体性感覚入力が耳石—眼反射に及ぼす影響
[緒言]一側前庭機能が急激に低下すると, 激しいめまいや平衡障害が出現する(めまい急性期). めまい急性期の治療は, 心身の安静, 鎮暈薬や制吐薬などの薬物による対症療法が主体となる. 急性期を脱しても通常の代償過程と比較してめまいや平衡障害の程度が強い, あるいは改善が遅れている症例には前庭訓練(めまいリハビリテーション)が適応となる. 一側障害例に対して行われる前庭訓練は, 前庭系からの入力低下により生じた前庭入力と視覚入力との乖離を, 前庭代償によって是正することを目的としている. 両側障害例に対して行われる前庭訓練は, 極度に低下あるいは欠落した前庭入力を, 視覚情報や体性感覚情報など...
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| Published in | Equilibrium Research Vol. 69; no. 6; pp. 437 - 444 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本めまい平衡医学会
2010
日本めまい平衡医学会 |
| Online Access | Get full text |
| ISSN | 0385-5716 1882-577X |
| DOI | 10.3757/jser.69.437 |
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| Abstract | [緒言]一側前庭機能が急激に低下すると, 激しいめまいや平衡障害が出現する(めまい急性期). めまい急性期の治療は, 心身の安静, 鎮暈薬や制吐薬などの薬物による対症療法が主体となる. 急性期を脱しても通常の代償過程と比較してめまいや平衡障害の程度が強い, あるいは改善が遅れている症例には前庭訓練(めまいリハビリテーション)が適応となる. 一側障害例に対して行われる前庭訓練は, 前庭系からの入力低下により生じた前庭入力と視覚入力との乖離を, 前庭代償によって是正することを目的としている. 両側障害例に対して行われる前庭訓練は, 極度に低下あるいは欠落した前庭入力を, 視覚情報や体性感覚情報など, 他の感覚情報での代替えが可能な状態にすることを目的としている. いずれも, 視覚入力が重要な役割を果たしているが, 視覚系は加齢とともに劣化することより, 高齢者においては前庭訓練の治療効果に限界が生じる可能性が示唆される. |
|---|---|
| AbstractList | [緒言]一側前庭機能が急激に低下すると, 激しいめまいや平衡障害が出現する(めまい急性期). めまい急性期の治療は, 心身の安静, 鎮暈薬や制吐薬などの薬物による対症療法が主体となる. 急性期を脱しても通常の代償過程と比較してめまいや平衡障害の程度が強い, あるいは改善が遅れている症例には前庭訓練(めまいリハビリテーション)が適応となる. 一側障害例に対して行われる前庭訓練は, 前庭系からの入力低下により生じた前庭入力と視覚入力との乖離を, 前庭代償によって是正することを目的としている. 両側障害例に対して行われる前庭訓練は, 極度に低下あるいは欠落した前庭入力を, 視覚情報や体性感覚情報など, 他の感覚情報での代替えが可能な状態にすることを目的としている. いずれも, 視覚入力が重要な役割を果たしているが, 視覚系は加齢とともに劣化することより, 高齢者においては前庭訓練の治療効果に限界が生じる可能性が示唆される. |
| Author | 三上, 公志 肥塚, 泉 鈴木, 一輝 深澤, 雅彦 宮本, 康裕 |
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| References | 7) Gauthier GM, Robinson DA: Adaptation of the human vestibuloocular reflex to magnifying lenses. Brain Res 92: 331-335, 1975 9) Istl-Lenz Y, Hyden D, Schwartz DWF: Response of the human vestibulo-ocular reflex following long-term 2X magnified visual input. Exp Brain Res 57: 448-455, 1985 24) Sugita-Kitajima A, Azuma M, Hattori K, et al.: Evaluation of the otolith function using sinusoidal off-vertical axis rotation in patients with benign paroxysmal positional vertigo. Neurosci Lett 422: 81-86, 2007 17) Baloh BW, Lyerly K, Yee RD, et al.: Voluntary control of the human vestibuloocular reflex. Acta Otolaryngol 97: 1-6, 1984 21) Sugita-Kitajima A, Koizuka I: Somatosensory input influences the vestibulo-ocular reflex. Neurosci Lett 463: 207-209, 2009 2) Matta FV, Enticott JC: The effects of state of alertness on the vestibulo-ocular reflex in normal subjects using the vestibular rotational chair. J Vestib Res 14: 387-391, 2004 20) Brandt T, Büchele W, Arnold F: Arthrokinetic nystagmus and ego-motion sensation. Exp Brain Res 30: 331-338, 1977 11) Gonshor A, Melvill Jones G: Short term adaptive changes in the human vestibulo-ocular reflex arc. J Physiol 256: 361-379, 1976 6) Demer JL, Porter FI, Goldberg J, et al.: Adaptation to telescopic spectacles: Vestibulo-ocular reflex plasticity. Invest Ophthalmol Vis Sci 30: 159-170, 1989 13) 清水元博: 左右逆転プリズム装着下の前庭動眼反射における適応現象の臨床的応用. 