Tell Me Your Vestibular Deficit, and I'll Tell You How You'll Compensate - Archive ouverte HAL
Chapitre D'ouvrage Année : 2009

Tell Me Your Vestibular Deficit, and I'll Tell You How You'll Compensate

Résumé

Most patients with unilateral vestibular loss exhibit a similar static and dynamic vestibular syndrome consisting of vestibulo-ocular, posturolocomotor, and perceptive deficits. This vestibular syndrome recovers more or less completely and more or less rapidly over time. One open question is whether recovery mechanisms differ according to vestibular pathology and/or patients. It is reported here (1) data from three different cat models of unilateral vestibular loss reproducing vestibular pathology with sudden (unilateral vestibular neurectomy [UVN] model), gradual (unilateral labyrinthectomy [UL] model), or reversible (tetrodotoxine [TTX]) model) loss of vestibular function, and (2) clinical observations in a population of unilateral vestibular loss patients suffering the same pathology (Meniere's disease). Animal models show that time courses and mechanisms of recovery depend on the type of vestibular deafferentation, and clinical findings show that Meniere's patients compensate their postural and perceptive deficits using different vicarious processes. Taken together, results point to a more complex picture of compensation after unilateral vestibular loss, which cannot be reduced either to a common recovery mechanism or to a single process identical for all individuals. These findings should guide physiotherapists in treatment and rehabilitation for vestibular deficits.

Dates et versions

hal-01449867 , version 1 (30-01-2017)

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Citer

Michel Lacour, Sophie N Dutheil, Brahim Tighilet, Christophe Lopez, Liliane Borel. Tell Me Your Vestibular Deficit, and I'll Tell You How You'll Compensate. Strupp, M and Buttner, U and Cohen, B. BASIC AND CLINICAL ASPECTS OF VERTIGO AND DIZZINESS, 1164, pp.268-278, 2009, ANNALS OF THE NEW YORK ACADEMY OF SCIENCES, 978-1-57331-717-7. ⟨10.1111/j.1749-6632.2008.03731.x⟩. ⟨hal-01449867⟩

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