Vestibular rehabilitation therapy.
Dizziness and balance disorders are frequent complaints in the general population. Vestibular rehabilitation exercises have been shown to be efficient in controlled studies, provided that a precise, individual diagnosis has previously been made. Depending on the pathology, a subject with a peripheral vestibular pathology can benefit from manoeuvres aiming at dislodging or repositioning otoliths, from non-specific muscles strengthening techniques, from techniques for vestibular-ocular or vestibular-cervical stabilisation of gaze, or from physical exercises aimed at strengthening proprioceptive afferents, inhibiting a sensory predominance, or improving spatial orientation and navigation. These analytical exercises should then be implemented in an ecological context in order to favour transfer to daily-living activities. These physical exercises can enable the development of compensation strategies following vestibular damage (habituation, adaptation and substitution).
Boyer
F C
FC
Université Champagne-Ardenne, UFR médecine EA3797, hôpital Sébastopol, CHU de Reims, 48, rue de Sébastopol, 51092 Reims cedex, France. fboyer@chu-reims.fr
Percebois-Macadré
L
L
Regrain
E
E
Lévêque
M
M
Taïar
R
R
Seidermann
L
L
Belassian
G
G
Chays
A
A
D005081:Exercise Therapy; D006801:Humans; D009460:Neurologic Examination; D026741:Physical Therapy Modalities; D014717:Vertigo / Q000175:diagnosis / Q000534:rehabilitation; D015837:Vestibular Diseases / Q000175:diagnosis / Q000534:rehabilitation*