日耳鼻会報 83: 775-786, 1980 23) Bles W, van der Hejide GL, Kotaka S, et al.: Some modeling aspects of nystagmus due to somatosensory-visual-vestibular interactions in stepping around. In ed Igarashi M, Black FO. Vestibular and visual control of posture and locomotion equilibrium. pp38-42, Karger, Basel, 1985 1) 三上公志, 鈴木一輝, 宮本康裕, 他: 体性感覚入力が半規管-眼反射に及ぼす影響. Equilibrium Res 68: 28-33, 2009 12) Collewijn H, Martins AJ, Steinman RM: Compensatory eye movements during active and passive head movements: fast adaptation to changes in visual magnification. J Physiol 340: 259-286, 1983 5) Melvill Jones G, Davis P, Gonshor A: Long term effects of maintained vision reversal: Is vestibulo-ocular adaptation either necessary or sufficient? In ed Baker R, Berthoz A. Control of gaze by brain stem neurons. pp 59-68, Elsvier, Amsterdam, 1977 18) Möller C, White V, Odkvist LM: Plasticity of compensatory eye movements in rotator tests. II. The effect of voluntary, visual, imaginary, auditory and proprioceptive mechanisms. Acta Otolaryngol 109: 168-178, 1990 14) Yagi T, Shimizu M, Sekine S, et al.: A new neurotological test for detecting cerebellar dysfunction; Vestibulo-ocular reflex change with horizontal vision reversal prisms. Ann Otol-Rhinol-Laryngol 90: 276-280, 1981 15) Bello S, Paige GD, Highstein SM: The squirrel monkey vestibulo-ocular reflex and adaptive plasticity in yaw, pitch, and roll. Exp Brain Res 87: 57-66, 1991 16) Barr CC, Schuitheis LW, Robinson DA: Voluntary non-visual control of the human vestibulo-ocular reflex. Acta Otolaryngol 81: 365-375, 1976 3) Möller C, Odkvist L, White V, et al.: The plasticity of compensatory eye movements in rotatory tests. I. The effect of alertness and eye closure. Acta Otolaryngol. 109: 15-24, 1990 4) Melvill Jones G, Davis P: Adaptation of cat vestibulo-ocular reflex to 200 days of optically reversed vision. Brain Res 103: 551-554,1976 22) Bles W, Klören T, Büchele W, et al.: Somatosensory nystagmus: physiological and clinical aspects. Adv Otorhinolaryng 30: 30-33, 1983 10) Demer JL, Goldberg J, Jenkins HA, et al.: Vestibulo-ocular reflex during magnified vision: adaptation to reduce visual-vestibular conflict. Aviat Space Environ Med 58 Suppl : A175-A179, 1987 19) Raphan T, Cohen B: Velocity storage and the ocular response to multidimensional vestibular stimuli. Rev Oculomotor Res 1: 123-143, 1985 8) Paige GD, Sargent EW: Visually-induced adaptive plasticity in the human vestibule ocular reflex. Exp Brain Res 84: 25-34, 1991 |
| References_xml | – reference: 2) Matta FV, Enticott JC: The effects of state of alertness on the vestibulo-ocular reflex in normal subjects using the vestibular rotational chair. J Vestib Res 14: 387-391, 2004 – reference: 3) Möller C, Odkvist L, White V, et al.: The plasticity of compensatory eye movements in rotatory tests. I. The effect of alertness and eye closure. Acta Otolaryngol. 109: 15-24, 1990 – reference: 9) Istl-Lenz Y, Hyden D, Schwartz DWF: Response of the human vestibulo-ocular reflex following long-term 2X magnified visual input. Exp Brain Res 57: 448-455, 1985 – reference: 24) Sugita-Kitajima A, Azuma M, Hattori K, et al.: Evaluation of the otolith function using sinusoidal off-vertical axis rotation in patients with benign paroxysmal positional vertigo. Neurosci Lett 422: 81-86, 2007 – reference: 21) Sugita-Kitajima A, Koizuka I: Somatosensory input influences the vestibulo-ocular reflex. Neurosci Lett 463: 207-209, 2009 – reference: 10) Demer JL, Goldberg J, Jenkins HA, et al.: Vestibulo-ocular reflex during magnified vision: adaptation to reduce visual-vestibular conflict. Aviat Space Environ Med 58 Suppl : A175-A179, 