Abstract • Test results in patients with positional (provoked) vertigo corroborated the necessity of selecting the exercises for each particular patient. A test battery of 19 maneuvers was used. Results of all maneuvers were found to be positive, but in various combinations, constituting several interindividually different patterns. The basic requirement of vestibular habituation training for positional vertigo is that vertigo should be elicited. Indeed it has been experimentally shown that the error situation itself is the very stimulus for compensation and adaptation to develop. Only maneuvers eliciting vertigo fulfill the requirement of adequate exercises. As the testing showed that the combinations of positive maneuvers were different from one patient to another, prior testing of the patient is necessary to prescribe adequate exercises. (Arch Otolaryngol Head Neck Surg 1988;114:883-886) References 1. Norré ME: Treatment of unilateral vestibular hypofunction , in Oosterveld WJ (ed): Otoneurology . New York, John Wiley & Sons Inc, 1984, pp 23-39. 2. Norré ME: Rationale of rehabilitation treatment for vertigo . Am J Otolaryngol 1987;8:31-35.Crossref 3. Norré ME, de Weerdt W: Treatment of vertigo based upon habituation: I. Physiopathological basis . J Laryngol Otol 1980;94:689-696.Crossref 4. Norré ME, de Weerdt W: Treatment of vertigo based upon habituation: II. Technique and results of habituation training . J Laryngol Otol 1980;94:971-977.Crossref 5. Cooksey FS: Rehabilitation in vestibular injuries . Proc R Soc Med 1946;39:273-275. 6. Dix MR: The rationale and technique of head exercises in the treatment of vertigo . Acta Otorhinolaryngol Belg 1979;33:370-384. 7. Precht W, Maioli C, Dieringer N, et al: Mechanisms of compensation of the vestibuloocular reflex after vestibular neurectomy , in Flohr H, Precht W (eds): Lesion-Induced Neuronal Plasticity in Sensorimotor Systems . New York, Springer-Verlag NY Inc, 1981, pp 221-230. 8. Schaefer KP, Meyer DL: Aspects of vestibular compensation in guinea pigs , in Flohr H, Precht W (eds): Lesion-induced Neuronal Plasticity in Sensorimotor Systems . New York, Springer-Verlag NY Inc, 1981, p 197-207. 9. Norré ME: The unilateral vestibular hypofunction . Acta Otorhinolaryngol Belg 1978;32:421-668. 10. Norré ME: A concept of practical functional evaluation of a dizzy patient , in Claussen CF, Kirtane MV (eds): Vertigo, Nausea, Tinnitus and Hearing Loss in Cardiovascular Diseases . Amsterdam, Elsevier Science Publishers, 1986, pp 273-278. 11. Dix MR, Hallpike C: The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system . Proc R Soc Med 1952;45:341-354. 12. Schuknecht HF: Cupulolithiasis . Arch Otolaryngol Head Neck Surg 1969;90:765-778.Crossref 13. Stenger HH: Über die Lagerungsnystagmus unter besonderer Berucksichtigung des gegenlaufigen transitorischen Provokationsnystagmus bei Lagewechsel in Sagitalebene . Arch Ohren Nasen Kehlkopfheilkd 1955;168:220-268.Crossref 14. McCabe BF: Labyrinthine exercises in the treatment of diseases characterized by vertigo: Their physiological basis and methodology . Laryngoscope 1970;80:1429-1433.Crossref 15. Dieringer N, Precht W: Functional restitution of static and dynamic reflexes in the frog after hemilayringectomy , in Flohr H, Precht W (eds): Lesion-Induced Neuronal Plasticity in Sensorimotor Systems . New York, Springer-Verlag NY Inc, 1981, pp 184-196.
Archives of Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Aug 1, 1988