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Journal of Neurology
Published in: Journal of Neurology 1/2016

Open Access 01-04-2016 | Review

Current concepts and future approaches to vestibular rehabilitation

Authors: Fredrik Tjernström, Oz Zur, Klaus Jahn

Published in: Journal of Neurology | Special Issue 1/2016

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Abstract

Over the last decades methods of vestibular rehabilitation to enhance adaptation to vestibular loss, habituation to changing sensory conditions, and sensory reweighting in the compensation process have been developed. However, the use of these techniques still depends to a large part on the educational background of the therapist. Individualized assessment of deficits and specific therapeutic programs for different disorders are sparse. Currently, vestibular rehabilitation is often used in an unspecific way in dizzy patients irrespective of the clinical findings. When predicting the future of vestibular rehabilitation, it is tempting to foretell advances in technology for assessment and treatment only, but the current intense exchange between clinicians and basic scientists also predicts advances in truly understanding the complex interactions between the peripheral senses and central adaptation mechanisms. More research is needed to develop reliable techniques to measure sensory dependence and to learn how this knowledge can be best used—by playing off the patient’s sensory strength or working on the weakness. To be able using the emerging concepts, the neuro-otological community must strive to educate physicians, physiotherapists and nurses to perform the correct examinations for assessment of individual deficits and to look for factors that might impede rehabilitation.
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Metadata
Title
Current concepts and future approaches to vestibular rehabilitation
Authors
Fredrik Tjernström
Oz Zur
Klaus Jahn
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Journal of Neurology / Issue Special Issue 1/2016
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI
https://doi.org/10.1007/s00415-015-7914-1

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