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Kunelskay N.L.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Ivanova G.E.

Pirogov Russian National Research Medical University

Baybakova E.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Guseva A.L.

Pirogov Russian National Research Medical University;
Pirogov Municipal Clinical Hospital No. 1

Parfenov V.A.

Sechenov First Moscow State Medical University

Zamergrad M.V.

Pirogov Russian National Research Medical University;
Russian Medical Academy for Continuous Professional Education

Zaitseva O.V.

National Medical Research Center for Otorhinolaryngology of the FMBA of Russia

Melnikov O.A.

Center of vertigo and balance disorders, GUTA CLINIC

Shmonin A.A.

Pavlov First St. Petersburg State Medical University

Maltseva M.N.

Pavlov First St. Petersburg State Medical University

Vestibular rehabilitation for peripheral vestibular hypofunction: an interdisciplinary consensus

Authors:

Kunelskay N.L., Ivanova G.E., Baybakova E.V., Guseva A.L., Parfenov V.A., Zamergrad M.V., Zaitseva O.V., Melnikov O.A., Shmonin A.A., Maltseva M.N.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2024;89(1): 52‑63

DOI: 10.17116/otorino20248901152

Views: 1438

Downloaded: 93

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Table of contents

To cite this article:

Kunelskay NL, Ivanova GE, Baybakova EV, et al. . Vestibular rehabilitation for peripheral vestibular hypofunction: an interdisciplinary consensus. Russian Bulletin of Otorhinolaryngology. 2024;89(1):52‑63. (In Russ.)
https://doi.org/10.17116/otorino20248901152

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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.

Keywords:

vestibular disorders
peripheral vestibular hypofunction
vestibular rehabilitation
drug therapy
betahistine dihydrochloride

Authors:

Kunelskay N.L.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Ivanova G.E.

Pirogov Russian National Research Medical University

Baybakova E.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Guseva A.L.

Pirogov Russian National Research Medical University;
Pirogov Municipal Clinical Hospital No. 1

Parfenov V.A.

Sechenov First Moscow State Medical University

Zamergrad M.V.

Pirogov Russian National Research Medical University;
Russian Medical Academy for Continuous Professional Education

Zaitseva O.V.

National Medical Research Center for Otorhinolaryngology of the FMBA of Russia

Melnikov O.A.

Center of vertigo and balance disorders, GUTA CLINIC

Shmonin A.A.

Pavlov First St. Petersburg State Medical University

Maltseva M.N.

Pavlov First St. Petersburg State Medical University

Received:

28.02.2024

Accepted:

01.03.2024

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