Autor: |
Kunelskay NL; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.; Pirogov Russian National Research Medical University, Moscow, Russia., Ivanova GE; Pirogov Russian National Research Medical University, Moscow, Russia., Baybakova EV; Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia., Guseva AL; Pirogov Russian National Research Medical University, Moscow, Russia.; Pirogov Municipal Clinical Hospital No. 1, Moscow, Russia., Parfenov VA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia., Zamergrad MV; Pirogov Russian National Research Medical University, Moscow, Russia.; Russian Medical Academy for Continuous Professional Education, Moscow, Russia., Zaitseva OV; National Medical Research Center for Otorhinolaryngology of the FMBA of Russia, Moscow, Russia., Melnikov OA; Guta-Clinic LLC, Moscow, Russia., Shmonin AA; Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia., Maltseva MN; Pavlov First St. Petersburg State Medical University, St. Petersburg, Russia. |
Abstrakt: |
The literature review presents approaches to the management of patients with vestibular disorders. The principles of organization of vestibular rehabilitation in peripheral vestibular hypofunction, indications for appointment, factors influencing its implementation, technique, methods of evaluating effectiveness are considered in detail. Attention is drawn to the fact that the selection of exercises and the duration of vestibular rehabilitation is carried out individually and depends on many factors, including the nature of vestibular deficiency and the specific characteristics of the patient. The possibilities of using additional pharmacological therapy with histamine preparations, which can accelerate the onset of vestibular compensation, are shown. It is noted that vestibular rehabilitation is a safe and effective method of treating peripheral vestibular hypofunction and should be recommended to patients of all ages with vestibular disorders leading to limited social and physical activity. |