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双侧前庭功能低下患者的前庭适应训练及保持。

VOR adaptation training and retention in a patient with profound bilateral vestibular hypofunction.

机构信息

Laboratory of Vestibular NeuroAdaptation, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.

Department of Physical Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

出版信息

Laryngoscope. 2019 Nov;129(11):2568-2573. doi: 10.1002/lary.27838. Epub 2019 Feb 19.

Abstract

A novel training method known as incremental VOR adaptation (IVA) can improve the vestibulo-ocular reflex (VOR) gain for both active and passive head rotation by coupling active head rotations with a laser-projected target that moves in the opposite direction of the head at a fraction of the head velocity. A 51-year-old male with bilateral vestibular hypofunction participated in a research protocol using a portable IVA device for 645 days. Passive VOR gains improved 179% to 600%; standing posture and gait also improved. Motor learning within the vestibular system using the IVA method is possible after severe vestibular pathology. Laryngoscope, 129:2568-2573, 2019.

摘要

一种新的训练方法,称为增量前庭眼反射(IVA)适应,通过将主动头部旋转与激光投影目标相结合,可以改善主动和被动头部旋转的前庭眼反射(VOR)增益,该目标以头部速度的一小部分向头部相反的方向移动。一位 51 岁的男性双侧前庭功能低下,使用便携式 IVA 设备参与了一项为期 645 天的研究方案。被动 VOR 增益提高了 179%至 600%;站立姿势和步态也得到了改善。使用 IVA 方法,在严重的前庭病理后,前庭系统内的运动学习是可能的。喉科学,129:2568-2573,2019。

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