
    To determine the impacts of Wii Fit-based feedback combined with traditional therapy on balance and gait in stroke survivors.
    22 studies were included. The meta-analysis results revealed statistically significant improvements in functional ambulation measured using TUG (p < 0.0001), balance measured using BBS (p = 0.0001), and functional reach test (p = 0.01), but not in gait speed (p = 0.32) following Wii Fit-based feedback. Regarding the types of feedback, significant differences were found in BBS scores when mixed visual and auditory feedback was used.
    Wii Fit-based feedback has desired effects on improving balance in stroke patients, making it a suitable adjunct to physical therapy.
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  • 文章类型: Systematic Review
    自闭症谱系障碍(ASD)是一种神经发育疾病,具有广泛的症状,主要特点是社会,通信,和认知障碍。根据DSM-5(精神疾病诊断和统计手册,第五版,2013)现在将感觉问题包括在定义为“对感觉输入或对环境的感觉方面的异常兴趣”的四个受限/重复行为特征中。这里,我们回顾了ASD患者的听觉感觉改变。考虑到ASD的最新诊断标准,我们检查了听觉相关任务中认知功能完整性的研究证据(2015-2022),周围听觉系统的完整性,以及诊断为ASD的患者中枢神经系统的完整性。考虑到不同的方法和实验研究设计,我们重新评估了有关听觉感觉改变的知识,并反思了这些可能与ASD的行为症状学有关。
    Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with a wide spectrum of symptoms, mainly characterized by social, communication, and cognitive impairments. Latest diagnostic criteria according to DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, 2013) now include sensory issues among the four restricted/repetitive behavior features defined as \"hyper- or hypo-reactivity to sensory input or unusual interest in sensory aspects of environment\". Here, we review auditory sensory alterations in patients with ASD. Considering the updated diagnostic criteria for ASD, we examined research evidence (2015-2022) of the integrity of the cognitive function in auditory-related tasks, the integrity of the peripheral auditory system, and the integrity of the central nervous system in patients diagnosed with ASD. Taking into account the different approaches and experimental study designs, we reappraise the knowledge on auditory sensory alterations and reflect on how these might be linked with behavior symptomatology in ASD.
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  • 文章类型: Journal Article
    人们对开发用于研究人类皮质可塑性的非侵入性方法非常感兴趣。听觉和视觉刺激的高频呈现,或感觉色泽化,可以诱导皮质活动的长期增强样(LTP样)变化。然而,不同研究的对比效果表明,感觉耳光可能是不可靠的。我们回顾了这些对比效果,进行我们自己的听觉和视觉tetanisation的研究,并进行荟萃分析,以确定跨研究的感觉皮肤化的平均效果。我们测量了一组较年轻(18-29岁)和较年长(55-83岁)的成年人的听觉诱发振幅变化,这些成年人在1和4kHz的音调爆发和缓慢的表现控制之后。我们还测量了tetanization到水平和垂直符号梯度后的视觉诱发振幅变化。听觉和视觉反应幅度在Tetanization后降低,与一些研究一致,但与其他研究发现振幅增加(即LTP样变化)相反。老年人表现出更适度的听觉诱发振幅下降,但是视觉诱发的振幅像年轻人一样下降。响应幅度的变化不是针对tetanised刺激的。重要的是,听觉音调突发的缓慢呈现产生的反应幅度变化与年轻成年人耳鼻音化后观察到的相似。视觉和听觉错觉化研究的荟萃分析发现,感觉错觉化的整体效果在整个研究或研究地点都不显著。结果表明,感觉tetanization可能不会在皮层反应中产生可靠的变化,需要更多的工作来确定感觉tetanization作为体内诱导人皮层可塑性的方法的有效性。
    There is great interest in developing non-invasive approaches for studying cortical plasticity in humans. High-frequency presentation of auditory and visual stimuli, or sensory tetanisation, can induce long-term-potentiation-like (LTP-like) changes in cortical activity. However, contrasting effects across studies suggest that sensory tetanisation may be unreliable. We review these contrasting effects, conduct our own study of auditory and visual tetanisation, and perform meta-analyses to determine the average effect of sensory tetanisation across studies. We measured auditory-evoked amplitude changes in a group of younger (18-29 years of age) and older (55-83 years of age) adults following tetanisation to 1 and 4 kHz tone bursts and following a slow-presentation control. We also measured visual-evoked amplitude changes following tetanisation to horizontal and vertical sign gradients. Auditory and visual response amplitudes decreased following tetanisation, consistent with some studies but contrasting with others finding amplitude increases (i.e. LTP-like changes). Older adults exhibited more modest auditory-evoked amplitude decreases, but visual-evoked amplitude decreases like those of younger adults. Changes in response amplitude were not specific to tetanised stimuli. Importantly, slow presentation of auditory tone bursts produced response amplitude changes approximating those observed following tetanisation in younger adults. Meta-analyses of visual and auditory tetanisation studies found that the overall effect of sensory tetanisation was not significant across studies or study sites. The results suggest that sensory tetanisation may not produce reliable changes in cortical responses and more work is needed to determine the validity of sensory tetanisation as a method for inducing human cortical plasticity in vivo.
