Review

Research progresses of vestibular compensation mechanism and its clinical significance

  • SHI Hai-bo
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  • Department of Otorhinolaryngology Head & Neck Surgery, Shanghai Sixth Peoples Hospital, Shanghai Jiao Tong University, Shanghai 200233, China

Online published: 2016-10-31

Supported by

National Natural Science Foundation of China, 81570909; Shanghai Municipal Education Commission—Gaofeng Clinical Medicine Grant Support,20152233; Excellent Academic Leader Training Program of Shanghai Municipal Health System,XBR2013085

Abstract

The vestibular system is a complicated operating system contributing to monitor and control balance and has functions such as motion perception, gaze, and truck stability. More recently, the vestibular system has been recognized for its contribution to emotion, memory and social cognition. Patients with vestibular dysfunction present with loss of balance, blurred vision, vertigo and so on, resulting in serious social-behavioral impairments. At the early stage of vestibular dysfunction, the vestibular system often experiences a spontaneous recovery from the static and dynamic deficit, i.e. vestibular compensation. As an extrinsic intervention, vestibular rehabilitation can actively promote the compensation in unilateral vestibular impairment. This article reviews the latest research progresses of vestibular compensation mechanism and vestibular rehabilitation ideas, i.e. the best vestibular compensation relies on cross-talk windows between retraining processes and post-lesion brain-plasticity mechanisms, rather than rehabilitation techniques.

Cite this article

SHI Hai-bo . Research progresses of vestibular compensation mechanism and its clinical significance[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2016 , 36(9) : 1346 . DOI: 10.3969/j.issn.1674-8115.2016.09.017

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