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前庭康复中的凝视稳定练习:证据回顾与最新临床进展。

Gaze stabilisation exercises in vestibular rehabilitation: review of the evidence and recent clinical advances.

机构信息

Academic Unit of Neurology, School of Medicine, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.

Neurology Schoen Clinic Bad Aibling and German Center for Vertigo and Balance Disorders, University of Munich, Munich, Germany.

出版信息

J Neurol. 2019 Sep;266(Suppl 1):11-18. doi: 10.1007/s00415-019-09459-x. Epub 2019 Aug 5.

Abstract

Gaze stabilisation exercises are a mainstay of vestibular rehabilitation (VR). They are frequently prescribed to patients with vestibular hypofunction with the aim of improving the gain of the vestibular ocular reflex, improving visual acuity during head movement, and reducing the symptoms of dizziness and vertigo. This review will examine current evidence that has evaluated the efficacy of gaze stabilisation exercises on VOR gain, dynamic visual acuity and oscillopsia. In addition, recent experimental studies that have employed digital technologies and newer forms of gaze stabilisation exercises will be reviewed. The implications for future clinical practice and research in the area of VR will be discussed.

摘要

凝视稳定性练习是前庭康复 (VR) 的主要方法。它们经常被开给前庭功能低下的患者,目的是提高前庭眼反射的增益,改善头部运动时的视力,并减少头晕和眩晕的症状。本综述将检查评估凝视稳定性练习对 VOR 增益、动态视力和眼震的疗效的现有证据。此外,还将回顾最近使用数字技术和新型凝视稳定性练习的实验研究。将讨论对 VR 领域未来临床实践和研究的影响。

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