军事飞行员感觉整合试验检测方法及参考值

Results of sensory organization test in military pilots and its reference value determination

  • 摘要:
      目的   建立军事飞行员感觉整合试验(sensory organization test,SOT)的检测方法和参考值,为飞行学员医学选拔和飞行员前庭功能评价提供参考依据。
      方法   于2019年1 - 9月选取142名健康男性飞行员进行SOT。分别在条件1(测力板、视景稳定,睁眼)、条件2(测力板、视景稳定,闭眼)、条件3(测力板随动,视景晃动,睁眼)、条件4(测力板随动,视景稳定,睁眼)、条件5(测力板随动,视景稳定,闭眼)及条件6(测力板随动,视景晃动,睁眼)情况下嘱受检者尽量维持直立位稳定。按照受检者的摆动幅度计算每次测试平衡得分,最高分为100分,摆动幅度越大,平衡得分越低。计算6个条件下综合平衡分、本体觉、视觉、前庭觉和视觉依赖正常值低限。
      结果   条件1 ~ 6下平衡分正常值低限分别为91分、91分、87分、79分、64分、52分,综合平衡分正常值低限为76分;感觉分析值本体觉、视觉、前庭觉、视觉依赖正常值低限分别为95分、83分、67分、86分。本文所得军事飞行员视觉依赖得分与仪器自带参考值相等,其他参数正常值低限均高于仪器自带参考值。
      结论  本研究建立了军事飞行员SOT的检测方法和参考值,为飞行学员医学选拔和飞行员医学鉴定提供了参考依据。

     

    Abstract:
      Objective  To explore the detection method and reference value of sensory organization test (SOT) in military pilots and provide references for evaluating vestibular function and medical selection.
      Methods   One hundred and forty-two healthy male pilots were chosen as the subjects from January to September in 2019. The subjects were instructed to maintain the stability of the upright position as much as possible under condition 1 (force plate and visual surround fixed, eyes open), condition 2 (force plate and visual surround fixed, eyes closed), condition 3 (force plate fixed, visual surround sway-referenced, eyes open), condition 4 (force plate sway-referenced, visual surround fixed, eyes open), condition 5 (force plate sway-referenced, visual surround fixed, eyes closed) and condition 6 (force plate and visual surround sway-referenced, eyes open). The equilibrium score of each test was calculated according to the swing range of the subject. The highest score was 100. The greater the swing range was, the lower the balance score was. The lower limit of normal values of the equilibrium score for each condition, composite equilibrium score (COM), somatosensory sense (SOM) score, visual sense (VIS) score, vestibular sense (VEST) score and visual preference (PREF) score were calculated.
      Results   The lower limit of values of the equilibrium score from condition 1 to 6 were 91, 91, 87, 79, 64 and 52, respectively, the lower limit of values of COM score, SOM score, VIS score, VEST score and PREF score were 76, 95, 83, 67 and 86, respectively. The lower limit of PREF score in military pilots was equal to the reference value of the instrument, and the lower limit of other parameters was higher than the reference value of the instrument in this study.
      Conclusion   This study has determined the standard of SOT in military pilots and provided references for aeromedical selection and assessment.

     

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