针对前庭疾病患者的物理治疗。
Physical therapy for persons with vestibular disorders.
作者信息
Whitney Susan L, Alghwiri Alia, Alghadir Ahmad
机构信息
aDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA bRehabilitation Research Chair, Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia cThe University of Jordan, Amman, Jordan.
出版信息
Curr Opin Neurol. 2015 Feb;28(1):61-8. doi: 10.1097/WCO.0000000000000162.
PURPOSE OF REVIEW
Persons with vestibular disorders experience symptoms of dizziness and balance dysfunction, resulting in falls, as well as impairments of daily life. Various interventions provided by physical therapists have been shown to decrease dizziness and improve postural control. In the present review, we will focus on the role of physical therapy in the management of vestibular symptoms in patients with peripheral and central vestibular disorders.
RECENT FINDINGS
Persons with both acute and chronic central and peripheral vestibular disorders improve with vestibular rehabilitation. New interventions during the past 5 years have been designed to enhance recovery from problems with balance and dizziness. Examples include the use of virtual reality, vibrotactile feedback, optokinetic flow, YouTube videos, and innovative methods to change the gain of the vestibulo-ocular reflex (VOR).
SUMMARY
Patients with central and peripheral vestibular disorders benefit from physical therapy interventions. Advances in physical therapy interventions include new methods to stimulate adaptation of the VOR and the vestibulospinal systems.
综述目的
前庭疾病患者会出现头晕和平衡功能障碍症状，导致跌倒以及日常生活受损。物理治疗师提供的各种干预措施已被证明可减少头晕并改善姿势控制。在本综述中，我们将重点关注物理治疗在周围性和中枢性前庭疾病患者前庭症状管理中的作用。
最新发现
急性和慢性中枢性及周围性前庭疾病患者通过前庭康复均有改善。过去5年设计了新的干预措施以促进平衡和头晕问题的恢复。实例包括使用虚拟现实、振动触觉反馈、视动流、YouTube视频以及改变前庭眼反射（VOR）增益的创新方法。
总结
中枢性和周围性前庭疾病患者受益于物理治疗干预。物理治疗干预的进展包括刺激VOR和前庭脊髓系统适应的新方法。
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