Hamann K F
HNO-Klinik und Poliklinik des Klinikums rechts der Isar, Technischen Universität München.
HNO. 1993 May;41(5):278-85.
The non-surgical treatment of vestibular disorders must be based on current knowledge of vestibular pathophysiology. It is generally accepted that after vestibular lesions a self-repair mechanism exists that allows a more or less complete recovery. In cases of persisting vestibular complaints the physician's duty consists in stimulation of these pre-existing mechanisms. This can be done by physical exercises, as has been recommended since the work of Cawthorne and Cooksey in 1946. This concept is meanwhile supported by modern neurophysiological research. This article describes a short training program consisting of exercises for fixation during rotations, smooth pursuit, optokinetic nystagmus and motor learning mechanisms. Physical exercises can be reinforced by nootropic drugs.
前庭疾病的非手术治疗必须基于当前的前庭病理生理学知识。人们普遍认为，前庭病变后存在一种自我修复机制，可实现或多或少的完全恢复。对于持续存在前庭不适的病例，医生的职责在于刺激这些预先存在的机制。这可以通过体育锻炼来实现，自1946年考索恩和库克西的研究以来就一直有此建议。这一概念同时得到了现代神经生理学研究的支持。本文描述了一个简短的训练计划，包括旋转时的注视、平稳跟踪、视动性眼球震颤和运动学习机制的练习。益智药物可增强体育锻炼的效果。
