Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.
Department of Rehabilitation Services, Intermountain Health Care Hearing and Balance Center, Salt Lake City, Utah.
Curr Opin Neurol. 2019 Feb;32(1):137-144. doi: 10.1097/WCO.0000000000000632.
Rehabilitation for persons with vertigo and balance disorders is becoming commonplace and the literature is expanding rapidly. The present review highlights recent findings of both peripheral and central vestibular disorders and provides insight into evidence related to new rehabilitative interventions. Risk factors will be reviewed to create a better understanding of patient and clinical characteristics that may effect recovery among persons with vestibular disorders.
Clinical practice guidelines have recently been developed for peripheral vestibular hypofunction and updated for benign paroxysmal positional vertigo. Diagnoses such as persistent postural-perceptual dizziness (PPPD) and vestibular migraine are now defined, and there is growing literature supporting the effectiveness of vestibular rehabilitation as a treatment option. As technology advances, virtual reality and other technologies are being used more frequently to augment vestibular rehabilitation. Clinicians now have a better understanding of rehabilitation expectations and whom to refer based on evidence in order to improve functional outcomes for persons living with peripheral and central vestibular disorders.
An up-to-date understanding of the evidence related to vestibular rehabilitation can assist the practicing clinician in making better clinical decisions for their patient and hopefully result in optimal functional recovery.
眩晕和平衡障碍患者的康复治疗已变得很常见,相关文献也在迅速增加。本综述重点介绍了外周和中枢性前庭障碍的最新发现,并深入探讨了与新康复干预措施相关的证据。本文还将回顾风险因素,以更好地了解可能影响前庭障碍患者康复的患者和临床特征。
最近为外周性前庭功能低下制定了临床实践指南,并更新了良性阵发性位置性眩晕的指南。目前已经明确了持续性姿势-感知性头晕(PPPD)和前庭性偏头痛等诊断,越来越多的文献支持前庭康复作为一种治疗选择的有效性。随着技术的进步,虚拟现实和其他技术越来越多地被用于增强前庭康复。临床医生现在对康复的预期有了更好的理解,并根据证据了解应将哪些患者转介出去,以便改善患有外周和中枢性前庭障碍的患者的功能预后。
及时了解与前庭康复相关的证据可以帮助临床医生为患者做出更好的临床决策,并有望实现最佳的功能康复。