Whitney S L, Alghwiri A A, Alghadir A
Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Physical Therapy, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan.
Handb Clin Neurol. 2016;137:187-205. doi: 10.1016/B978-0-444-63437-5.00013-3.
Data related to the efficacy of vestibular rehabilitation and its evolution as an intervention are provided. Concepts and various treatment strategies are described, with explanations of why people with uncompensated peripheral and central vestibular disorders might improve with rehabilitation. Various tests and measures are described that are commonly used to examine patients and determine their level of ability to participate in their environment. Factors that affect recovery, both positively and negatively, are described in order to better prognosticate recovery. A case utilizing many of the principles discussed is included to provide insight into how to utilize vestibular rehabilitation with a person with an uncompensated peripheral vestibular loss.
本文提供了与前庭康复疗效及其作为一种干预措施的演变相关的数据。文中描述了相关概念和各种治疗策略,并解释了为何未代偿的外周和中枢前庭障碍患者可能通过康复得到改善。介绍了常用于检查患者并确定其参与周围环境能力水平的各种测试和测量方法。阐述了对恢复有积极和消极影响的因素,以便更好地预测恢复情况。文中包含了一个运用诸多所讨论原则的案例,以深入了解如何对未代偿外周前庭功能丧失的患者进行前庭康复治疗。