Consilium MedicumConsilium MedicumConsilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum94475ArticlesСтатьиResearch ArticleVestibular rehabilitation: substantiation, indications, applicationВестибулярная реабилитация: обоснование, показания, применениеPalchunV. TПальчунВладимир Тимофеевич

д-р мед. наук, проф. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова

lorrsmu@mail.ruGusevaA. LГусеваАлександра Леонидовна

канд. мед. наук, доц. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова

alexandra.guseva@gmail.comChistovS. DЧистовСтанислав Дмитриевич

канд. мед. наук, ст. науч. сотр. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова

sd.chistov@gmail.comN.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian FederationГБОУ ВПО Российский национальный исследовательский медицинский университет им. Н.И.Пирогова Минздрава России15092015179VOL 17, NO9 (2015)ТОМ 17, №9 (2015)11312028122021Copyright ©; 2015, Consilium MedicumCopyright ©; 2015, ООО "Консилиум Медикум"2015Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://consilium.orscience.ru/2075-1753/article/view/94475

Vestibular rehabilitation therapy is effective and inexpensive management of patients with dizziness and balance disorders. Here the authors discuss vestibular rehabilitation for patients with benign paroxysmal positional vertigo, unilateral vestibular loss or hypofunction, bilateral vestibular loss/hypofunction and central vestibular disorders. They describe different mechanisms of vestibular compensation, exercises that are used, repositioning maneuvers, principles of conducting a vestibular rehabilitation program and drug therapy.

Вестибулярная реабилитация является эффективным и недорогостоящим методом терапии пациентов с головокружением и нарушением равновесия. В статье рассмотрены особенности вестибулярной реабилитации при доброкачественном пароксизмальном позиционном головокружении, периферической односторонней и двусторонней вестибулопатии, а также центральной вестибулопатии. Представлены механизмы вестибулярной компенсации, упражнения, репозиционные маневры, принципы составления индивидуальной программы, особенности медикаментозной терапии.

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