Horak F B, Jones-Rycewicz C, Black F O, Shumway-Cook A
R.S. Dow Neurological Sciences Institute, Portland, OR 97209.
Otolaryngol Head Neck Surg. 1992 Feb;106(2):175-80.
Vestibular rehabilitation is a specific approach to physical therapy aimed at reducing dizziness and imbalance by facilitating central nervous system compensation for peripheral vestibular dysfunction. This article reports preliminary results of studies concerning the relative effectiveness of vestibular rehabilitation, general conditioning exercises, and vestibular suppressant medication on dizziness and imbalance in patients with chronic vestibular symptoms of at least 6 months duration. Patients with positional and/or movement-related dizziness and abnormal posturography were randomly assigned to the three treatment groups. Preliminary results suggest that although all three treatment approaches reduce dizziness, only vestibular rehabilitation also improves balance. This study takes the first step toward determining the efficacy of a specific exercise approach for reducing dizziness and imbalance in patients with chronic peripheral vestibular disorders.
前庭康复是一种物理治疗的特定方法，旨在通过促进中枢神经系统对周围前庭功能障碍的代偿来减轻头晕和失衡。本文报告了有关前庭康复、一般适应性锻炼和前庭抑制药物对持续至少6个月的慢性前庭症状患者头晕和失衡的相对有效性的研究初步结果。有位置性和/或与运动相关的头晕且姿势描记异常的患者被随机分配到三个治疗组。初步结果表明，虽然所有三种治疗方法都能减轻头晕，但只有前庭康复还能改善平衡。这项研究朝着确定一种特定锻炼方法对减轻慢性周围性前庭疾病患者头晕和失衡的疗效迈出了第一步。
