Skip to main content
Erschienen in: Sport Sciences for Health 2/2014

01.08.2014 | Original Article

Hearing, vestibular reactivity and postural stability after 21-day period at high altitude

verfasst von: Giampiero Neri, Mara Pugliese, Flavia D’Orazio, Valentina Mastronardi, Marta Di Nicola, Caterina Morabito, Simone Guarnieri, Maria A. Mariggiò

Erschienen in: Sport Sciences for Health | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The exposure to high-altitude hypobaric hypoxic environment results in a lot of organic responses and adaptation mechanisms. Depending on the absolute altitude and the duration of exposure, some effects, named mountain sickness, are evident, including cardiovascular and pulmonary responses and cerebral dysfunctions.

Methods

In this study we analyzed the hearing sense, vestibular reactivity and the postural stability of seven climbers before and after a 21-day period of exposition to hypobaric hypoxia (over 5,000 m). To obtain this goal we assayed: audiometric and bithermal caloric tests, and the postural stability by static stabilometry.

Results

Our data revealed that all subjects showed normal values in all tests. There was a slight, but not significant, neurosensorial hypoacusia in hearing capacity, even if at different frequency and ear. After the hypobaric hypoxia exposition, the caloric test did not reveal significant differences in pre vs. post analyses, even if two subjects reported a transitory positional vertigo at 12 and 13 days of expedition. Interestingly, the climbers significantly improved their stability not involving the visual perception.

