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[前庭康复的研究进展]

[Research progresses in vestibular rehabilitation].

作者信息

Li Y J, Xu X R

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Oct 20;31(20):1612-1616. doi: 10.13201/j.issn.1001-1781.2017.20.018.

Abstract

Vestibular rehabilitation is one of the treatments of vertigo, which major based on vestibular exercise. Unlike general exercise, it is a highly specialized designed method without medication or traumatic. Vestibular rehabilitation includes peripheral rehabilitation,central rehabilitation, alternative rehabilitation, visual conflict rehabilitation and fall prevention rehabilitation. The cross-coupling mechanism of vestibular reflex is the basis of vestibular compensation. The characteristics of visual reflex and the proprioception mediated cervical reflex are the foundation of alternative rehabilitation, and cognitive mechanism is the basis of all kinds of vestibular rehabilitation. Data about the safety and efficacy of vestibular rehabilitation are provided during the past several decades. Various tests and measures are used for examination and determine their ability to participate in their environment, as well as various treatments are described. Factors that affect recovery are noticed to prognosticate recovery. This review focuses on the rehabilitation mechanism, clinical application, related inspection and evaluation, and influence factor of vestibular rehabilitation.

摘要

前庭康复是眩晕的治疗方法之一,主要基于前庭锻炼。与一般锻炼不同,它是一种高度专业化设计的方法,无需药物治疗或有创操作。前庭康复包括外周康复、中枢康复、替代康复、视觉冲突康复和预防跌倒康复。前庭反射的交叉耦合机制是前庭代偿的基础。视觉反射和本体感觉介导的颈反射的特点是替代康复的基础,而认知机制是各种前庭康复的基础。在过去几十年中提供了有关前庭康复安全性和有效性的数据。使用各种测试和措施进行检查并确定其参与周围环境的能力,同时描述了各种治疗方法。注意到影响恢复的因素以预测恢复情况。本综述重点关注前庭康复的机制、临床应用、相关检查与评估以及影响因素。

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