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Current concepts and future approaches to vestibular rehabilitation

Tjernström, Fredrik LU ; Zur, Oz and Jahn, Klaus (2016) In Journal of Neurology 263(suppl. 1). p.65-70
Abstract

Over the last decades methods of vestibular rehabilitation to enhance adaptation to vestibular loss, habituation to changing sensory conditions, and sensory reweighting in the compensation process have been developed. However, the use of these techniques still depends to a large part on the educational background of the therapist. Individualized assessment of deficits and specific therapeutic programs for different disorders are sparse. Currently, vestibular rehabilitation is often used in an unspecific way in dizzy patients irrespective of the clinical findings. When predicting the future of vestibular rehabilitation, it is tempting to foretell advances in technology for assessment and treatment only, but the current intense exchange... (More)

Over the last decades methods of vestibular rehabilitation to enhance adaptation to vestibular loss, habituation to changing sensory conditions, and sensory reweighting in the compensation process have been developed. However, the use of these techniques still depends to a large part on the educational background of the therapist. Individualized assessment of deficits and specific therapeutic programs for different disorders are sparse. Currently, vestibular rehabilitation is often used in an unspecific way in dizzy patients irrespective of the clinical findings. When predicting the future of vestibular rehabilitation, it is tempting to foretell advances in technology for assessment and treatment only, but the current intense exchange between clinicians and basic scientists also predicts advances in truly understanding the complex interactions between the peripheral senses and central adaptation mechanisms. More research is needed to develop reliable techniques to measure sensory dependence and to learn how this knowledge can be best used—by playing off the patient’s sensory strength or working on the weakness. To be able using the emerging concepts, the neuro-otological community must strive to educate physicians, physiotherapists and nurses to perform the correct examinations for assessment of individual deficits and to look for factors that might impede rehabilitation.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adaptation, Habituation, Sensory reweighting, Vestibular rehabilitation
in
Journal of Neurology
volume
263
issue
suppl. 1
pages
6 pages
publisher
Steinkopff
external identifiers
  • Scopus:84963727226
ISSN
0340-5354
DOI
10.1007/s00415-015-7914-1
language
English
LU publication?
yes
id
46cba52b-96c9-4216-ab51-edc174dfc501
date added to LUP
2016-06-17 14:41:08
date last changed
2016-09-30 05:55:17
@misc{46cba52b-96c9-4216-ab51-edc174dfc501,
  abstract     = {<p>Over the last decades methods of vestibular rehabilitation to enhance adaptation to vestibular loss, habituation to changing sensory conditions, and sensory reweighting in the compensation process have been developed. However, the use of these techniques still depends to a large part on the educational background of the therapist. Individualized assessment of deficits and specific therapeutic programs for different disorders are sparse. Currently, vestibular rehabilitation is often used in an unspecific way in dizzy patients irrespective of the clinical findings. When predicting the future of vestibular rehabilitation, it is tempting to foretell advances in technology for assessment and treatment only, but the current intense exchange between clinicians and basic scientists also predicts advances in truly understanding the complex interactions between the peripheral senses and central adaptation mechanisms. More research is needed to develop reliable techniques to measure sensory dependence and to learn how this knowledge can be best used—by playing off the patient’s sensory strength or working on the weakness. To be able using the emerging concepts, the neuro-otological community must strive to educate physicians, physiotherapists and nurses to perform the correct examinations for assessment of individual deficits and to look for factors that might impede rehabilitation.</p>},
  author       = {Tjernström, Fredrik and Zur, Oz and Jahn, Klaus},
  issn         = {0340-5354},
  keyword      = {Adaptation,Habituation,Sensory reweighting,Vestibular rehabilitation},
  language     = {eng},
  month        = {04},
  number       = {suppl. 1},
  pages        = {65--70},
  publisher    = {ARRAY(0x96426e8)},
  series       = {Journal of Neurology},
  title        = {Current concepts and future approaches to vestibular rehabilitation},
  url          = {http://dx.doi.org/10.1007/s00415-015-7914-1},
  volume       = {263},
  year         = {2016},
}