在患有良性性发性位置性的患者中,功能性结局的改善
Regan G Harrell1, Susan L Whitney1
1Department of Physical Therapy, The University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Case reports in neurological medicine
|December 1, 2025
概括
在创伤性脑损伤 (TBI) 患者中,良性发性定位 (BPPV) 可能导致前庭神经不知觉,即无法报告症状. 用canalith重新定位治疗BPPV改善了TBI患者的动荡和步态.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 康复医学 康复医学 康复医学
背景情况:
- 良性性发性位置性 (BPPV) 是一种常见的前体障碍.
- 创伤性脑损伤 (TBI) 可以导致BPPV.
- 一些患有BPPV的TBI患者表现出前庭无意识,无法感知或报告的症状.
研究的目的:
- 为了描述BPPV治疗TBI和前庭无意识症患者的结果.
- 为了评估道重定位机动对该群体动荡和步态的影响.
主要方法:
- 三名患有TBI和BPPV的患者的病例报告.
- 在位置测试中基于客观发现的BPPV诊断,尽管主观缺乏症状 (前体无知症).
- 治疗涉及到canalith重新定位的机动.
主要成果:
- 这三名患有TBI和前庭无意识症的患者在接受BPPV治疗后都表现出功能改善.
- 案例1:减少激动行为量表得分从41/56降至23/56.
- 案例2和3:改善功能步行评估 (FGA) 评分,在同一次会议内满足临床上最小重要的差异.
结论:
- 管道重新定位对TBI患者的BPPV是有效的,即使是带有前庭神经失明.
- 在TBI患者中,BPPV的及时治疗可能会减少动荡和改善步态.
- 在TBI患者中,静脉动脉不可知症并不排除成功的BPPV治疗和功能恢复.
相关概念视频
Equilibrium and Balance
6.2K
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
6.2K
The Vestibular System
43.3K
The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
43.3K


