Smith-Wheelock M, Shepard N T, Telian S A
Department of Physical Medicine and Rehabilitation, University of Michigan Medical Center, Ann Arbor.
Am J Otol. 1991 May;12(3):218-25.
Dizziness and balance disorders are among the most frustrating problems for many physicians to treat. Traditional interventions such as medication or surgical procedures offer limited improvement for many patients. Although generic habituation exercises have existed for years, the merits of vestibular rehabilitation are only beginning to be recognized. Current retrospective studies indicate that 85 percent of patients with chronic vestibular dysfunction gain at least partial relief of their symptoms after undergoing vestibular rehabilitation, with approximately 30 percent of patients being completely cured. This modality provides a valuable and rational complement to current established methods of treating the patient with dizziness. Many physicians and physical therapists may be unfamiliar with these new techniques and require clarification of the actual therapeutic approaches in use. This article describes the current evaluation and treatment approach utilized in the vestibular rehabilitation program at the University of Michigan Medical Center.
头晕和平衡障碍是许多医生在治疗中最感棘手的问题之一。传统的干预措施，如药物治疗或外科手术，对许多患者的改善有限。尽管一般性的习服训练已经存在多年，但前庭康复的优点才刚刚开始得到认可。目前的回顾性研究表明，85%的慢性前庭功能障碍患者在接受前庭康复治疗后，其症状至少得到部分缓解，约30%的患者被完全治愈。这种治疗方式为目前已确立的治疗头晕患者的方法提供了有价值且合理的补充。许多医生和物理治疗师可能不熟悉这些新技术，需要对实际使用的治疗方法加以澄清。本文介绍了密歇根大学医学中心前庭康复项目目前所采用的评估和治疗方法。