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  • 文章类型: Journal Article
    自闭症是一种具有许多特征的复杂疾病,包括听觉敏感度的差异。人类自闭症的研究受到病因控制困难的困扰,而在单个啮齿动物模型中的研究不能代表人类自闭症的全部范围。本系统综述比较了各种已建立的自闭症啮齿动物模型的听觉研究结果,以模仿人群中的多种病因。在PubMed和WebofScience数据库中进行了搜索,以查找自闭症小鼠或大鼠模型中的主要研究文章,这些文章研究了中枢听觉处理。共纳入88项研究。这些使用了听觉功能的非侵入性测量,如听觉脑干反应记录,皮层事件相关电位,脑电图,和行为测试,可以翻译成人类研究。它们还包括侵入性措施,如电生理学和组织学,这揭示了在非侵入性研究中发现的表型的起源。这些研究中最一致的结果是事件相关电位N1峰值的潜伏期增加,听觉皮层中伽马活动的功率和相干性降低,并增加了对高声级的听觉惊吓反应。侵袭性研究表明皮质下抑制性神经元丢失,外侧上橄榄和听觉丘脑过度活跃,并降低了听觉皮层反应的特异性。这篇综述比较了啮齿动物模型的听觉表型,并强调了那些模仿人类研究结果的表型。为未来的研究提供了一个框架和途径,以了解自闭症的听觉系统。
    Autism is a complex condition with many traits, including differences in auditory sensitivity. Studies in human autism are plagued by the difficulty of controlling for aetiology, whereas studies in individual rodent models cannot represent the full spectrum of human autism. This systematic review compares results in auditory studies across a wide range of established rodent models of autism to mimic the wide range of aetiologies in the human population. A search was conducted in the PubMed and Web of Science databases to find primary research articles in mouse or rat models of autism which investigate central auditory processing. A total of 88 studies were included. These used non-invasive measures of auditory function, such as auditory brainstem response recordings, cortical event-related potentials, electroencephalography, and behavioural tests, which are translatable to human studies. They also included invasive measures, such as electrophysiology and histology, which shed insight on the origins of the phenotypes found in the non-invasive studies. The most consistent results across these studies were increased latency of the N1 peak of event-related potentials, decreased power and coherence of gamma activity in the auditory cortex, and increased auditory startle responses to high sound levels. Invasive studies indicated loss of subcortical inhibitory neurons, hyperactivity in the lateral superior olive and auditory thalamus, and reduced specificity of responses in the auditory cortex. This review compares the auditory phenotypes across rodent models and highlights those that mimic findings in human studies, providing a framework and avenues for future studies to inform understanding of the auditory system in autism.
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  • 文章类型: Journal Article
    未经批准:在COVID-19大流行一年多之后,音频前庭问题已被报道为后果。发表了一些具有不同方法的有限案例报告研究。这项研究旨在描述COVID-19对听力障碍受试者的听觉前庭系统和沟通问题的影响。
    UNASSIGNED:当前的系统评价是基于系统评价和荟萃分析(PRISMA)指南的首选报告项目进行的。PubMed,WebofScience,和GoogleScholar进行搜索,以使用组合关键字查找相关文章。
    未经批准:在26项最终研究中,20项研究涉及COVID-19对听觉和前庭系统的影响,六篇文章研究了COVID-19对听力受损者和患者的影响。在这些研究中,头晕(17.8%),耳鸣(8.1%),眩晕(2.8%)是常见症状。大多数研究是病例报告(42.30%),在质量方面,9项研究(34.61%)属于适宜质量组。
    未经证实:COVID-19可能通过直接影响内耳的结构或功能或削弱免疫系统而导致听觉前庭系统问题。在COVID-19大流行期间需要采取预防措施,这引起了沟通和社会挑战,尤其是听力损失的人。
    UNASSIGNED: After more than a year of the COVID-19 pandemic, audio-vestibular problems have been reported as consequences. Several limited case report studies with different methodologies were published. This study aimed to describe the impact of COVID-19 on the auditory-vestibular system and communication problems in subjects with hearing impairment.
    UNASSIGNED: The current systematic review was performed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. PubMed, Web of Science, and Google Scholar were searched to find relevant articles using combined keywords.
    UNASSIGNED: Out of 26 final studies, 20 studies dealt with the effects of COVID-19 on the auditory and vestibular system, and six articles examined the COVID-19 effects on hearing-impaired people and patients. In these studies, dizziness (17.8%), tinnitus (8.1%), and vertigo (2.8%) were common symptoms. Most studies were case reports (42.30%), and in terms of quality, nine studies (34.61%) were in the suitable quality group.
    UNASSIGNED: COVID-19 might cause auditory-vestibular system problems by directly affecting the structures or functions of the inner ear or by weakening the immune system. The need for taking preventive measures during the COVID-19 pandemic has caused communication and social challenges, particularly for people with hearing loss.
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  • 文章类型: Systematic Review
    Autism spectrum disorder (ASD) is a neurodevelopmental disorder that affects one in 66 children in Canada. The contributions of changes in the cortex and cerebellum to autism have been studied for decades. However, our understanding of brainstem contributions has only started to emerge more recently. Disruptions of sensory processing, startle response, sensory filtering, sensorimotor gating, multisensory integration and sleep are all features of ASD and are processes in which the brainstem is involved. In addition, preliminary research into brainstem contribution emphasizes the importance of the developmental timeline rather than just the mature brainstem. Therefore, the purpose of this systematic review is to compile histological, behavioral, neuroimaging, and electrophysiological evidence from human and animal studies about brainstem contributions and their functional implications in autism. Moreover, due to the developmental nature of autism, the review pays attention to the atypical brainstem development and compares findings based on age. Overall, there is evidence of an important role of brainstem disruptions in ASD, but there is still the need to examine the brainstem across the life span, from infancy to adulthood which could lead the way for early diagnosis and possibly treatment of ASD.
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