Conclusions

This experience suggests that the high altitude could transiently modulate the vestibular function without any pathological consequences, and it improved the stability probably integrating the proprioceptive stimuli and muscle strength also as a consequence of physical efforts.
Literatur
1.
Zurück zum Zitat Appenzeller O, Claydon VE, Gulli G, Qualls C, Slessarev M, Zenebe G, Gebremedhin A, Hainsworth R (2006) Cerebral vasodilatation to exogenous NO is a measure of fitness for life at altitude. Stroke 37(7):1754–1758PubMedCrossRef Appenzeller O, Claydon VE, Gulli G, Qualls C, Slessarev M, Zenebe G, Gebremedhin A, Hainsworth R (2006) Cerebral vasodilatation to exogenous NO is a measure of fitness for life at altitude. Stroke 37(7):1754–1758PubMedCrossRef
3.
Zurück zum Zitat Beall CM, Decker MJ, Brittenham GM, Kushner I, Gebremedhin A, Strohl KP (2002) An Ethiopian pattern of human adaptation to high-altitude hypoxia. Proc Natl Acad Sci USA 99(26):17215–17218PubMedCentralPubMedCrossRef Beall CM, Decker MJ, Brittenham GM, Kushner I, Gebremedhin A, Strohl KP (2002) An Ethiopian pattern of human adaptation to high-altitude hypoxia. Proc Natl Acad Sci USA 99(26):17215–17218PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Brutsaert TD (2007) Population genetic aspects and phenotypic plasticity of ventilatory responses in high altitude natives. Respir Physiol Neurobiol 158(2–3):151–160PubMedCrossRef Brutsaert TD (2007) Population genetic aspects and phenotypic plasticity of ventilatory responses in high altitude natives. Respir Physiol Neurobiol 158(2–3):151–160PubMedCrossRef
5.
Zurück zum Zitat Schneider M, Bernasch D, Weymann J, Holle R, Bartsch P (2002) Acute mountain sickness: influence of susceptibility, preexposure, and ascent rate. Med Sci Sports Exerc 34(12):1886–1891PubMedCrossRef Schneider M, Bernasch D, Weymann J, Holle R, Bartsch P (2002) Acute mountain sickness: influence of susceptibility, preexposure, and ascent rate. Med Sci Sports Exerc 34(12):1886–1891PubMedCrossRef
6.
Zurück zum Zitat Zafren K, Honigman B (1997) High-altitude medicine. Emerg Med Clin N Am 15(1):191–222CrossRef Zafren K, Honigman B (1997) High-altitude medicine. Emerg Med Clin N Am 15(1):191–222CrossRef
8.
Zurück zum Zitat Hainsworth R, Drinkhill MJ (2007) Cardiovascular adjustments for life at high altitude. Respir Physiol Neurobiol 158(2–3):204–211PubMedCrossRef Hainsworth R, Drinkhill MJ (2007) Cardiovascular adjustments for life at high altitude. Respir Physiol Neurobiol 158(2–3):204–211PubMedCrossRef
9.
Zurück zum Zitat Cingi C, Erkan AN, Rettinger G (2010) Ear, nose, and throat effects of high altitude. Eur Arch Otorhinolaryngol 267(3):467–471PubMedCrossRef Cingi C, Erkan AN, Rettinger G (2010) Ear, nose, and throat effects of high altitude. Eur Arch Otorhinolaryngol 267(3):467–471PubMedCrossRef
10.
Zurück zum Zitat Singh D, Kochhar RC, Kacker SK (1976) Effects of high altitude on inner ear functions. J Laryngol Otol 90(12):1113–1120PubMedCrossRef Singh D, Kochhar RC, Kacker SK (1976) Effects of high altitude on inner ear functions. J Laryngol Otol 90(12):1113–1120PubMedCrossRef
11.
Zurück zum Zitat Mees K, Olzowy B (2008) Otorhinolaryngological aspects of high altitude medicine. Laryngorhinootologie 87(4):276–287 quiz 288-292PubMedCrossRef Mees K, Olzowy B (2008) Otorhinolaryngological aspects of high altitude medicine. Laryngorhinootologie 87(4):276–287 quiz 288-292PubMedCrossRef
12.
Zurück zum Zitat Mees K, Suckfull M (2002) Cochlear and vestibular risk at high altitude. Laryngorhinootologie 81(7):465–468PubMedCrossRef Mees K, Suckfull M (2002) Cochlear and vestibular risk at high altitude. Laryngorhinootologie 81(7):465–468PubMedCrossRef
13.
Zurück zum Zitat Doria C, Toniolo L, Verratti V, Cancellara P, Pietrangelo T, Marconi V, Paoli A, Pogliaghi S, Fano G, Reggiani C, Capelli C (2011) Improved VO2 uptake kinetics and shift in muscle fiber type in high-altitude trekkers. J Appl Physiol 111(6):1597–1605. doi:10.1152/japplphysiol.01439.2010 PubMedCrossRef Doria C, Toniolo L, Verratti V, Cancellara P, Pietrangelo T, Marconi V, Paoli A, Pogliaghi S, Fano G, Reggiani C, Capelli C (2011) Improved VO2 uptake kinetics and shift in muscle fiber type in high-altitude trekkers. J Appl Physiol 111(6):1597–1605. doi:10.​1152/​japplphysiol.​01439.​2010 PubMedCrossRef
14.
Zurück zum Zitat Mariggio MA, Falone S, Morabito C, Guarnieri S, Mirabilio A, Pilla R, Bucciarelli T, Verratti V, Amicarelli F (2010) Peripheral blood lymphocytes: a model for monitoring physiological adaptation to high altitude. High Alt Med Biol 11(4):333–342PubMedCrossRef Mariggio MA, Falone S, Morabito C, Guarnieri S, Mirabilio A, Pilla R, Bucciarelli T, Verratti V, Amicarelli F (2010) Peripheral blood lymphocytes: a model for monitoring physiological adaptation to high altitude. High Alt Med Biol 11(4):333–342PubMedCrossRef
