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首页> 外文期刊>Gait & posture >Vestibular rehabilitation by auditory feedback in otolith disorders.
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Vestibular rehabilitation by auditory feedback in otolith disorders.

机译：通过耳石疾病的听觉反馈进行前庭康复。

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摘要

Rehabilitation strategies have been applied successfully over the last few decades to initiate central compensation of the tonus imbalance and to facilitate substitution in different types of peripheral vestibular dysfunction. However, these vestibular rehabilitation strategies are often not successful in patients with isolated otolith disorders. The aim of the present study was therefore to evaluate a specific rehabilitation strategy for patients with an isolated otolith disorder by using an auditory feedback system. Thirteen patients, which suffered from different types of otolith disorders, but no other vestibular pathology and 13 normal controls were included in this study. Vestibular rehabilitation exercises were performed daily over a 2-week period (weekends excluded). During all exercises the patients of the test group (n=13) obtained an acoustic feedback signal when their trunk angle velocity exceeded a preset level while the patients of the control group (n=13) performed the same exercises without auditory feedback. The most effective exercise in the test group was "walking eight tandem steps on a foam support surface". Approximately 85% of the patients showed a significant decrease of trunk sway in this condition. In contrast to these results, patients of the control group showed no significant improvement of postural control after the training. The results indicate that an auditory feedback rehabilitation program with exercises related to the specific neurotological disease could significantly improve the postural control in patients with otolith disorders.
机译：在过去的几十年中，康复策略已成功应用，以启动对眼环不平衡的中央补偿，并有助于替代不同类型的周围前庭功能障碍。然而，这些前庭康复策略在孤立的耳石病患者中通常不成功。因此，本研究的目的是通过使用听觉反馈系统评估患有孤立性耳石症的患者的特定康复策略。十三例患者患有不同类型的耳石疾病，但没有其他前庭病理学和13例正常对照纳入研究。每天进行为期2周的前庭康复锻炼（不包括周末）。在所有锻炼过程中，测试组（n = 13）的患者的躯干角速度超过预设水平时均获得声音反馈信号，而对照组（n = 13）的患者进行相同的锻炼而没有听觉反馈。测试组中最有效的锻炼是“在泡沫支撑表面上串联八个台阶”。在这种情况下，大约85％的患者显示躯干摇摆明显减少。与这些结果相反，对照组的患者训练后的姿势控制没有明显改善。结果表明，与特定的神经病学疾病有关的运动的听觉反馈康复计划可以显着改善耳石症患者的姿势控制。

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