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Treatment of Patients with Vertigo and Balance Disorders

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A new computerized method was developed for correcting and eliminating adverse illusory (vertigo), vestibulo-opto-oculomotor (nystagmus), and vestibulo-postural (balance) reactions allowing subjects to be trained to block the generalization of an afferent signal to the effector mechanisms of the CNS by acquisition of a fixation reflex using biological feedback. Two versions of the model were used, with the aims of inducing anomalous reactions of a defined sensory modality (visual or vestibular). A total of 24 patients with peripheral and central vestibulopathies were divided into two groups, one of which was trained visually, while the other was trained using a vestibular approach. The method allows anomalous illusory and vestibulo-opto-oculomotor reactions to be produced in the subjects and for these to be inhibited by acquisition of a fixation reflex. The visual correction method was the most effective for patients with peripheral vestibulopathy, while the vestibular method was the most effective for those with central vestibulopathy.

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Correspondence to L. N. Kornilova.

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Translated from Zhurnal Nevrologii i Psikhiatrii imeni S. S. Korsakova, Vol. 109, No. 11, pp. 58–64, November, 2009.

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Kornilova, L.N., Temnikova, V.V., Naumov, I.A. et al. Treatment of Patients with Vertigo and Balance Disorders. Neurosci Behav Physi 41, 57–63 (2011). https://doi.org/10.1007/s11055-010-9379-0

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