Hahn A, Sejna I, Stolbova K, Cocek A
ENT Clinic, 3rd Medical Faculty, Charles University Prague, Prague, Czech Republic.
Acta Otolaryngol Suppl. 2001;545:88-91. doi: 10.1080/000164801750388199.
It is well known that diseases of the vestibular system can be compensated by increased spontaneous activity of other systems engaged in maintaining equilibrium, i.e. proprioceptive and visual systems. A complex approach using multisensory stimulation is the optimal way to achieve vestibular compensation. The aim of our study was to determine the effect of vestibular rehabilitation therapy as measured by posturography in a group of 72 patients suffering from vestibular disorders: Ménière's disease (n = 31), neuritis vestibularis (n = 21) and vertebrobasilar insufficiency (n = 20). Patients underwent the following examinations: electronystagmography; caloric, rotatory and optokinetic tests; computed posturography; craniocorpography; pure-tone audiometry; speech audiometry; and tinnitometry (tinnitus loudness, pitch). The instability in patients with Ménière's disease decreased 3 weeks after starting the therapy; nevertheless, the decrease in area (the surface formed by the movement of the patient's equilibrium point during a defined time) was transitory because of the increase in area values obtained between the 3rd and 6th weeks when measured with closed eyes. In the vestibular neuronitis patients, the measured values of area and the velocity of the patient's movement decreased continuously. The values measured in the patients suffering from vertebrobasilar insufficiency decreased continuously, the absolute values remaining pathological.
众所周知，前庭系统疾病可通过增加参与维持平衡的其他系统（即本体感觉和视觉系统）的自发活动来得到代偿。采用多感官刺激的综合方法是实现前庭代偿的最佳途径。我们研究的目的是通过姿势描记法来确定前庭康复治疗对72例前庭疾病患者的影响，这些患者包括梅尼埃病（n = 31）、前庭神经炎（n = 21）和椎基底动脉供血不足（n = 20）。患者接受了以下检查：眼震电图；冷热试验、旋转试验和视动试验；计算机姿势描记法；颅体摄影；纯音听力测定；言语听力测定；以及耳鸣测定（耳鸣响度、音调）。梅尼埃病患者在开始治疗3周后不稳定性降低；然而，面积减小（在规定时间内患者平衡点移动形成的表面）是暂时的，因为在第3周和第6周之间闭眼测量时面积值增加。在前庭神经炎患者中，面积测量值和患者移动速度持续下降。椎基底动脉供血不足患者的测量值持续下降，绝对值仍为病理性。
