type: misc

label: url

en: ウェアラブルデバイスを用いた平衡訓練の開発

ja: ウェアラブルデバイスを用いた平衡訓練の開発

en: Journal of Clinical and Experimental Medicine

ja: 医学のあゆみ


en: Spatial Disorientation and Its Implication of Vertigo and Vertigo-Induced Vomiting

ja: 空間識障害とめまい・嘔吐・自律神経症状 (武田憲昭教授退任記念総説集)

ja: 耳鼻咽喉科臨床 補冊


en: Chemotherapy-Induced Taste Impairment in Patients with Head and Neck Cancer : Molecular Mechanisms and Dietary Prevention

ja: 頭頸部癌に対する化学療法による味覚障害の分子メカニズムと食事介入による予防 (武田憲昭教授退任記念総説集)


en: Neural Mechanisms of Vestibular Compensation and Development of Drugs for Facilitating the Processes of Vestibular Compensation

ja: 前庭代償の神経メカニズムの解明と前庭代償促進薬の開発 (武田憲昭教授退任記念総説集)


en: Development of New Vestibular Rehabilitation Methods Using Devices for Patients with Refractory Dizziness

ja: 難治性めまい患者に対するデバイスを用いた新しい平衡訓練の開発 (武田憲昭教授退任記念総説集)


en: Recent Advances in Head and Neck Surgery and Training of Surgical Techniques at Department of Otolaryngology Head and Neck Surgery of Tokushima University Hospital

ja: 徳島大学病院耳鼻咽喉科・頭頸部外科における頭頸部手術の進歩と手術手技トレーニング (武田憲昭教授退任記念総説集)


en: Central Processing of Vestibular Information in Relation to Spatial Orientation

ja: 前庭情報の中枢処理機構と空間識障害 (武田憲昭教授退任記念総説集)


en: Pathophysiology of Benign Paroxysmal Positional Vertigo

ja: 良性発作性頭位めまい症の病態解明 (武田憲昭教授退任記念総説集)


en: メニエール病の周辺疾患の診断・治療 持続性知覚性姿勢誘発めまい

ja: メニエール病の周辺疾患の診断・治療 持続性知覚性姿勢誘発めまい

en: 耳鼻咽喉科・頭頸部外科

ja: 耳鼻咽喉科・頭頸部外科


en: Sensory substitution therapy using a tilt perception adjustment device (TPAD) for patients with bilateral vestibulopathy

ja: 両側性前庭障害に対するTPADによる感覚代行を用いた平衡訓練

en:
 Bilateral vestibulopathy is characterized by bilateral functional impairment of the peripheral vestibular system. The usual symptoms are persistent unsteadiness and oscillopsia during head and body movements. It has been reported that sensory substitution therapy, that is, vestibular rehabilitation using a sensory substitution device, which transmits other sensory information to a stimulator as a substitute for defective vestibular information, might be effective in patients with bilateral and unilateral vestibulopathy. Recently, we developed a new wearable device, TPAD (tilt perception adjustment device), that transmits vibratory input containing head-tilt information to the mandible as a substitute for defective vestibular information.

 We assessed the patient using the dizziness handicaps inventory (DHI), gait analysis, and visual/somatosensory dependence of postural control in the patients with unilateral vestibulopathy. Three months after therapy in patients with unilateral vestibulopathy, the DHI and walking speed improved even when the subjects were not wearing the TPAD. Moreover, the index of the visual dependence of posture control that was evaluated by posturography with/without foam rubber in the eyes open or closed condition decreased. The findings suggested that the sensory vibratory substitution with a TPAD for defective vestibular information induced brain plasticity related to sensory re-weighting to reduce the visual dependence of posture control, resulting in the improvement of dizziness and imbalance even while not wearing the TPAD in vestibulopathy patients.

 We then investigated the effects of sensory substitution therapy using a TPAD in patients with bilateral vestibulopathy and normal subjects. Three months after sensory substitution therapy in patients with bilateral vestibulopathy, the DHI and area with eyes closed measured by posturography improved even when the subjects did not wear a TPAD. However, the gait parameters improved only under the condition of wearing a TPAD. These findings suggest that sensory vibratory substitution with a TPAD might serve as temporary replacement for defective vestibular information in patients with bilateral vestibulopathy. Moreover, wearing of the TPAD improved posture control under the eyes-closed condition with foam rubber measured by posturography in normal subjects. TPAD might be applicable as a wearable device for improving posture control, not only in patients with bilateral vestibulopathy, but also in those with presbyvestibulopathy.

en: Equilibrium Research

ja: Equilibrium Research


en: Pharmacotherapy for Acute Vertigo Considered from the Pathophysiology of Nausea and Vomiting

ja: 悪心・嘔吐の病態生理から考える急性期めまいの薬物療法

en: Practica Oto-Rhino-Laryngologica

ja: 耳鼻咽喉科臨床


en: 【エキスパートから学ぶめまい診療】両側前庭機能障害

ja: 【エキスパートから学ぶめまい診療】両側前庭機能障害

en: ENTONI

ja: ENTONI


en: カンファレンスルーム(CASE 4)悪性腫瘍治療中の異常眼球運動を伴うふらつき

ja: カンファレンスルーム(CASE 4)悪性腫瘍治療中の異常眼球運動を伴うふらつき


en: 非定型例の診断 ─蝸牛型と前庭型─

ja: 非定型例の診断 ─蝸牛型と前庭型─


en: めまいの鑑別診断 (特集 めまい・耳鳴りの診療のポイント)

ja: めまいの鑑別診断 (特集 めまい・耳鳴りの診療のポイント)

en: The Japanese journal of clinical and experimental medicine

ja: 臨床と研究


en: メニエール病診療ガイドライン

ja: メニエール病診療ガイドライン


en: メニエール病

ja: メニエール病


en: 前庭神経炎に対するステロイドのエビデンスは?

ja: 前庭神経炎に対するステロイドのエビデンスは?

en: EBM耳鼻咽喉科・頭頸部外科の治療2015-2016

ja: EBM耳鼻咽喉科・頭頸部外科の治療2015-2016


en: A role of vestibular system in the spatial cognition in the hippocampal-entorhinal circuit

ja: 海馬─嗅内皮質系の空間認知における前庭系の役割


en: 前庭代償の神経機序と平衡リハビリテーション

ja: 前庭代償の神経機序と平衡リハビリテーション


en: 小児の脳血管障害によるめまい

ja: 小児の脳血管障害によるめまい


en: めまい治療におけるステロイドと抗ウイルス薬の位置づけ

ja: めまい治療におけるステロイドと抗ウイルス薬の位置づけ


en: 良性発作性頭位めまい(BPPV)

ja: 良性発作性頭位めまい(BPPV)

en: Clinical Neuroscience

ja: Clinical Neuroscience


en: 【訴えからみためまいの見分け方】 繰り返す回転性めまい

ja: 【訴えからみためまいの見分け方】 繰り返す回転性めまい


en: 【難聴の神経学】 Meniere病

ja: 【難聴の神経学】 Meniere病

en: 神経内科

ja: 神経内科