Vestibular rehabilitation in complex therapy of vestibular vertigo (consensus of experts)

G. E. Ivanova, N. L. Kunelskaya, V. A. Parfenov, M. V. Zamergrad, O. A. Melnikov, A. L. Guseva, O. V. Zaitseva, A. A. Shmonin, E. V. Baybakova, M. N. Maltseva
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Abstract

Experts discussed the problem of comprehensive medical treatment of vertigo through vestibular rehabilitation. Peripheral vestibular vertigo is most commonly caused by benign paroxysmal positional vertigo, Meniere's disease and vestibular neuronitis, while central vestibular vertigo is caused by vestibular migraine and stroke. Vestibular rehabilitation is one of the most effective areas of treatment for patients with various disorders of the vestibular system characterized by chronic dizziness. Vestibular rehabilitation improves patients' walking and stability and can lead to an improvement in patients' daily activities and quality of life. Currently, in our country medical rehabilitation centres are being established where patients with various causes of vestibular vertigo can receive complex therapy, including vestibular rehabilitation. The Expert Council recommends the comprehensive personalised use of vestibular rehabilitation in the complex treatment of various diseases manifested by dizziness. An educational program is needed for neurologists, ENT specialists and rehabilitation specialists in treatment of patients with different types of vestibular dizziness.
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前庭性眩晕复合疗法中的前庭康复(专家共识)
专家们讨论了通过前庭康复综合治疗眩晕的问题。外周性前庭性眩晕最常见的病因是良性阵发性位置性眩晕、美尼尔氏病和前庭神经元炎,而中枢性前庭性眩晕则由前庭性偏头痛和中风引起。前庭康复是治疗以慢性头晕为特征的各种前庭系统疾病患者最有效的方法之一。前庭康复可改善患者的行走能力和稳定性,并能提高患者的日常活动能力和生活质量。目前,我国正在建立医疗康复中心,各种原因引起的前庭性眩晕患者可以在这里接受包括前庭康复在内的综合治疗。专家委员会建议,在对以头晕为表现的各种疾病进行综合治疗时,应全面采用个性化的前庭康复疗法。需要为神经科医生、耳鼻喉科专家和康复专家制定一项教育计划,以治疗不同类型的前庭性眩晕患者。
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