Phantom Earthquake Sensation - Equilibrium and Vestibular Effects After Large Earthquakes

Öz

Following a major earthquake, earthquake survivors experience a number of physiological, anatomical and psychological changes that begin immediately after the earthquake and continue for a long time. One of these problems is vestibular system effects and balance disorders, which can also be defined as phantom earthquake sensation, in which people feel that they are shaking without any effect. In these people, it has been observed that psychological responses are more effective in the feeling of swaying than the vestibular system and balance pathways. These changes may distract people from their daily life activities and social environment. Vestibular rehabilitation and physical activity play an important role in accelerating the return of earthquake victims to their daily lives. In this context, this review aims to provide a comprehensive discussion of balance and vestibular changes after major earthquakes, the concept of phantom earthquake sensation, the underlying neuroanatomical mechanisms, treatment options and the role of physiotherapists in managing this symptom.

Anahtar Kelimeler

• Earthquake
• dizziness
• vestibular system
• balance
• psychological stress.

Fantom Deprem Hissi – Büyük Depremler Sonrasında Denge ve Vestibüler Etkilenimler

Öz

Büyük depremler sonrasında hayatta kalan depremzedeler depremden hemen sonra başlayan ve uzunca bir süre devam eden bir takım fizyolojik, anatomik ve psikolojik değişimlerle karşılaşırlar. Bu problemlerin birisi de fantom deprem hissi olarak da tanımlanabilen kişilerin herhangi bir etki olmadan sallandığını hissettiği vestibüler sistem etkilenimleri ve denge bozukluklarıdır. Bu kişilerde vestibüler sistem ve denge yollarının etkilenimden daha çok psikolojik yanıtların sallanma hissinde daha etkili olduğu görülmüştür. Yaşanan bu değişimler kişileri günlük yaşam aktivitelerinden ve sosyal çevrelerinden uzaklaştırabilmektedir. Depremzedelerin günlük hayatlarına dönüşünü hızlandırmak için vestibüler rehabilitasyon ve fiziksel aktivite önemli bir rol oynamaktadır. Bu kapsamda derlemede büyük depremlerden sonra görülen denge ve vestibüler değişimler ile fantom deprem hissi kavramını, altta yatan nöroanatomik mekanizmalarını, tedavi seçeneklerini ve fizyoterapistlerin bu semptomu yönetmedeki rollerini kapsamlı bir şekilde ele almak amaçlanmıştır.

Anahtar Kelimeler

• Deprem
• baş dönmesi
• vestibüler sistem
• denge
• psikolojik stres.

Kaynakça

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