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中华老年病研究电子杂志 ›› 2021, Vol. 08 ›› Issue (01) : 37 -40. doi: 10.3877/cma.j.issn.2095-8757.2021.01.009

所属专题: 文献

综述

老化对前庭功能的影响
王俊侠1, 刘鹏2, 谷超超2, 李锐2,()   
  1. 1. 710021 西安医学院
    2. 710068 西安,陕西省人民医院老年病院神经内三科
  • 收稿日期:2020-07-31 出版日期:2021-02-28
  • 通信作者: 李锐
  • 基金资助:
    陕西省社会发展科技攻关项目(2016SF-306); 陕西省中医药管理局平台项目(LCPT039)

Effects of aging on vestibular function

Junxia Wang1, Peng Liu2, Chaochao Gu2, Rui Li2,()   

  1. 1. Xi'an Medical University, Xi'an 710021, China
    2. Third Department of Neurology, Geriatric Hospital, Shanxi Provincial People's Hospital, Xi'an 710068, China
  • Received:2020-07-31 Published:2021-02-28
  • Corresponding author: Rui Li
引用本文:

王俊侠, 刘鹏, 谷超超, 李锐. 老化对前庭功能的影响[J/OL]. 中华老年病研究电子杂志, 2021, 08(01): 37-40.

Junxia Wang, Peng Liu, Chaochao Gu, Rui Li. Effects of aging on vestibular function[J/OL]. Chinese Journal of Geriatrics Research(Electronic Edition), 2021, 08(01): 37-40.

头晕和不平衡感是老年人群最常见的主诉症状之一,前庭系统是维持人体平衡最重要的系统,而老化对前庭系统的影响是多方面的。尽管老化对前庭系统解剖结构产生的影响可被解释为一种正常衰老过程,但这种正常衰老过程可能会引起前庭功能检查的异常,从而导致老年人生理性与病理性前庭功能下降的鉴别更加困难,也增加了老年人眩晕疾病的临床诊断难度。本文主要介绍老化对前庭系统功能的影响,以期为老年眩晕患者的诊治提供依据。

Dizziness and imbalance are one of the most common complaints in the elderly. The vestibular system is the most important system to maintain the body's balance, and aging has many effects on the vestibular system. Despite the impact of aging on the vestibular system anatomy can be interpreted as a normal aging process, but the normal aging process may cause abnormal of vestibular function examination, leading to a decline in physiological and pathological vestibular function in the elderly in the identification of more difficult, also increased the old people swimmy disease clinical diagnosis is difficult. This article mainly introduces the effects of aging on the function of the vestibular system, and provides a basis for the diagnosis and treatment of elderly patients with vertigo.

