Vestibüler Rehabilitasyona Güncel Bakış

Year 2014, Volume: 15 Issue: 2, 73 - 76, 01.08.2014

İlke Coşkun Benlidayı

Abstract

Vestibüler rehabilitasyon periferik ve santral vestibüler sistem hastalıklarında kullanılan bir tedavi yöntemidir. Vestibüler rehabilitasyonun amacı insan beynindeki adaptif ve kompansatuar mekanizmaları harekete geçirmektir. Başlıca endikasyonları, vestibüler hipofonksiyon ve benign paroksismal pozisyonel vertigodur. Stabil olup henüz kompanzasyon mekanizması tamamlanmamış vestibüler sistem lezyonlarında önerilmektedir. Spesifik ve spesifik olmayan tedavi yöntemleri bulunmaktadır. Spesifik tedavi yöntemleri arasında habitüasyon, adaptasyon, substitüsyon ve otolitlerin yeniden pozisyonlandırılması gelirken, spesifik olmayan metotlar arasında endurans egzersizleri, yürüme ve denge ile ilgili spesifik kas gruplarının güçlendirilmesi gelmektedir. Vestibüler rehabilitasyonda uygulanan diğer tedavi seçenekleri vibrotaktil geri besleme, sanal gerçeklik ve vestibüler elektriksel stimülasyondur. Vestibüler rehabilitasyon, dalgalanma gösteren vestibüler kayıplarda, devam eden labirent patolojilerinde ve yavaş progresyon gösteren bir tümör varlığında faydasızdır

Keywords

Vertigo, vestibüler hipofonksiyon, vestibüler rehabilitasyon

Current Look at Vestibular Rehabilitation

Abstract

Vestibular rehabilitation is a treatment method which is used for peripheral and central vestibular system disorders. The aim of vestibular rehabilitation is to activate the adaptive and compensatory mechanisms in the brain. The main indications are vestibular hypofunction and benign paroxysmal positional vertigo. It is recommended in stable vestibular lesions with incomplete compensation mechanism. There are specific and non-specific treatment options. Specific treatment methods include habituation, adaptation, substitution and otolith repositioning, whilst non-specific methods are endurance exercises and strengthening of the specific muscle groups related to ambulation and balance. Other treatment options used in vestibular rehabilitation are vibrotactile feedback, virtual reality and vestibular electrical stimulation. Vestibular rehabilitation techniques are not beneficial in fluctuant vestibular loss, ongoing labyrinth pathologies and slow progressing tumors.

Keywords

Vertigo, vestibular hypofunction, vestibular rehabilitation

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