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基于习服的眩晕治疗。2. 习服训练的技术与结果。

Treatment of vertigo based on habituation. 2. Technique and results of habituation training.

作者信息

Norré M E, De Weerdt W

出版信息

J Laryngol Otol. 1980 Sep;94(9):971-7. doi: 10.1017/s0022215100089726.

Abstract

In this paper we have tried to explain and to substantiate the physiopathological basis of a new method of treatment for vertigo. In accordance with experimental and clinical evidence, we have based it upon the principle of habituation, which favours the development of what is well-known in Otoneurology as 'central vestibular compensation'. The habituation effect, with pattern building and rebuilding, when applied to the functional sequelase of a labyrinthine lesions, can explain how a new, central regulation of balance can be rebuilt in spite of the persistence of peripheral dysfunction. Habituation is developed by repeating a specific mode of stimulation, but only for the effect of this particular stimulation. Our treatment, based upon the principle of habituation, consists in repeating those movements (or components of movements) which provoke dizziness. Habituation will be stimulated and the information pattern elicited during these movements evolves from 'unadapted' and 'unknown' to 'normal'.

摘要

在本文中,我们试图解释并证实一种治疗眩晕新方法的生理病理基础。根据实验和临床证据,我们将其建立在习惯化原则之上,这有利于耳神经学中众所周知的“中枢前庭代偿”的发展。当应用于迷路性病变的功能性后遗症时,习惯化效应以及模式的建立和重建可以解释尽管外周功能障碍持续存在,但如何重建一种新的平衡中枢调节机制。习惯化是通过重复特定的刺激模式来发展的,但仅针对这种特定刺激的效果。我们基于习惯化原则的治疗方法包括重复那些引发头晕的动作(或动作组成部分)。习惯化将受到刺激,并且在这些动作过程中引发的信息模式将从“未适应”和“未知”演变为“正常”。

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