めまいのリハビリテーション耳石置換法と平衡訓練

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1 120 9 : BPPV BPPV Epley BPPV Gufoni BPPV evidence evidence Wii Fit evidence evidence : BPPV BPPV benign paroxysmal positional vertigo, BPPV BPPV BPPV BPPV canalolithiasis cupulolithiasis BPPV BPPV BPPV BPPV BPPV BPPV canalith repositioning procedure Epley Epley BPPV systematic review and meta analysis Epley

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3 Gufoni : BPPV BPPV BPPV BPPV Lempert Lempert evidence BPPV Gufoni systematic review and meta analysis Gufoni BPPV Gufoni evidence BPPV Gufoni BPPV Gufoni evidence BPPV Gufoni head shaking BPPV RCT BPPV BPPV Epley BPPV systematic review and meta analysis Dizziness Handicap Inventory evidence Cawthorne Cooksey virtual reality

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4 virtual reality OKN OKN Wii Fit Wii Fit RCT time lag visual vestibular conflict Romberg sensory mismatch sensory re weighting visual vestibulesomatosensory mismatch

5 sensory substitution RCT electro tactile vestibular substitution system TPAD Tilt Perception Adjustment Device evidence :. Equilibrium Res 2009 ; 68 : ,,, :. ; :. Higashi Shingai K, Imai T, Kitahara T, et al : Diagnosis of the subtype and affected ear of benign paroxysmal positional vertigo using a questionnaire. Acta Otolaryngol 2011 ; 131 : Imai T, Takeda N, Ito M, et al : 3D analysis of benign paroxysmal positional nystagmus due to cupulolithiasis in posterior semicircular canal. Acta Otolaryngol 2009 ; 129 : Epley JM : The canalith repositioning procedure for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992 ; 107 : Hilton MP, Pinder DK : The Epley canalith repositioning manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 2014 ; 12 : CD Sekine K, Imai T, Sato G, et al : Natural history of benign paroxysmal positional vertigo and efficacy of Epley and Lempert maneuvers. Otolaryngol Head Neck Surg 2006 ; 135 : Hunt WT, Zimmermann EF, Hilton MP : Modifications of the Epley canalith repositioning manoeuvre for posterior canal benign paroxysmal positional vertigo BPPV. Cochrane Database Syst Rev 2012 ; 18 : CD van den Broek EM, van der Zaag Loonen HJ, Bruintjes TD : Systematic review : efficacy of Gufoni maneuver for treatment of lateral canal benign paroxysmal positional vertigo with geotropic nystagmus. Otolaryngol Head Neck Surg 2014 ; 150 : Casani AP, Nacci A, Dallan I, et al : Horizontal semicircular canal benign paroxysmal positional vertigo : effectiveness of two different methods of treatment. Audiol Neurootol 2011 ; 16 : Imai T, Ito M, Takeda N, et al : Natural course of the remission of vertigo in patients with benign paroxysmal positional vertigo. Neurology 2005 ; 64 : Kim JS, Oh SY, Lee SH, et al : Randomized clinical trial for apogeotropic horizontal canal benign paroxysmal positional vertigo. Neurology 2012 ; 78 : Imai T, Takeda N, Ito M, et al : Natural course of positional vertigo in patients with apogeotropic variant of horizontal canal benign paroxysmal positional vertigo. Auris Nasus Larunx 2011 ; 38 : 2 5. McDonnell MN, Hillier SL : Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2015 ; 13 : CD , :. Equilibrium Res 1990 ; 49 : Hecker HC, Haug CO, Herndon JW : Treatment of the vertiginous patient using Cawthorne s vestibular exercises. Laryngoscope 1974 ; 84 : Pavlou M, Lingeswaran A, Davies RA, et al : Simulator based rehabilitation in refractory dizziness. J Neurol 2004 ; 251 : Meldrum D, Herdman S, Vance R, et al : Effectiveness of conventional versus virtual reality based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss : results of a randomized controlled trial. Arch Phys Med Rehabil 2015 ; 96 : Akizuki H, Uno A, Arai K, et al : Effects of immersion in

6 virtual reality on posture control. Neurosci Lett 2005 ; 379 : Wada Y, Nishiike S, Kitahara T, et al : Effects of repeated snowboard exercise in virtual reality with time lags of visual feedback behind body rotation on head stability and subjective slalom run performance in healthy young subjects. Acta Otolaryngol 2016, in press. Akizuki H, Nishiike S, Watanabe H, et al : Visual vestibular conflict induced by virtual reality in humans. Neurosci Lett 2003 ; 340 : :. JOHNS 2016 ; 32 : Basta D, Rossi Izquierdo M, Soto Varela A, et al : Efficacy of a vibrotactile neurofeedback training in stance and gait conditions for the treatment of balance deficits : a double blind, placebo controlled multicenter study. Otol Neurotol 2011 ; 32 : Vuillerme N, Pinsault N, Fleury A, et al : Effectiveness of an electro tactile vestibular substitution system in improving upright postural control in unilateral vestibular defective patients. Gait Posture 2008 ; 28 : Yamanaka T, Sawai Y, Murai T, et al : Long term effects of electrotactile sensory substitution therapy on balance disorders. Neuroreport 2016 ; 27 :

Epley 法施行中の眼振について

Epley 法施行中の眼振について Epley Observations of nystagmus during the Epley maneuver Kohichiro Shigeno Shigeno Otolaryngology Vertigo-Hearing Impairment Clinic A single Epley maneuver was performed for 145 patients with unilateral