Clendaniel R A, Tucci D L
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medicine, Baltimore, Maryland 21203-6402, USA.
Otolaryngol Clin North Am. 1997 Dec;30(6):1145-58.
Once the episodic spells of vertigo associated with Meniere's disease have abated, vestibular rehabilitation exercises play an important role in promoting adaptation to the decreased vestibular input. Outlines of different treatment approaches for three types of patients with Meniere's disease are presented. The exercise approaches advocated here consist of exercises to foster adaptation of the vestibular system in cases of unilateral loss or hypofunction and exercises to promote the substitution of alternative strategies and to enhance remaining function in cases of bilateral vestibular hypofunction. The selection of the appropriate exercises is based on the nature of the vestibular loss, the patient's symptoms, and the functional capabilities of the patient. Based on an understanding of the vestibular system, the balance system, and normal functional capabilities, appropriate rehabilitative exercises can be designed for this group of patients.
一旦与梅尼埃病相关的发作性眩晕症状减轻，前庭康复训练在促进适应前庭输入减少方面发挥着重要作用。本文介绍了针对三种梅尼埃病患者的不同治疗方法概述。这里提倡的运动方法包括：针对单侧前庭丧失或功能减退的情况，进行促进前庭系统适应的训练；针对双侧前庭功能减退的情况，进行促进替代策略替代和增强残余功能的训练。合适训练方法的选择基于前庭丧失的性质、患者的症状以及患者的功能能力。基于对前庭系统、平衡系统和正常功能能力的理解，可以为这组患者设计合适的康复训练。
