Vestibular rehabilitation in complex therapy of vestibular vertigo (consensus of experts)
G. E. Ivanova,
N. L. Kunelskaya,
V. A. Parfenov,
M. V. Zamergrad,
O. A. Melnikov,
A. L. Guseva,
O. V. Zaitseva,
A. A. Shmonin,
E. V. Baybakova,
M. N. Maltseva https://doi.org/10.14412/2074-2711-2024-1-114-121
Abstract
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.
About the Authors
G. E. Ivanova
N.I. Pirogov Russian Research Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Department of Medical Rehabilitation, Faculty of Additional Professional Education
1, Ostrovityanova St., Moscow 117997
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
N. L. Kunelskaya
N.I. Pirogov Russian Research Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Acad. B.S. Preobrazhensky Department of Otorhinolaryngology, Faculty of General Medicine
18A, Zagorodnoe Shosse, Build. 2, Moscow 117152
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
V. A. Parfenov
I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Department of Nervous Diseases and Neurosurgery, N.V. Sklifosovsky Institute of Clinical Medicine
11, Rossolimo St., Build. 1, Moscow 119021
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
M. V. Zamergrad
Russian 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 Russia
Russian Federation
Competing Interests:
Russian Federation
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
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
O. A. Melnikov
Center for Dizziness and Balance Disorders GUTA Clinic
Russian Federation
Competing Interests:
Russian Federation
4a, Fadeeva St., Build. 1, Moscow 127006
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
A. L. Guseva
N.I. Pirogov Russian Research Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Acad. B.S. Preobrazhensky Department of Otorhinolaryngology, Faculty of General Medicine
18A, Zagorodnoe Shosse, Build. 2, Moscow 117152
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
O. V. Zaitseva
National Medical Research Center for Otorhinolaryngology, Federal Medico-Biological Agency of Russia
Russian Federation
Competing Interests:
Russian Federation
30, Volokolamskoye Shosse, Build. 2, Moscow 123182
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
A. A. Shmonin
Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Department of Physical Methods of Treatment and Sports Medicine
10a, Rentgena St., Build. 47, St. Petersburg 197022
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
E. V. Baybakova
L.I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow Healthcare Department
Russian Federation
Competing Interests:
Russian Federation
6–8, L'va Tolstogo St., St. Petersburg 197022
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
M. N. Maltseva
Acad. I.P. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
Department of Pedagogy and Psychology, Faculty of Postgraduate Education
18A, Zagorodnoe Shosse, Build. 2, Moscow 117152
Competing Interests:
The investigation has not been sponsored. There are no conflicts of interest. The authors are solely responsible for submitting the final version of the manuscript for publication. All the authors have participated in developing the concept of the article and in writing the manuscript. The final version of the manuscript has been approved by all the authors.
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For citations:
Ivanova GE, Kunelskaya NL, Parfenov VA, Zamergrad MV, Melnikov OA, Guseva AL, Zaitseva OV, Shmonin AA, Baybakova EV, Maltseva MN. Vestibular rehabilitation in complex therapy of vestibular vertigo (consensus of experts). Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2024;16(1):114-121. (In Russ.) https://doi.org/10.14412/2074-2711-2024-1-114-121
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