nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2024-1-114-121nnp-2191Research ArticleEXPERT ADVICEСОВЕТ ЭКСПЕРТОВVestibular rehabilitation in complex therapy of vestibular vertigo (consensus of experts)Вестибулярная реабилитация в комплексной терапии вестибулярного головокружения (согласованное мнение экспертов)https://orcid.org/0000-0003-1496-8576ИвановаГ. Е.IvanovaG. E.

Кафедра медицинской реабилитации факультета дополнительного профессионального образования 

117997, Москва, ул. Островитянова, 1

Department of Medical Rehabilitation, Faculty of Additional Professional Education 

1, Ostrovityanova St., Moscow 117997

 

https://orcid.org/0000-0002-2581-4006КунельскаяН. Л.KunelskayaN. L.

Кафедра оториноларингологии им. акад. Б.С. Преображенского лечебного факультета 

117152, Москва, Загородное шоссе, 18A, стр. 2

Acad. B.S. Preobrazhensky Department of Otorhinolaryngology, Faculty of General Medicine 

18A, Zagorodnoe Shosse, Build. 2, Moscow 117152

 

https://orcid.org/0000-0002-1992-7960ПарфеновВ. А.ParfenovV. A.

Кафедра нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского 

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine 

11, Rossolimo St., Build. 1, Moscow 119021

vladimirparfenov@mail.ruhttps://orcid.org/0000-0002-0193-2243ЗамерградМ. В.ZamergradM. V.

Кафедра неврологии с курсом рефлексологии и мануальной терапии 

125993, Москва, ул. Баррикадная, 2/1, стр. 1;129226, Москва, ул. 1-я Леонова, 16

Department of Neurology with a course of reflexology and manual therapy 

2/1, Barrikadnaya St., Build. 1, Moscow 125993;16, 1st Leonova St., Moscow 129226

https://orcid.org/0000-0003-3728-4150МельниковО. А.MelnikovO. A.

127006, Москва, ул. Фадеева, 4а, стр. 1

4a, Fadeeva St., Build. 1, Moscow 127006

https://orcid.org/0000-0002-7988-4229ГусеваА. Л.GusevaA. L.

Кафедра оториноларингологии им. акад. Б.С. Преображенского лечебного факультета 

117152, Москва, Загородное шоссе, 18A, стр. 2

Acad. B.S. Preobrazhensky Department of Otorhinolaryngology, Faculty of General Medicine 

18A, Zagorodnoe Shosse, Build. 2, Moscow 117152

https://orcid.org/0000-0002-4975-1310ЗайцеваО. В.ZaitsevaO. V.

123182, Москва, Волоколамское шоссе, 30, корп. 2

30, Volokolamskoye Shosse, Build. 2, Moscow 123182

https://orcid.org/0000-0003-2232-4332ШмонинА. А.ShmoninA. A.

Кафедра физических методов лечения и спортивной медицины 

197022, Санкт-Петербург, ул. Рентгена, 10а, корп. 47

Department of Physical Methods of Treatment and Sports Medicine 

10a, Rentgena St., Build. 47, St. Petersburg 197022

https://orcid.org/0000-0002-3430-6273БайбаковаЕ. В.BaybakovaE. V.

197022, Санкт-Петербург, ул. Льва Толстого, 6–8

6–8, L'va Tolstogo St., St. Petersburg 197022

https://orcid.org/0000-0002-1698-4038МальцеваМ. Н.MaltsevaM. N.

Кафедра педагогики и психологии факультета послевузовского образования 

117152, Москва, Загородное шоссе, 18А, стр. 2

Department of Pedagogy and Psychology, Faculty of Postgraduate Education 

18A, Zagorodnoe Shosse, Build. 2, Moscow 117152

ФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov Russian Research Medical University, Ministry of Health of RussiaRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Russian FederationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; Российский геронтологический научно-клинический центр ФГАОУ ВО «Российский научно-исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияRussian Medical Academy of Continuing Professional Education, Ministry of Health of Russia; Russian Clinical and Research Center of Gerontology, N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaRussian FederationЦентр головокружения и расстройства равновесия ГУТА КЛИНИКРоссияCenter for Dizziness and Balance Disorders GUTA ClinicRussian FederationФГБУ «Национальный медицинский исследовательский центр оториноларингологии Федерального медико-биологического агентства»РоссияNational Medical Research Center for Otorhinolaryngology, Federal Medico-Biological Agency of RussiaRussian FederationФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава РоссииРоссияAcad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of RussiaRussian FederationГБУЗ «Научно-исследовательский клинический институт оториноларингологии им. Л.И. Свержевского» Департамента здравоохранения г. МосквыРоссияL.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow Healthcare DepartmentRussian Federation202422022024161114121Copyright © Ivanova G.E., Kunelskaya N.L., Parfenov V.A., Zamergrad M.V., Melnikov O.A., Guseva A.L., Zaitseva O.V., Shmonin A.A., Baybakova E.V., Maltseva M.N., 20242024Иванова Г.Е., Кунельская Н.Л., Парфенов В.А., Замерград М.В., Мельников О.А., Гусева А.Л., Зайцева О.В., Шмонин А.А., Байбакова Е.В., Мальцева М.Н.Ivanova G.E., Kunelskaya N.L., Parfenov V.A., Zamergrad M.V., Melnikov O.A., Guseva A.L., Zaitseva O.V., Shmonin A.A., Baybakova E.V., Maltseva M.N.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/2191

Experts discussed the problem of comprehensive medical treatment of vertigo through vestibular rehabilitation. Peripheral vestibular vertigo is most commonly caused by benign paroxysmal positional vertigo, Meniere's disease and vestibular neuronitis, while central vestibular vertigo is caused by vestibular migraine and stroke. Vestibular rehabilitation is one of the most effective areas of treatment for patients with various disorders of the vestibular system characterized by chronic dizziness. Vestibular rehabilitation improves patients' walking and stability and can lead to an improvement in patients' daily activities and quality of life. Currently, in our country medical rehabilitation centres are being established where patients with various causes of vestibular vertigo can receive complex therapy, including vestibular rehabilitation. The Expert Council recommends the comprehensive personalised use of vestibular rehabilitation in the complex treatment of various diseases manifested by dizziness. An educational program is needed for neurologists, ENT specialists and rehabilitation specialists in treatment of patients with different types of vestibular dizziness.

Эксперты обсудили вопросы оказания комплексной медицинской помощи при головокружении с использованием вестибулярной реабилитации. Периферическое вестибулярное головокружение наиболее часто вызвано доброкачественным пароксизмальным позиционным головокружением, болезнью Меньера и вестибулярным нейронитом, центральное вестибулярное головокружение – вестибулярной мигренью и инсультом. Вестибулярная реабилитация – одно из наиболее эффективных направлений ведения пациентов с различными заболеваниями вестибулярной системы, проявляющихся хроническим головокружением. Вестибулярная реабилитация улучшает показатели ходьбы и устойчивости пациентов, она может привести к улучшению повседневной активности пациентов и повышению качества их жизни. В настоящее время в нашей стране формируются центры медицинской реабилитации, в которых пациенты с различными причинами вестибулярного головокружения смогут получать комплексную терапию, включающую вестибулярную реабилитацию. Совет экспертов рекомендует широкое персонализированное использование вестибулярной реабилитации в комплексной терапии различных заболеваний, проявляющихся головокружением. Необходима образовательная программа для неврологов, оториноларингологов и реабилитологов по ведению пациентов, страдающих различными видами вестибулярного головокружения. 

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