title: Vestibular compensation and vestibular rehabilitation. Current concepts and new trends.
abstract: The aim of this review is to present the current knowledge of the mechanisms underlying the vestibular compensation and demonstrating how the vestibular rehabilitation is conducted to help the recovery of balance function. Vestibular rehabilitation is based on improving the natural phenomenon called vestibular compensation that occurs after acute vestibular disturbance or chronic and gradual misbalance. Central compensation implies three main mechanisms namely adaptation, substitution and habituation. The compensation, aided by the rehabilitation aimed to compensate and/or to correct the underused or misused of the visual, proprioceptive and vestibular inputs involved in the postural control. As the strategy of equilibration is not corrected, the patient is incompletely cured and remains with inappropriate balance control with its significance on the risk of fall and impact on quality of life. The vestibular rehabilitation helps to correct inappropriate strategy of equilibrium or to accelerate a good but slow compensation phenomenon. Nowadays, new tools are more and more employed for the diagnosis of vestibular deficit (that may include various sources of impairment), the assessment of postural deficit, the control of the appropriate strategy as well to facilitate the efficiency of the rehabilitation especially in elderly people.
authors: Service d'oto-rhino-laryngologie et d'otoneurologie, CHU Nord, Assistance Publique-Hôpitaux de Marseille, chemin des Bourrelly, 13915 Marseille cedex 20, France; Laboratoire de biomécanique appliquée, IFSTTAR UMR T24, Aix-Marseille université, boulevard Pierre-Dramard, 13015 Marseille, France. Electronic address: arnaud.deveze@univ-amu.fr.
authors: A
authors: A
authors: Deveze
authors: Service d'oto-rhino-laryngologie et d'otoneurologie, CHU Nord, Assistance Publique-Hôpitaux de Marseille, chemin des Bourrelly, 13915 Marseille cedex 20, France.
authors: L
authors: L
authors: Bernard-Demanze
authors: Vestibular Rehabilitation Center, Centre Urbain, Vitrolles, France.
authors: F
authors: F
authors: Xavier
authors: Service d'oto-rhino-laryngologie et d'otoneurologie, CHU Nord, Assistance Publique-Hôpitaux de Marseille, chemin des Bourrelly, 13915 Marseille cedex 20, France; Laboratoire de biomécanique appliquée, IFSTTAR UMR T24, Aix-Marseille université, boulevard Pierre-Dramard, 13015 Marseille, France.
authors: J-P
authors: JP
authors: Lavieille
authors: Service d'oto-rhino-laryngologie et d'otoneurologie, CHU Nord, Assistance Publique-Hôpitaux de Marseille, chemin des Bourrelly, 13915 Marseille cedex 20, France.
authors: M
authors: M
authors: Elziere
mesh_terms: D000222:Adaptation, Physiological; D005081:Exercise Therapy; D006801:Humans; D004856:Postural Balance; D015837:Vestibular Diseases / Q000534:rehabilitation*
keywords: BPPV; Compensation vestibulaire; Control postural; Dépendance visuelle; Postural control; Rééducation vestibulaire; Vertige paroxystique; Vestibular compensation; Vestibular rehabilitation; Visual dependency