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[头晕与平衡障碍患者的治疗]

[The therapy of patients with dizziness and balance disorders].

作者信息

Kornilova L N, Temnikova V V, Naumov I A, Solov'eva A D

机构信息

Institut mediko-biologicheskikh problem RAN, Moskva.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(11):58-64.

Abstract

A new computerized method is proposed for correction and inhibition of unfavorable illusory (dizziness), vestibular-oculomotor (nystagmus) and vestibular-postural (balance) which allows to teach a subject to block generalization of an afferent signal to effector mechanisms of the central nervous system by developing a fixation reflex, employing a delayed feedback. Two ways of using this method were employed depending on the kind of stimulation programs aimed at inducing abnormal responses of a certain sensory modality (visual or vestibular). The study involved 24 patients with vestibulopathies of peripheral and central origin divided into 2 equal groups one of which had been taught by a visual technique, the other - by a vestibular one. The method allows to produce abnormal illusory and vestibular optic oculomotor responses in the patient and inhibit them with the help the fixation reflex development. The visual way of correction was the most effective for patients with peripheral vestibulopathia and the vestibular way - for patients with central vestibulopathia.

摘要

提出了一种新的计算机化方法,用于校正和抑制不良幻觉(头晕)、前庭动眼(眼球震颤)和前庭姿势(平衡),该方法通过建立注视反射并采用延迟反馈,使受试者学会阻止传入信号向中枢神经系统效应机制的泛化。根据旨在诱发特定感觉模态(视觉或前庭)异常反应的刺激程序类型,采用了两种使用该方法的方式。该研究纳入了24例外周性和中枢性前庭病变患者,分为两组,每组人数相等,其中一组采用视觉技术进行训练,另一组采用前庭技术进行训练。该方法可以在患者身上诱发异常幻觉和前庭视动反应,并通过建立注视反射来抑制这些反应。视觉校正方法对外周性前庭病变患者最有效,而前庭方法对中枢性前庭病变患者最有效。

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