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高齢者の末梢前庭障害への対応と難治例に対するTPADによる感覚代行治療
https://tokushima-u.repo.nii.ac.jp/records/2012005
https://tokushima-u.repo.nii.ac.jp/records/2012005fd70c792-e0e9-4253-9665-9e154f3a5402
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
er_82_3_224.pdf (699 KB)
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| Item type | 文献 / Documents(1) | |||||||||||
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| 公開日 | 2024-05-07 | |||||||||||
| アクセス権 | ||||||||||||
| アクセス権 | open access | |||||||||||
| 資源タイプ | ||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||
| 資源タイプ | journal article | |||||||||||
| 出版社版DOI | ||||||||||||
| 識別子タイプ | DOI | |||||||||||
| 関連識別子 | https://doi.org/10.3757/jser.82.224 | |||||||||||
| 言語 | ja | |||||||||||
| 関連名称 | 10.3757/jser.82.224 | |||||||||||
| 出版タイプ | ||||||||||||
| 出版タイプ | VoR | |||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||
| タイトル | ||||||||||||
| タイトル | 高齢者の末梢前庭障害への対応と難治例に対するTPADによる感覚代行治療 | |||||||||||
| 言語 | ja | |||||||||||
| タイトル別表記 | ||||||||||||
| その他のタイトル | Management of Peripheral Vestibular Dysfunction in Older Adults and Sensory Substitution Therapy Using TPAD for Intractable Dizziness | |||||||||||
| 言語 | en | |||||||||||
| 著者 |
佐藤, 豪
× 佐藤, 豪
WEKO
270
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| 抄録 | ||||||||||||
| 内容記述タイプ | Abstract | |||||||||||
| 内容記述 | Benign paroxysmal positional vertigo (BPPV) is the most commonly encountered peripheral vestibular disorder in clinical practice. The prevalence rate of BPPV has been reported to be higher in older adults than in younger individuals. Although there is evidence for the effectiveness of the canalith repositioning procedure (CRP) for posterior canal BPPV, the success rate of this procedure has been reported to be significantly lower in older patients as compared with younger patients. Since BPPV often improves spontaneously, it is not necessary to perform the CRP in older patients with cervical or lumbar disorders. BPPV should be differentiated from other diseases, including central positional vertigo and vertebrobasilar insufficiency associated with the complaint of cervical vertigo. Meniere's disease is more common in individuals aged 30-50 years and stress has been strongly suggested as being involved in its pathogenesis. The age of onset has been increasing gradually, with a trend towards increased incidence in older adults. Stressors and concerns unique to older adults, such as family caregiving for older adults, anxiety about health loss, and loneliness due to increases in sole–person households have been considered as possible causes. In 2020, the guideline for the treatment of Meniere's disease were revised to add positive pressure therapy for intractable Meniere's disease. Positive pressure therapy is non–invasive and easy to perform in older patients. Recently, we have developed a wearable device, the Tilt Perception Adjustment Device (TPAD), that transmits vibratory input containing head–tilt information to the mandible to substitute for defective vestibular information in patients with unilateral and bilateral vestibulopathy. We assessed patients using the Dizziness Handicap Inventory (DHI) and performed gait analysis in older patients with unilateral and bilateral vestibulopathy. Three months after sensory substitution therapy using TPAD, the DHI and gait parameters in the patients with unilateral vestibulopathy improved on condition that the patients did even when the patients were not wearing the TPAD. In the patients with bilateral vestibulopathy, on the other hand, the gait parameters improved only on condition that, but only when they wore the TPAD. TPAD had potential applications as a wearable device, improving posture control in patients with unilateral and bilateral vestibulopathy. |
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| 言語 | en | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | elderly | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | BPPV | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | Meniere’s disease | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | sensory substitution | |||||||||||
| キーワード | ||||||||||||
| 言語 | en | |||||||||||
| 主題Scheme | Other | |||||||||||
| 主題 | tilt perception adjustment device | |||||||||||
| 書誌情報 |
en : Equilibrium Research 巻 82, 号 3, p. 224-231, 発行日 2023-06-30 |
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| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 1882577X | |||||||||||
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| 収録物識別子タイプ | ISSN | |||||||||||
| 収録物識別子 | 03855716 | |||||||||||
| 収録物ID | ||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||
| 収録物識別子 | AN00001485 | |||||||||||
| 出版者 | ||||||||||||
| 出版者 | 日本めまい平衡医学会 | |||||||||||
| 言語 | ja | |||||||||||
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| 識別子 | 407706 | |||||||||||
| 識別子タイプ | URI | |||||||||||
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| 言語 | jpn | |||||||||||
