文章摘要
运动不耐受诊断标准:Bárány协会分类委员会共识文件
Motion Sickness Diagnostic Criteria: Consensus Document of the Classification Committee of the Bárány Society
投稿时间:2022-05-19  修订日期:2022-05-19
DOI:
中文关键词: 运动不耐受  视觉诱发运动不耐受  运动病  视觉诱发运动病
英文关键词: motion sickness  visually induced motion sickness  motion sickness disorder (MSD)  VIMS disorder (VIMSD)
基金项目:
作者单位E-mail
宋宁 航天中心医院(北京大学航天临床学院) songning0506@163.com 
邢玥 航天中心医院(北京大学航天临床学院)  
李康之 北京大学首钢医院  
金占国 中国人民解放军空军特色医学中心眩晕中心  
杨旭 航天中心医院(北京大学航天临床医学院) xuyanghangtian@163.com 
摘要点击次数: 141
全文下载次数: 0
中文摘要:
      我们提出了运动不耐受(motion sickness,MS),视觉诱发运动不耐受(visually induced motion sickness,VIMS),运动病(motion sickness disorder,MSD)和视觉诱发运动病(visually induced motion sickness disorder,VIMSD)的诊断标准,这些标准将被纳入国际前庭疾病分类。MS和VIMS是一种正常生理反应,几乎所有人都可能出现,但在某些情况下,个体对这种反应的易感性和严重性过高则被认为是一种疾病。本文提供了对由躯体运动或视觉运动引起的症状和体征的评价标准及个体反应严重程度是否可构成疾病诊断的指南。 MS和VIMS的诊断标准包括由于暴露于躯体运动或视觉运动所引发的不良反应,通常导致在以下方面出现严重程度大于最低限度的症状或体征:恶心和/或胃肠道功能紊乱、体温调节功能紊乱、觉醒水平改变、头晕和/或眩晕、头痛和/或眼疲劳。这些症状/体 征在暴露于运动状态时出现,随着暴露时间延长而加重,最终随运动结束而消失。当相同或相似的刺激反复诱发MS或VIMS发 作,其严重程度在反复暴露后没有明显减轻,且因症状/体征而调整活动状态、避免参与诱发不耐受的运动刺激或负性情绪反应时, 即可诊断为MSD和VIMSD。 MS/MSD和VIMS/VIMSD可以单独出现,也可同时出现。由躯体运动或视觉运动刺激诱发的症状严重程度个体差异较大,并且同一个体也会因年龄、适应能力及合并疾病的变化而发生改变。本文探讨了评估MS症状的主要方法,易出现MS和VIMS相关情境以及导致易感性增加相关的个体特征。对上述环境和个人因素特征的准确评估及理解,将有助于MSD和VIMSD的诊断优化。
英文摘要:
      We present diagnostic criteria for motion sickness, visually induced motion sickness (VIMS), motion sickness disorder (MSD), and VIMS disorder (VIMSD) to be included in the International Classification of Vestibular Disorders.Motion sickness and VIMS are normal physiological responses that can be elicited in almost all people, but susceptibility and severity can be high enough for the response to be considered a disorder in some cases. This report provides guidelines for evaluating signs and symptoms caused by physical motion or visual motion and for diagnosing an individual as having a response that is severe enough to constitute a disorder. The diagnostic criteria for motion sickness and VIMS include adverse reactions elicited during exposure to physical motion or visual motion leading to observable signs or symptoms of greater than minimal severity in the following domains: nausea and/or gastrointestinal disturbance, thermoregulatory disruption, alterations in arousal, dizziness and/or vertigo, headache and/or ocular strain. These signs and/or symptoms occur during the motion exposure, build as the exposure is prolonged,and eventually stop after the motion ends. Motion sickness disorder and VIMSD are diagnosed when recurrent episodes of motion sickness or VIMS are reliably triggered by the same or similar stimuli, severity does not significantly decrease after repeated exposure, and signs/symptoms lead to activity modification, avoidance behavior, or aversive emotional responses. Motion sickness/MSD and VIMS/VIMSD can occur separately or together. Severity of symptoms in reaction to physical motion or visual motion stimuli varies widely and can change within an individual due to aging, adaptation, and comorbid disorders.We discuss the main methods for measuring motion sickness symptoms, the situations conducive to motion sickness and VIMS, and the individual traits associated with increased susceptibility. These additional considerations will improve diagnosis by fostering accurate measurement and understanding of the situational and personal factors associated with MSD and VIMSD.
View Fulltext   查看/发表评论  下载PDF阅读器
关闭