Vertigo and Dizziness Rehabilitation: The MCS Method

ISBN-13: 9783540640844 / Angielski / Miękka / 1999 / 243 str.

Antonio Cesarani; A. Cesarani; Dario Alpini

Opis

This volume opens a new frontier for clinical specialists dealing with vertigo sufferers. As our populations are constantly growing older, we have to deal more and more with degenerative neurosensorial disor ders of elderly persons not only from the investigative, but also from the innovative therapeutic point of view. This book's theme of vertigo and dizziness rehabilitation has been chosen in the sense of applied neurootometry and conservative neu roototherapy. The authors describe a new way of utilizing objective and quantitative neurosensorial equilibrium function measurements for special reprogramming and retraining purposes. In the field of diagnosis they place functional investigation of the equilibrium sys tem alongside the other classical techniques which mostly work through inspection and imaging. Consequently, the MCS method of treatment (mechanics, cybernetics, synergetics) has to take into ac count the basic knowledge on information transfer from the inner ear hair cells to the central nervous system in the regulating centers of the brainstem."

Spis treści

Introduction: Mechanics, Cybernetics and Synergetics of the Equilibrium System.- MCS Organization of the Equilibrium System.- 2.1 Components of the System.- Eye Movements.- Foot.- Ankle.- Antigravitational Muscles.- Neck.- Lumbar Region.- Vestibular Reflexes.- 2.2 Cybernetics Functional Networks.- Balance-Ocular Network.- Balance-Spinal Network.- 2.3 Synergetics Integrations.- Strategies and Synergies: Basis for Motor Coordination.- Brainstem and Cerebellum: Who Is the Teacher and Who Is the Pupil?.- Internal Representation of Posture and Orientation.- Evaluation of the Patient Suffering Vertigo and Dizziness.- 3.1 General Approach.- Anamnesis.- Qualitative Aspects.- Quantitative Aspects.- General Clinical Examination.- Cranial Nerve.- Posture Evaluation.- 3.2 Specific Approach: Ocular Function.- Eye Movements.- Vestibulo-ocular Reflex.- Otolith Function.- 3.3 Specific Approach: Spinal Function.- Stance.- Gait.- 3.4 Specific Approach: Orientation.- 3.5 Using Complex Vestibular Tests To Investigate the Resources of Diseased Equilibrium Function C.-F. CLAUSSEN.- Electronystagmography.- The Caloric Butterfly Test.- The Rotatory Intensity Damping Test.- Complex Nystagmus-Based Equilibrium Reactions.- Vestibular Stimulus Response Intensity Comparison.- Calorization Pendulum Interference Test.- Caloric Adaptation Cyclogram.- Discussion.- Evaluation of the Patient Suffering Vertigo and Dizziness.- 4.1 Mechanics Phase.- Relaxation Exercises.- Physiotherapy.- Ski Training Oscillating Platform.- 4.2 Cybernetics Phase.- Ski Training Oscillating Platform.- Vestibular Electrical Stimulation.- Exercises with the Soft Mattress: The Rettiks.- Visual Prisms.- 4.3 Synergetics Phase.- Rettiks.- Daedalus: Labyrinth on an Undulating Platform.- Visual Feedback Stabilometric Reeducation.- The Balance Master.- 4.4 MCS Protocols.- Acute Unilateral Vestibular Hypofunction.- Hospital Treatment.- Home Protocol.- Uncompensated Unilateral Vestibular Hypofunction.- Exercises in the Gymnasium.- Mechanics Phase.- Meniere’s Disease.- Cybernetics Phase.- Synergetics Phase.- Home Protocol.- Paroxysmal Positional Vertigo.- Semont’s Maneuver.- Epley’s Maneuver.- Personal Maneuver for PPV.- Lempert’s Maneuver.- No Resolution Patients.- Mechanics Phase.- Cybernetics Phase.- Synergetics Phase.- Home Protocol.- Dizziness and Vertigo Following Whiplash Injuries.- Exercises in the Gymnasium.- Mechanics Phase.- Cybernetics Phase.- Synergetics Phase.- Home Protocol.- Dizziness in the Elderly.- Exercises in the Gymnasium.- Mechanics Phase.- Cybernetics Phase.- Synergetics Phase.- Home Protocol.- Some Suggestions To Ameliorate Lifestyle.- Dizziness and Structural Fragility Syndrome.- Exercises in the Gymnasium.- Mechanics Phase.- Cybernetics Phase.- Synergetics Phase.- Home Protocol.

Blurb

This diagnosis and management guide opens up a new frontier both for medical specialists and physical therapists dealing with vertigo sufferers. It presents a new original approach to diagnosis and rehabilitative treatment of vertigo and dizziness based on an innovative model of the vestibular system. It includes a detailed introduction to the MCS method, and a treatment program that involves mechanical, cybernetic, and synergetic aspects. Additionally, it provides a brief outline of the modern neurophysiological concepts behind the methodology.