轻度脑外伤后前庭功能障碍康复研究进展

doi:10.3969/j.issn.1006-9771.2020.07.008

Abstract

Abstract:

Traumatic brain injury (TBI) would result in structural injury and/or physiological disruption of brain. Mild traumatic brain injury (mTBI) can result in vestibular dysfunctions, such as dizziness, vertigo and imbalance. Vestibular rehabilitation is effective on vestibular dysfunction after mTBI. This paper reviewed the possible mechanisms of vestibular dysfunction caused by mTBI, the common assessments of vestibular function and the new progress in vestibular rehabilitation.

Key words: mild traumatic brain injury, vestibular dysfunction, rehabilitation, review

CLC Number:

R651.1

YANG Hong-you,JIANG Han-hong,PANG Chao,LOU Qiang,CONG Wen-juan,ZHENG Zun-cheng. Advance in Rehabilitation for Vestibular Dysfunction after Mild Traumatic Brain Injury (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 780-783.

Figures/Tables 1

References 46

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测试	操作	阳性指征
HIT	检查者双手固定患者头部,嘱患者注视检查者鼻尖;检查者将患者头部向一侧快速旋转(约30°),同时观察眼球运动情况	患者眼球不能固视检查者鼻尖,而是随着头转动方向运动,提示一侧前庭功能损害
摇头眼震测试	患者佩戴Frenzel镜或Goggles镜,闭眼,头部前倾约30°,左右摆动45°,频率3 Hz,30次;测试时患者尽量主动完成;如果主动测试无眼球震颤,由检查者再次进行被动测试	观察到连续5个眼震,且不低于3°/s时,为阳性
DVA	患者坐位,如有需要可佩戴矫正镜;在固定头部的情况下,检查者用视力检查表检查患者视力;检查者前后移动患者头部,频率1~2 Hz,范围40°~60°,并检测患者视力	在头部固定和头部运动两种状态下,视力检查表行差> 2行

Advance in Rehabilitation for Vestibular Dysfunction after Mild Traumatic Brain Injury (review)

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