VESTIBULAR REHABILITATION IMPROVES DAILY-LIFE FUNCTION

VESTIBULAR REHABILITATION IMPROVES DAILY-LIFE FUNCTION
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DOI:
10.5014/ajot.48.10.919
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发表时间:
1994-10-01
影响因子:
2.9
通讯作者:
COHEN, H
COHEN, H
中科院分区:
医学4区
文献类型:
--
作者:
COHEN, H

文献摘要

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本文综述了前庭功能障碍干预的最新研究成果。前庭功能障碍会导致平衡失调、视力模糊、定向障碍和眩晕。这些感觉障碍和运动障碍反过来又会导致许多日常生活活动和社交活动的功能障碍,这是传统医学无法解决的问题。一些前庭疾病的运动后遗症可以通过分级运动和活动计划成功地治疗,本文描述了其功能含义。也描述了由其他前庭疾病引起的功能损害,这些疾病不能用分级活动来治疗。这些疾病包括由结缔组织疾病或使用耳毒性药物引起的双侧前庭丧失,迷路或前庭神经肿瘤,以及梅尼埃病。对这些情况的职业治疗干预可能包括提供适应设备,教授执行日常生活活动的替代策略,以及对抑郁和焦虑进行心理干预。
This article reviews recent research that addresses the functional outcomes of intervention for vestibular disorders. Vestibular impairments cause disequilibrium, blurred vision, disorientation, and vertigo. These sensory disturbances and motor impairments in turn cause dysfunction in many activities of daily living and in social interactions that traditional medical treatments do not address. The motor sequelae of some vestibular disorders can be treated successfully with programs of graded exercises and activities, the functional implications of which are described herein. The functional impairments caused by other vestibular disorders, which cannot be treated with graded activities, are also described. These disorders include bilateral vestibular loss caused by connective tissue disorders or by the use of ototoxic medications, tumors of the labyrinth or vestibular nerve, and Meniere's disease. Occupational therapy intervention for these conditions may involve providing adaptive equipment, teaching alternative strategies for performing activities of daily living, and psychological intervention for depression and anxiety.