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abstractVestibular
rehabilitation and balance retraining
Burt
Mistiaen
University
of Bruges, Belgium
Abstract:
The
aim of this paper is to present a rehabilitation and assesment
programm in vestibular disorders. Assesment in dizzeness include
assesment of all components of balance and posture and also physical
examination like head eye coordination, speed of head movement,
direction of head movement, acceleration of head movement, position
of head in reference to gravity.
Vestibular
function assesment using electronystamography(ENG) Somatosensory:
proprioception, pressure, touch, stretch. In physical assesment are
important specific tests like: vertebral artery test for facility the
diagnostic of nystagmus.Reahabilitation aspects:the first problem is
to exclude the habituation factoros, that involve pathologic
response, and to eliminate the provocative stimulus;the second
problem is to create a new adaptation of neurophysiologic phenomenons
and so to slow decline in afferent neuronal responses; the third
aspect is to development the mechanisms of compensation. We formed
two grups of patients.First group participate to customized
rehabilitation programms and second group participate to generic
vestibular rehabilitation programms. Customized rehabilitation
programms include proprioception training programm and visual
feedback programms and generic rehabilitation programms include
repositioning Maneuver (Epley) like in the next image.
During
treatment we made periodical assesment including functional changes.
At
first assesment we observed that 59% from patients improved, An
additional 23% noted considerable improvement , but have persistent
symptoms.
Key
words: assesment,
rehabilitation, dizzeness.
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