迷路性および中枢性平衡障害例の平衡訓練成績

概要

論文の詳細を見る
Patients with disequilibrium due to peripheral vestibular disorders or to disorders of the central nervous system were trained. Subjects: 7 patients with unilateral vestibular disorder, 3 with bilateral vestibular dysfunction, and 7 with central nervous system disorders (6 with infarction of the capsula interna, and one with cerebellar infarction). The duration of the training was 1 to 8 months. Methods of training: 1) Eye and Head movements-first lying in bed, then sitting up in bed. 2) Standing-standing with feet close together, putting one foot in front of the other, and standing on one foot. 3) Stepping-stepping first with both hands holding on to a support, and then with both arms stretched forwards. 4) Walking-rising from a sitting to a standing position and walking straight, then turning round. 5) Revolving without support. 6) Going up and down stairs or a slope. These training procedures were performed three times a day. Evaluation of effects of training: Standing test, gait test and stabilometry were performed once every 2 months. Results: Equilibrium function was regained in all 7 patients with unilateral vestibular disorder, in 2 of the 3 with bilateral vestibular dysfunctions, in 2 of the 6 with capsula interna infarction, and in 1 patient with cerebellar infarction. Because some patients with vestibular disorder can regain equiliblium without training, the progress of the trained patients was compared with that of the untrained, This comparison indicated that (1) in the patients with unilateral vestibular disorders training had no definite advantage, (2) in the patients with bilateral vestibular dysfunctions equilibrium was regained faster by training and the patients with chronic vestibular disorders of 19 to 24 years duration also benefited from training.
日本めまい平衡医学会の論文

著者

小島俊己
岐阜大学医学部耳鼻咽喉科学教室

迷路性および中枢性平衡障害例の平衡訓練成績

スポンサーリンク

概要

著者

関連論文

スポンサーリンク