nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2013-2392nnp-171Research ArticleArticlesСтатьиRehabilitation in vestibular system diseasesРеабилитация при заболеваниях вестибулярной системыZamergradMaksim ValeryevichZamergradMaksim Valeryevich

Clinic of Nervous System Diseases

Clinic of Nervous System Diseases

zamergrad@hotmail.com20131503201351NO1 (2013)1822Copyright © Zamergrad M.V., 20132013Zamergrad M.V.Zamergrad M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/171

Vestibular rehabilitation is an important component of combination treatment in a patient with vertigo. Vestibular rehabilitation is indicated for different diseases of the central or peripheral vestibular system. The goal of vestibular rehabilitation is to ensure gaze stabilization, to train postural stability, and to reduce subjective vertigo. Vestibular rehabilitation is based on the stimulation of vestibular adaptation, sensory substitution, and habituation. Vestibular suppressants, inadequate mobility, anxiety, and depression decelerate vestibular compensation whereas early activation, mobility, and betaserc use accelerate it.

Представлены современные психофармакологические подходы к терапии депрессий. Обсуждается эффективность антидепрессантов с моноаминергическим механизмом действия. Рассматривается возможность применения комбинированной терапии антидепрессантами и препаратами других фармакологических групп. Отдельное внимание уделяется средствам, антидепрессивный эффект которых не связан с воздействием на моноаминергическую систему.

