| 중추성 어지럼에서의 전정재활치료 |
| , , , , 한병인1, 고판우2, 이호원2, 김현아3, 이 형3 |
| 1두 신경과 의원, 2경북대학교 의학전문대학원 신경과학교실, 3계명대학교 의과대학 신경과학교실 |
| Vestibular Rehabilitation in Central Dizziness |
| Byung In Han, Pan Woo Ko, Ho Won Lee, Hyun Ah Kim, Hyung Lee |
1Do Neurology Clinic, Daegu, Korea. han-byungin@hanmail.net
2Department of Neurology, Kyungpook National University School of Medicine, Daegu, Korea.
3Department of Neurology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea. |
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| ABSTRACT |
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Vestibular rehabilitation therapy (VRT) is an exercise-based treatment program
designed to promote vestibular adaptive and compensatory mechanisms already
existing in the human brain. Although the evidence is sparse for improvement
in subjects with central vestibular dysfunction following VRT, it improves
postural stability in cerebellar diseases and reduces subjective complaints and fall
risk in Parkinson disease. Possible mechanisms of recovery after central nervous
system lesions may include neural sprouting, vicarious functions, functional
reorganization, substitution, and plasticity. VRT regimens for patients with central
causes should include balance and gait training, general strengthening and
flexibility exercises, utilization of somatosensory and vision and utilization of
alternate motor control strategies. VRT would be an option to relieve the symptoms
of the many patients who have central dizziness. |
| Keywords:
Dizziness; Rehabilitation; Therapy |
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