Vestibular exercises improve central vestibulospinal compensation after vestibular neuritis

作者: M. Strupp , V. Arbusow , K. P. Maag , C. Gall , T. Brandt

DOI: 10.1212/WNL.51.3.838

关键词: Cranial nerve diseaseProspective cohort studyVestibular systemPhysical exercisePeripheralVestibular nucleiPhysical medicine and rehabilitationMedicineNeuritisPhysical therapyVestibular nerve

摘要: Objective and Background: Animal experiments have shown that central vestibular compensation of unilateral peripheral lesions can be improved by exercises. There are, however, no equivalent clinical studies on the efficacy such specific physiotherapy acute in humans. Design Methods: To quantify differential effects exercised patients with an acute/subacute lesion (vestibular neuritis), we determined time course recovery 1) ocular torsion (OT) for vestibulo-ocular system, 2) subjective visual vertical (SVV) perception, 3) total sway path (SP) values postural control 19 20 without All had a persisting deficit at least 30 days (statistical end point). Results: Although normalization OT SVV was similar groups, SP day after symptom onset differed significantly: 3.2 ± 1.9 m/min group 16.9 6.1 (ANOVA, p Conclusions: This prospective study suggests exercises improve vestibulospinal lesions.

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