학술논문

Posttraumatische Gleichgewichtsstörungen: Diagnostik und Therapie
Document Type
Original Paper
Source
Trauma und Berufskrankheit. March 2012 14(1):62-66
Subject
Schwindel
Kopfanpralltrauma
Heilverfahrenssteuerung
Neurofeedback
Gleichgewichtsrehabilitation
Vertigo
Head trauma
Rehabilitation management
Vestibular rehabilitation
Language
German
ISSN
1436-6274
1436-6282
Abstract
The present paper is a retrospective analysis of 94 patients after an occupational accident. Most of the patients suffered from one vestibular disorder only (59%) and the others from two or more in parallel or subsequently. These disorders included primary ones with an acute onset after the injury (e.g., BPPV, UVL) and secondary ones with a delayed onset (e.g., otolith disorders, delayed endolymphatic hydrops) in 35%. The latter ones had a poorer prognosis which, however, could be improved since last year with new rehab technologies (neurofeedback training). In the future, the start of treatment should be as soon as possible so that a delay in timing can be prevented. The yellow flags as indicated by the patients’ complaints (e.g., dizziness, weakness) should be regarded as specific signs of a vestibular disorder so that the patient can be transferred to a specialized unit with specific diagnostic and therapeutic techniques.