1987 – reference: 15) Bello S, Paige GD, Highstein SM: The squirrel monkey vestibulo-ocular reflex and adaptive plasticity in yaw, pitch, and roll. Exp Brain Res 87: 57-66, 1991 – reference: 7) Gauthier GM, Robinson DA: Adaptation of the human vestibuloocular reflex to magnifying lenses. Brain Res 92: 331-335, 1975 – reference: 16) Barr CC, Schuitheis LW, Robinson DA: Voluntary non-visual control of the human vestibulo-ocular reflex. Acta Otolaryngol 81: 365-375, 1976 – reference: 13) 清水元博: 左右逆転プリズム装着下の前庭動眼反射における適応現象の臨床的応用. 日耳鼻会報 83: 775-786, 1980 – reference: 19) Raphan T, Cohen B: Velocity storage and the ocular response to multidimensional vestibular stimuli. Rev Oculomotor Res 1: 123-143, 1985 – reference: 6) Demer JL, Porter FI, Goldberg J, et al.: Adaptation to telescopic spectacles: Vestibulo-ocular reflex plasticity. Invest Ophthalmol Vis Sci 30: 159-170, 1989 – reference: 20) Brandt T, Büchele W, Arnold F: Arthrokinetic nystagmus and ego-motion sensation. Exp Brain Res 30: 331-338, 1977 – reference: 23) Bles W, van der Hejide GL, Kotaka S, et al.: Some modeling aspects of nystagmus due to somatosensory-visual-vestibular interactions in stepping around. In ed Igarashi M, Black FO. Vestibular and visual control of posture and locomotion equilibrium. pp38-42, Karger, Basel, 1985 – reference: 12) Collewijn H, Martins AJ, Steinman RM: Compensatory eye movements during active and passive head movements: fast adaptation to changes in visual magnification. J Physiol 340: 259-286, 1983 – reference: 8) Paige GD, Sargent EW: Visually-induced adaptive plasticity in the human vestibule ocular reflex. Exp Brain Res 84: 25-34, 1991 – reference: 22) Bles W, Klören T, Büchele W, et al.: Somatosensory nystagmus: physiological and clinical aspects. Adv Otorhinolaryng 30: 30-33, 1983 – reference: 1) 三上公志, 鈴木一輝, 宮本康裕, 他: 体性感覚入力が半規管-眼反射に及ぼす影響. Equilibrium Res 68: 28-33, 2009 – reference: 4) Melvill Jones G, Davis P: Adaptation of cat vestibulo-ocular reflex to 200 days of optically reversed vision. Brain Res 103: 551-554,1976 – reference: 18) Möller C, White V, Odkvist LM: Plasticity of compensatory eye movements in rotator tests. II. The effect of voluntary, visual, imaginary, auditory and proprioceptive mechanisms. Acta Otolaryngol 109: 168-178, 1990 – reference: 11) Gonshor A, Melvill Jones G: Short term adaptive changes in the human vestibulo-ocular reflex arc. J Physiol 256: 361-379, 1976 – reference: 14) Yagi T, Shimizu M, Sekine S, et al.: A new neurotological test for detecting cerebellar dysfunction; Vestibulo-ocular reflex change with horizontal vision reversal prisms. Ann Otol-Rhinol-Laryngol 90: 276-280, 1981 – reference: 17) Baloh BW, Lyerly K, Yee RD, et al.: Voluntary control of the human vestibuloocular reflex. Acta Otolaryngol 97: 1-6, 1984 – reference: 5) Melvill Jones G, Davis P, Gonshor A: Long term effects of maintained vision reversal: Is vestibulo-ocular adaptation either necessary or sufficient? In ed Baker R, Berthoz A. Control of gaze by brain stem neurons. pp 59-68, Elsvier, Amsterdam, 1977 |
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| Snippet | [緒言]一側前庭機能が急激に低下すると, 激しいめまいや平衡障害が出現する(めまい急性期). めまい急性期の治療は, 心身の安静, 鎮暈薬や制吐薬などの薬物による対症療... |
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| Title | 体性感覚入力が耳石—眼反射に及ぼす影響 |
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