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Because the methods of vestibular rehabilitation therapy differ for different disorders, the form of vestibular dysfunction, ability level, and history of symptoms, each patient must be carefully assessed in order to diagnose vestibular dysfunction and to choose the correct exercises for treatment.Vestibular physiotherapy entails precise maneuvers and sports designed to deal with inner ear ...
Sensory substitution is a change of the characteristics of one sensory modality into stimuli of another sensory modality. A sensory substitution system consists of three parts: a sensor, a coupling system, and a stimulator. The sensor records stimuli and gives them to a coupling system which interprets these signals and transmits them to a ...
Paul Bach-y-Rita (April 4, 1934 – November 20, 2006) was an American neuroscientist whose most notable work was in the field of neuroplasticity.Bach-y-Rita was one of the first to seriously study the idea of neuroplasticity (although it was first proposed in the late 19th century), and to introduce sensory substitution as a tool to treat patients with neurological disorders.
The goal of an Epley maneuver is to restore the equilibrium of the vestibular system, more specifically, to the semicircular canals, in order to treat the symptoms associated with BPPV. There is compelling evidence that free-floating otoconia , probably displaced from the otolithic membrane in the utricle are the main cause of this ...
The exercise is a form of habituation exercise, designed to allow the person to become accustomed to the position that causes the vertigo symptoms. The Brandt–Daroff exercises are performed in a similar fashion to the Semont maneuver; however, as the person rolls onto the unaffected side, the head is rotated toward the affected side.
Problems with balance can occur when there is a disruption in any of the vestibular, visual, or proprioceptive systems. Abnormalities in balance function may indicate a wide range of pathologies from causes like inner ear disorders, low blood pressure, brain tumors, and brain injury including stroke.
Vestibular compensation after unilateral or bilateral vestibular system damage can be accomplished by sensory addition and sensory substitution. Sensory substitution occurs when any remaining vestibular function, vision, or light touch of a stable surface substitute for the lost function.
Habituation exercises – movements designed to provoke symptoms and subsequently reduce the negative vestibular response upon repetition. Examples of these include Brandt–Daroff exercises . Functional retraining – including postural control, relaxation, and balance training.
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