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Aumento de peso de la información propioceptiva para el tratamiento del mal de mar: un informe de caso
Alexa Werner1, Carrie W Hoppes2,3, Brooke N Klatt2
1Medical Department, USS GEORGE WASHINGTON (CVN 73), FPO, AP 96607, United States.
Military medicine
|February 10, 2026
Resumen
Un nuevo sistema de reponderación sensorial trató eficazmente el mareo severo en un marinero de la Marina de los Estados Unidos cuando las intervenciones estándar fallaron. Este enfoque innovador ofrece una opción no farmacológica para el mareo por movimiento debilitante en entornos austeros.
Área de la Ciencia:
- La rehabilitación vestibular es una rehabilitación vestibular.
- Medicina Naval La medicina naval es la medicina de las fuerzas navales.
- Integración sensorial y integración sensorial.
Sus antecedentes:
- Una mujer de 46 años de edad, marinero de la Marina de los EE.UU. experimentó mareos severos y limitaciones funcionales debido al mareo persistente.
- El paciente tenía antecedentes de mareo por movimiento, disfunción de la trompa de Eustaquio y perforaciones bilaterales de la membrana timpánica, con una respuesta mínima a los medicamentos.
Objetivo del estudio:
- Describir un innovador tratamiento no farmacológico para el mal de mar grave y no resuelto en un entorno marítimo austero.
- Presentar un informe de caso que detalle la aplicación de un sistema de reponderación sensorial para el manejo del mareo debilitante.
Principales métodos:
- La fisioterapia inicial se centró en ejercicios de estabilización de la mirada, que resultaron limitados debido al movimiento continuo de la nave.
- Se aplicó un sistema de reponderación sensorial improvisado para modificar la entrada sensorial del paciente y mitigar los síntomas.
- Los ejercicios de habituación del reflejo vestibulo-ocular (VOR) se iniciaron después de la mejora de los síntomas.
Principales resultados:
- El sistema de reponderación sensorial redujo significativamente los síntomas de mareo del paciente, permitiendo la ambulación sin apoyo.
- La paciente podría entonces participar en ejercicios de habituación VOR, mejorando aún más su capacidad funcional.
- Esta intervención proporcionó una solución no farmacológica cuando los métodos tradicionales eran insuficientes.
Conclusiones:
- Las estrategias innovadoras de reponderación sensorial pueden ser efectivas para tratar el mareo grave que no responde a los tratamientos convencionales.
- Este caso destaca una opción de manejo no farmacológico viable para los médicos en entornos desafiantes a bordo.
- Los hallazgos sugieren potencial para una aplicación más amplia de la reponderación sensorial en el manejo de trastornos vestibulares complejos.
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