Current concepts and future approaches to vestibular rehabilitation
Identifieur interne : 000250 ( Main/Exploration ); précédent : 000249; suivant : 000251Current concepts and future approaches to vestibular rehabilitation
Auteurs : Fredrik Tjernström [Suède] ; Oz Zur [Israël] ; Klaus Jahn [Allemagne]Source :
- Journal of Neurology [ 0340-5354 ] ; 2016.
Abstract
Over the last decades methods of vestibular rehabilitation to enhance adaptation to vestibular loss, habituation to changing sensory conditions, and sensory reweighting in the compensation process have been developed. However, the use of these techniques still depends to a large part on the educational background of the therapist. Individualized assessment of deficits and specific therapeutic programs for different disorders are sparse. Currently, vestibular rehabilitation is often used in an unspecific way in dizzy patients irrespective of the clinical findings. When predicting the future of vestibular rehabilitation, it is tempting to foretell advances in technology for assessment and treatment only, but the current intense exchange between clinicians and basic scientists also predicts advances in truly understanding the complex interactions between the peripheral senses and central adaptation mechanisms. More research is needed to develop reliable techniques to measure sensory dependence and to learn how this knowledge can be best used—by playing off the patient’s sensory strength or working on the weakness. To be able using the emerging concepts, the neuro-otological community must strive to educate physicians, physiotherapists and nurses to perform the correct examinations for assessment of individual deficits and to look for factors that might impede rehabilitation.
Url:
DOI: 10.1007/s00415-015-7914-1
PubMed: 27083886
PubMed Central: 4833789
Affiliations:
- Allemagne, Israël, Suède
- Bavière, District de Haute-Bavière
- Munich
- Université Louis-et-Maximilien de Munich
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first="Fredrik" last="Tjernström">Fredrik Tjernström</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Clinical Sciences, Lund University, Lund, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Clinical Sciences, Lund University, Lund</wicri:regionArea><wicri:noRegion>Lund</wicri:noRegion></affiliation></author><author><name sortKey="Zur, Oz" sort="Zur, Oz" uniqKey="Zur O" first="Oz" last="Zur">Oz Zur</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Physical Therapy, Ben Gurion University of the Negev, Beer Sheva, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Physical Therapy, Ben Gurion University of the Negev, Beer Sheva</wicri:regionArea><wicri:noRegion>Beer Sheva</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">The Israeli Center for Treating Dizziness and Balance Disorders, Raanana, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>The Israeli Center for Treating Dizziness and Balance Disorders, Raanana</wicri:regionArea><wicri:noRegion>Raanana</wicri:noRegion></affiliation></author><author><name sortKey="Jahn, Klaus" sort="Jahn, Klaus" uniqKey="Jahn K" first="Klaus" last="Jahn">Klaus Jahn</name><affiliation wicri:level="4"><nlm:aff id="Aff4">German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University of Munich, Munich, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University of Munich, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName><orgName type="university">Université Louis-et-Maximilien de Munich</orgName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5">Department of Neurology, Schön Klinik Bad Aibling, Kolbermoorer Str. 72, 83043 Bad Aibling, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Schön Klinik Bad Aibling, Kolbermoorer Str. 72, 83043 Bad Aibling</wicri:regionArea><wicri:noRegion>83043 Bad Aibling</wicri:noRegion><wicri:noRegion>83043 Bad Aibling</wicri:noRegion><wicri:noRegion>83043 Bad Aibling</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Neurology</title><idno type="ISSN">0340-5354</idno><idno type="eISSN">1432-1459</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Over the last decades methods of vestibular rehabilitation to enhance adaptation to vestibular loss, habituation to changing sensory conditions, and sensory reweighting in the compensation process have been developed. However, the use of these techniques still depends to a large part on the educational background of the therapist. Individualized assessment of deficits and specific therapeutic programs for different disorders are sparse. Currently, vestibular rehabilitation is often used in an unspecific way in dizzy patients irrespective of the clinical findings. When predicting the future of vestibular rehabilitation, it is tempting to foretell advances in technology for assessment and treatment only, but the current intense exchange between clinicians and basic scientists also predicts advances in truly understanding the complex interactions between the peripheral senses and central adaptation mechanisms. More research is needed to develop reliable techniques to measure sensory dependence and to learn how this knowledge can be best used—by playing off the patient’s sensory strength or working on the weakness. To be able using the emerging concepts, the neuro-otological community must strive to educate physicians, physiotherapists and nurses to perform the correct examinations for assessment of individual deficits and to look for factors that might impede rehabilitation.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gyllensv Rd, H" uniqKey="Gyllensv Rd H">H Gyllensvärd</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Agrawal, Y" uniqKey="Agrawal Y">Y Agrawal</name></author><author><name sortKey="Carey, Jp" uniqKey="Carey J">JP Carey</name></author><author><name sortKey="Della Santina, Cc" uniqKey="Della Santina C">CC Della Santina</name></author><author><name sortKey="Schubert, Mc" uniqKey="Schubert M">MC Schubert</name></author><author><name sortKey="Minor, Lb" uniqKey="Minor L">LB Minor</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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S">S Gomez</name></author><author><name sortKey="Berg, S" uniqKey="Berg S">S Berg</name></author><author><name sortKey="Almbladh, P" uniqKey="Almbladh P">P Almbladh</name></author><author><name sortKey="Lindblad, J" uniqKey="Lindblad J">J Lindblad</name></author><author><name sortKey="Petersen, H" uniqKey="Petersen H">H Petersen</name></author><author><name sortKey="Magnusson, M" uniqKey="Magnusson M">M Magnusson</name></author><author><name sortKey="Johansson, R" uniqKey="Johansson R">R Johansson</name></author><author><name sortKey="Fransson, Pa" uniqKey="Fransson P">PA Fransson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tjernstrom, F" uniqKey="Tjernstrom F">F Tjernstrom</name></author><author><name sortKey="Fransson, Pa" uniqKey="Fransson P">PA Fransson</name></author><author><name sortKey="Patel, M" uniqKey="Patel M">M Patel</name></author><author><name sortKey="Magnusson, M" uniqKey="Magnusson M">M Magnusson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Merfeld, Dm" uniqKey="Merfeld D">DM Merfeld</name></author><author><name sortKey="Zupan, Lh" uniqKey="Zupan L">LH Zupan</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Israël</li><li>Suède</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement><orgName><li>Université Louis-et-Maximilien de Munich</li></orgName></list><tree><country name="Suède"><noRegion><name sortKey="Tjernstrom, Fredrik" sort="Tjernstrom, Fredrik" uniqKey="Tjernstrom F" first="Fredrik" last="Tjernström">Fredrik Tjernström</name></noRegion></country><country name="Israël"><noRegion><name sortKey="Zur, Oz" sort="Zur, Oz" uniqKey="Zur O" first="Oz" last="Zur">Oz Zur</name></noRegion><name sortKey="Zur, Oz" sort="Zur, Oz" uniqKey="Zur O" first="Oz" last="Zur">Oz Zur</name></country><country name="Allemagne"><region name="Bavière"><name sortKey="Jahn, Klaus" sort="Jahn, Klaus" uniqKey="Jahn K" first="Klaus" last="Jahn">Klaus Jahn</name></region><name sortKey="Jahn, Klaus" sort="Jahn, Klaus" uniqKey="Jahn K" first="Klaus" last="Jahn">Klaus Jahn</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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