вестибулярная реабилитациявестибулярная адаптациягабитуациясенсорное замещениеvestibular rehabilitationvestibular adaptationhabituationsensory substitutionReferences<div><p>Cooksey F.S. Rehabilitation in vestibular injuries. Proc R Soc Med 1946;39:273-8.</p><p>Dix M.R. The physiological basis and practical value of head exercises in the treatment of vertigo. Practitioner 1976;217(1302):919—2.</p><p>Brandt T., Daroff R.B. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980;106:484-5.</p><p>Shepard N.T., Telian S.A. Programmatic vestibular rehabilitation. Otolaryngol Head Neck Surg 1995;112:173-82.</p><p>Babin R.W., Harker L.A. The vestibular system in the elderly. Otolaryngol Clin North Am 1982;15(2):387-93.</p><p>Bloom D., Hultcrantz M. Vestibular morphology in relation to age and circling behavior. Acta Otolaryngol 1994;114(4):387—92.</p><p>Lyon M.J., Wanamaker H.H. Blood flow and assessment of capillaries in the aging rat posterior canal crista. Hear Res 1993;67(1-2):157-65.</p><p>Fujii M., Goto N., Kikuchi K. Nerve fiber analysis and the aging process of the vestibulocochlear nerve. Ann Otol Rhinol Laryngol 1990;99(11):863—70.</p><p>Alvarez J.C., DТaz C., Su3rez C. Neuronal loss in human medial vestibular nucleus. Anat Rec 1998;251(4):431—38.</p><p>Hall C.D., Heusel-Gillig L., Tusa R.J., Herdman S.J. Efficacy of gaze stability exercises in older adults with dizziness. J Neurol Phys Ther 2010;34:64-69.</p><p>Blatt P.J., Georgakakis G.A., Herdman S.J. et al. The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo. Am J Otol 2000;21:356-63.</p><p>Shepard N.T., Telian S.A., Smith-Wheelock M., Raj A. Vestibular and balance rehabilitation therapy. Ann Otol Rhinol Laryngol 1993;102:198-205.</p><p>Hamann K.F. Benign paroxysmal positioning vertigo: a disease explainable by inner ear mechanics. ORL J Otorhinolaryngol Relat Spec 2006;68:329-33.</p><p>Korres S.G., Balatsouras D.G., Papouliakos S., Ferekidis E. Benign paroxysmal positional vertigo and its management. Med Sci Monit 2007;13:275-82.</p><p>Крюков А.И., Федорова О.К., Антонян Р.Г., Шеремет А.С. Клинические аспекты болезни Меньера. М.: Медицина, 2006; 239 с.</p><p>Сагалович Б.М., Пальчун В.Т. Болезнь Меньера. М.: МИА, 1999; 524 с.</p><p>Shepard N.T., Telian S.A., Smith-Wheelock M. Habituation and balance retraining therapy. A retrospective review. Neurol Clin 1990;8:459-75.</p><p>Herdman S.J. Role of vestibular adaptation in vestibular rehabilitation. Otolaryngol Head Neck Surg 1998;119:49-54.</p><p>Herdman S.J., Whitney S.L. Intervention for the patient with vestibular hypofunction. In: Herdman S.J. Vestibular Rehabilitation. 3rd ed. Philadelphia: F.A. Davis Co., 2007;309—37.</p><p>Balaban C.D., Porter J.D. Neuroanatomic substrates for vestibulo-autonomic interactions. J Vestib Res 1998;8(1):7—16.</p><p>Zee D.S. Vestibular adaptation. In: Herdman S.J. Vestibular Rehabilitation. 2rd ed. Philadelphia: F.A. Davis Co., 2000;77—87.</p><p>Topuz O., Topuz B. Efficacy of vestibular rehabilitation on chronic unilateral vestibular dysfunction. Clin Rehabil 2004;18(1):76—83.</p><p>Mira E., Guidetti G., Ghilardi L. et al. Betahistine dihydrochloride in the treatment of peripheral vestibular vertigo. Eur Arch Otorhinolaryngol 2003;260:73-7.</p><p>Oosterveld WJ. Betahistine dihydrochloride in the treatment of vertigo of peripheral vestibular origin. A double-blind placebo-controlled study. J Laryngol Otol 1984;98:37-41.</p><p>Redon C., Lopez C., Bernard-Demanze L. Betahistine treatment improves the recovery of static symptoms in patients with unilateral vestibular loss. J Clin Pharmacol 2011;51(4):538—48.</p></div><br /><div><p>Cooksey F.S. Rehabilitation in vestibular injuries. Proc R Soc Med 1946;39:273-8.</p><p>Dix M.R. The physiological basis and practical value of head exercises in the treatment of vertigo. Practitioner 1976;217(1302):919—2.</p><p>Brandt T., Daroff R.B. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980;106:484-5.</p><p>Shepard N.T., Telian S.A. Programmatic vestibular rehabilitation. Otolaryngol Head Neck Surg 1995;112:173-82.</p><p>Babin R.W., Harker L.A. The vestibular system in the elderly. Otolaryngol Clin North Am 1982;15(2):387-93.</p><p>Bloom D., Hultcrantz M. Vestibular morphology in relation to age and circling behavior. Acta Otolaryngol 1994;114(4):387—92.</p><p>Lyon M.J., Wanamaker H.H. Blood flow and assessment of capillaries in the aging rat posterior canal crista. Hear Res 1993;67(1-2):157-65.</p><p>Fujii M., Goto N., Kikuchi K. Nerve fiber analysis and the aging process of the vestibulocochlear nerve. Ann Otol Rhinol Laryngol 1990;99(11):863—70.</p><p>Alvarez J.C., DТaz C., Su3rez C. Neuronal loss in human medial vestibular nucleus. Anat Rec 1998;251(4):431—38.</p><p>Hall C.D., Heusel-Gillig L., Tusa R.J., Herdman S.J. Efficacy of gaze stability exercises in older adults with dizziness. J Neurol Phys Ther 2010;34:64-69.</p><p>Blatt P.J., Georgakakis G.A., Herdman S.J. et al. The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo. Am J Otol 2000;21:356-63.</p><p>Shepard N.T., Telian S.A., Smith-Wheelock M., Raj A. Vestibular and balance rehabilitation therapy. Ann Otol Rhinol Laryngol 1993;102:198-205.</p><p>Hamann K.F. Benign paroxysmal positioning vertigo: a disease explainable by inner ear mechanics. ORL J Otorhinolaryngol Relat Spec 2006;68:329-33.</p><p>Korres S.G., Balatsouras D.G., Papouliakos S., Ferekidis E. Benign paroxysmal positional vertigo and its management. Med Sci Monit 2007;13:275-82.</p><p>Крюков А.И., Федорова О.К., Антонян Р.Г., Шеремет А.С. Клинические аспекты болезни Меньера. М.: Медицина, 2006; 239 с.</p><p>Сагалович Б.М., Пальчун В.Т. Болезнь Меньера. М.: МИА, 1999; 524 с.</p><p>Shepard N.T., Telian S.A., Smith-Wheelock M. Habituation and balance retraining therapy. A retrospective review. Neurol Clin 1990;8:459-75.</p><p>Herdman S.J. Role of vestibular adaptation in vestibular rehabilitation. Otolaryngol Head Neck Surg 1998;119:49-54.</p><p>Herdman S.J., Whitney S.L. Intervention for the patient with vestibular hypofunction. In: Herdman S.J. Vestibular Rehabilitation. 3rd ed. Philadelphia: F.A. Davis Co., 2007;309—37.</p><p>Balaban C.D., Porter J.D. Neuroanatomic substrates for vestibulo-autonomic interactions. J Vestib Res 1998;8(1):7—16.</p><p>Zee D.S. Vestibular adaptation. In: Herdman S.J. Vestibular Rehabilitation. 2rd ed. Philadelphia: F.A. Davis Co., 2000;77—87.</p><p>Topuz O., Topuz B. Efficacy of vestibular rehabilitation on chronic unilateral vestibular dysfunction. Clin Rehabil 2004;18(1):76—83.</p><p>Mira E., Guidetti G., Ghilardi L. et al. Betahistine dihydrochloride in the treatment of peripheral vestibular vertigo. Eur Arch Otorhinolaryngol 2003;260:73-7.</p><p>Oosterveld WJ. Betahistine dihydrochloride in the treatment of vertigo of peripheral vestibular origin. A double-blind placebo-controlled study. J Laryngol Otol 1984;98:37-41.</p><p>Redon C., Lopez C., Bernard-Demanze L. Betahistine treatment improves the recovery of static symptoms in patients with unilateral vestibular loss. J Clin Pharmacol 2011;51(4):538—48.</p></div><br />

The authors declare that there are no conflicts of interest present.