15.
Zurück zum Zitat Cunha LC, Felipe L, Carvalho SA, Labanca L, Tavares MC, Goncalves DU (2010) Validity of the monothermal caloric testing when compared to bithermal stimulation. Pro Fono 22(1):67–70PubMedCrossRef Cunha LC, Felipe L, Carvalho SA, Labanca L, Tavares MC, Goncalves DU (2010) Validity of the monothermal caloric testing when compared to bithermal stimulation. Pro Fono 22(1):67–70PubMedCrossRef
16.
Zurück zum Zitat Sutton J, Coates G, Houston C (1992) Lake Louise consensus on definition and quantification of altitude illness. In: Hypoxia: mountain medicine. Queen City Press, Burlington Sutton J, Coates G, Houston C (1992) Lake Louise consensus on definition and quantification of altitude illness. In: Hypoxia: mountain medicine. Queen City Press, Burlington
17.
Zurück zum Zitat Tannheimer M, Tannheimer S, Thomas A, Engelhardt M, Schmidt R (2009) Auto-PEEP in the therapy of AMS in one person at 4330 m. Sleep Breath 13(2):195–199PubMedCrossRef Tannheimer M, Tannheimer S, Thomas A, Engelhardt M, Schmidt R (2009) Auto-PEEP in the therapy of AMS in one person at 4330 m. Sleep Breath 13(2):195–199PubMedCrossRef
18.
Zurück zum Zitat Hochachka PW, Monge C (2000) Evolution of human hypoxia tolerance physiology. Adv Exp Med Biol 475:25–43PubMedCrossRef Hochachka PW, Monge C (2000) Evolution of human hypoxia tolerance physiology. Adv Exp Med Biol 475:25–43PubMedCrossRef
19.
Zurück zum Zitat Roach R, Bartsch P, Oelz O, Hackett P (1993) Lake Louise AMS Scoring Consensus Committee. The Lake Louise acute mountain sickness scoring system. In: Hypoxia and molecular medicine. Queen City Press, Burlington Roach R, Bartsch P, Oelz O, Hackett P (1993) Lake Louise AMS Scoring Consensus Committee. The Lake Louise acute mountain sickness scoring system. In: Hypoxia and molecular medicine. Queen City Press, Burlington
20.
Zurück zum Zitat Wilson MH, Newman S, Imray CH (2009) The cerebral effects of ascent to high altitudes. Lancet Neurol 8(2):175–191PubMedCrossRef Wilson MH, Newman S, Imray CH (2009) The cerebral effects of ascent to high altitudes. Lancet Neurol 8(2):175–191PubMedCrossRef
21.
22.
Zurück zum Zitat Silber E (2000) Upper limb motor function at 5000 metres: determinants of performance and residual sequelae. J Neurol Neurosurg Psychiatry 69(2):233–236PubMedCentralPubMedCrossRef Silber E (2000) Upper limb motor function at 5000 metres: determinants of performance and residual sequelae. J Neurol Neurosurg Psychiatry 69(2):233–236PubMedCentralPubMedCrossRef
23.
Zurück zum Zitat Burkett PR, Perrin WF (1976) Hypoxia and auditory thresholds. Aviat Space Environ Med 47(6):649–651PubMed Burkett PR, Perrin WF (1976) Hypoxia and auditory thresholds. Aviat Space Environ Med 47(6):649–651PubMed
25.
Zurück zum Zitat Veuillet E, Gartner M, Champsaur G, Neidecker J, Collet L (1997) Effects of hypothermia on cochlear micromechanical properties in humans. J Neurol Sci 145(1):69–76PubMedCrossRef Veuillet E, Gartner M, Champsaur G, Neidecker J, Collet L (1997) Effects of hypothermia on cochlear micromechanical properties in humans. J Neurol Sci 145(1):69–76PubMedCrossRef
26.
Zurück zum Zitat Olzowy B, von Gleichenstein G, Canis M, Mees K (2008) Distortion product otoacoustic emissions for assessment of intracranial hypertension at extreme altitude? Eur J Appl Physiol 103(1):19–23PubMedCrossRef Olzowy B, von Gleichenstein G, Canis M, Mees K (2008) Distortion product otoacoustic emissions for assessment of intracranial hypertension at extreme altitude? Eur J Appl Physiol 103(1):19–23PubMedCrossRef
27.
Zurück zum Zitat Nordahl SH, Aasen T, Owe JO, Molvaer OI (1998) Effects of hypobaric hypoxia on postural control. Aviat Space Environ Med 69(6):590–595PubMed Nordahl SH, Aasen T, Owe JO, Molvaer OI (1998) Effects of hypobaric hypoxia on postural control. Aviat Space Environ Med 69(6):590–595PubMed
Metadaten
Titel
Hearing, vestibular reactivity and postural stability after 21-day period at high altitude
verfasst von
Giampiero Neri
Mara Pugliese
Flavia D’Orazio
Valentina Mastronardi
Marta Di Nicola
Caterina Morabito
Simone Guarnieri
Maria A. Mariggiò
Publikationsdatum
01.08.2014
Verlag
Springer Milan
Erschienen in
Sport Sciences for Health / Ausgabe 2/2014
Print ISSN: 1824-7490
Elektronische ISSN: 1825-1234
DOI
https://doi.org/10.1007/s11332-014-0182-0

Weitere Artikel der Ausgabe 2/2014

Sport Sciences for Health 2/2014 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.