[1]
van de Berg R, Rosengren S, Kingma H. Laboratory examinations for the vestibular system[J]. Curr Opin Neurol, 2018, 31(1):111-116.
[2]
Iwasaki S, Yamasoba T. Dizziness and imbalance in the elderly: Age-related decline in the vestibular system[J]. Aging Dis, 2015, 6(1):38-47.
[3]
Penger M, Strobl R, Grill E. Country-specific and individual determinants of dizziness in Europe: Results from the Survey of Health Ageing and Retirement in Europe (SHARE)[J]. Public Health, 2017, 149:1-10.
[4]
Jönsson R, Sixt E, Landahl S, et al. Prevalence of dizziness and vertigo in an urban elderly population[J]. J Vestib Res, 2004, 14(1):47-52.
[5]
Agrawal Y, Carey JP, Della Santina CC, et al. Disorders of balance and vestibular function in US adults: Data from the National Health and Nutrition Examination Survey, 2001-2004[J]. Arch Intern Med, 2009, 169(10):938-944.
[6]
Liston MB, Bamiou DE, Martin F, et al. Peripheral vestibular dysfunction is prevalent in older adults experiencing multiple non-syncopal falls versus age-matched non-fallers: A pilot study[J]. Age Ageing, 2014, 43(1):38-43.
[7]
Neuhauser HK, von Brevern M, Radtke A, et al. Epidemiology of vestibular vertigo: A neurotologic survey of the general population[J]. Neurology, 2005, 65(6):898-904.
[8]
Matiño-Soler E, Esteller-More E, Martin-Sanchez JC, et al. Normative data on angular vestibulo-ocular responses in the yaw axis measured using the video head impulse test[J]. Otol Neurotol, 2015, 36(3):466-471.
[9]
Jang YS, Hwang CH, Shin JY, et al. Age-related changes on the morphology of the otoconia[J]. Laryngoscope, 2006, 116(6):996-1001.
[10]
Lopez I, Ishiyama G, Tang Y, et al. Regional estimates of hair cells and supporting cells in the human crista ampullaris[J]. J Neurosci Res, 2005, 82(3):421-431.
[11]
Rauch SD, Velazquez-Villaseñor L, Dimitri PS, et al. Decreasing hair cell counts in aging humans[J]. Ann N Y Aca Sci, 2001, 942:220-227.
[12]
Tsuji K, Velázquez-Villaseñor L, Rauch SD, et al. Temporal bone studies of the human peripheral vestibular system. Meniere's disease[J]. Ann Otol Rhinol Laryngol Suppl, 2000, 181:26-31.
[13]
Teggi R, Trimarchi M, Gatti O, et al. Decrease of horizontal canal vestibulo-oculomotor reflex gain in the elderly with dysequilibrium without lifetime vertigo[J]. ORL J Otorhinolaryngol Relat Spec, 2017,79(3):178-184.
[14]
TH Kim, MB Kim. Effect of aging and direction of impulse in video head impulse test[J]. Laryngoscope, 2018, 128(6):E228-E233.
[15]
Hansson A, Salzer J. Normative video head impulse test data in subjects with and without vascular risk factors[J]. Eur Arch Otorhinolaryngol, 2020, doi: 10.1007/s00405-020-06332-w.
[16]
Mossman B, Mossman S, Purdie G, et al. Age dependent normal horizontal VOR gain of head impulse test as measured with video-oculography[J]. J Otolaryngol Head Neck Surg, 2015, 44(1):29.
[17]
Pogson JM, Taylor RL, Bradshaw AP, et al. The human vestibulo-ocular reflex and saccades: Normal subjects and the effect of age[J]. J Neurophysiol, 2019, 122(1):336-349.
[18]
Anson ER, Bigelow RT, Carey JP, et al. Aging increases compensatory saccade amplitude in the video head impulse test[J]. Front Neurol, 2016, 7:113.
[19]
Janky KL, Patterson J, Shepard N, et al. Video head impulse test (vHIT): The role of corrective saccades in identifying patients with vestibular loss[J]. Otol Neurotol, 2018, 39(4):467-473.
[20]
Anson ER, Bigelow RT, Carey JP, et al. VOR gain is related to compensatory saccades in healthy older adults[J]. Front Aging Neurosci, 2016, 8:150.
[21]
Singh NK, Kashyap RS, Supreetha L, et al. Characterization of age-related changes in sacculocolic response parameters assessed by cervical vestibular evoked myogenic potentials[J]. Eur Arch Otorhinolaryngol, 2014, 271(7):1869-1877.
[22]
Avci NB, Polat Z, Atas A. Galvanic vestibular evoked myogenic potentials: normative data and the effect of age[J]. Braz J Otorhinolaryngol, 2020, doi: 10.1016/j.bjorl.2020.07.016.
[23]
Agrawal Y, Zuniga MG, Davalos-Bichara M, et al. Decline in semicircular canal and otolith function with age[J]. Otol Neurotol, 2012, 33(5):832-839.
[24]
Chan FM, Galatioto J, Amato M, et al. Normative data for rotational chair stratified by age[J]. Laryngoscope, 2016, 126(2):460-463.
[25]
Janky KL, Shepard N. Vestibular evoked myogenic potential (VEMP) testing: Normative threshold response curves and effects of age[J]. J Am Acad Audiol, 2009, 20(8):514-522.
[26]
Bermúdez Rey MC, Clark TK, Wang W, et al. Vestibular perceptual thresholds increase above the age of 40[J]. Front Neurol, 2016, 7:162.
[27]
Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management[J]. Curr Opin Otolaryngol Head Neck Surg, 2010, 18(5):386-391.
[28]
Agrawal Y, Van de Berg R, Wuyts F, et al. Presbyvestibulopathy: Diagnostic criteria consensus document of the classification committee of the Bárány society[J]. J Vestib Res, 2019, 29(4):161-170.
[29]
Anson E, Bigelow RT, Swenor B, et al. Loss of peripheral sensory function explains much of the increase in Postural Sway in healthy older adults[J]. Front Aging Neurosci, 2017, 9:202.
[30]
Pasma JH, Engelhart D, Maier AB, et al. Changes in sensory reweighting of proprioceptive information during standing balance with age and disease[J]. J Neurophysiol, 2015, 114(6):3220-3233.
[31]
Wiesmeier IK, Dalin D, Wehrle A, et al. Balance training enhances vestibular function and reduces overactive proprioceptive feedback in elderly[J]. Front Aging Neurosci, 2017, 9:273.
[32]
Bao T, Carender WJ, Kinnaird C, et al. Effects of long-term balance training with vibrotactile sensory augmentation among community-dwelling healthy older adults: A randomized preliminary study[J]. J Neuroeng Rehabil, 2018, 15(1):5.
[33]
van Vugt VA, van der Wouden JC, Essery R, et al. Internet based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice: three armed randomised controlled trial[J]. BMJ, 2019, 367:l5922.
[34]
Semenov YR, Bigelow RT, QL Xue, et al. Association between vestibular and cognitive function in U.S. adults: Data from the national health and nutrition examination survey[J]. J Gerontol A Biol Sci Med Sci, 2016, 71(2):243-250.
[35]
Harun A, Oh ES, Bigelow RT, et al. Vestibular impairment in dementia[J]. Otol Neurotol, 2016, 37(8):1137-1142.
[36]
Bigelow RT, Semenov YR, Trevino C, et al. Association between visuospatial ability and vestibular function in the Baltimore longitudinal study of aging[J]. J Am Geriatr Soc, 2015, 63(9):1837-1844.
[37]
Bigelow RT, Agrawal Y. Vestibular involvement in cognition: Visuospatial ability, attention, executive function, and memory[J]. J Vestib Res, 2015, 25(2):73-89.
[38]
Rogge AK, Röder B, Zech A, et al. Balance training improves memory and spatial cognition in healthy adults[J]. Sci Rep, 2017, 7(1):5661.
[39]
Rogge AK, Röder B, Zech A, et al. Exercise-induced neuroplasticity: Balance training increases cortical thickness in visual and vestibular cortical regions[J]. Neuroimage, 2018, 179:471-479.
[40]
Previc FH. Vestibular loss as a contributor to Alzheimer's disease[J]. Med Hypotheses, 2013, 80(4):360-367.
[41]
Jahn K. The aging vestibular system: Dizziness and imbalance in the elderly[J]. Adv otorhinolaryngol, 2019, 82:143-149.
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