By Susan J. Herdman PT PhD FAPTA, Richard Clendaniel PT PhD
A quantity within the modern views In Rehabilitation sequence, edited by way of Steven L. Wolf, PhD, PT, FAPTA.Recognized as one of many world's top authoritieson the topic, Susan Herdman deliversthe most modern details availableabout the administration of sufferers withvestibular issues in her up-to-date third editiontext. With an elevated emphasis on evidence-basedpractice, PT scholars and practitionerswill extra basically comprehend the scientificbasis for winning remedy and quite simply relatethe rationales to medical perform.
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Extra info for Vestibular Rehabilitation (Contemporary Perspectives in Rehabilitation)
Example text
Exquisite sensitivity to gravity and linear acceleration is obtained by incorporation of the mass of the otoconia into the otolithic membrane (see Fig. 5). Force is equal to mass multiplied by acceleration, so with incorporation of a large mass, a given acceleration produces enough shearing force to make the otoliths extremely sensitive (shearing force refers to force that is directed perpendicularly to the processes of the hair cells). Like the canals, the otoliths are arranged to enable them to respond to motion in all three dimensions (Fig.
Sensory inflow and motor outflow are used to estimate the current state. ) [25] State Correction 01Herdman(p2)-01 16 2/16/07 1:38 PM Page 16 Section ONE • FUNDAMENTALS must track changes in bodily function. It seems likely that vestibular rehabilitation affects internal models. Second, sensory input is not used to directly compute body state, but rather, the difference between sensory input and predicted sensory input is used to correct the current estimate of body state. This design allows the Kalman filter to easily combine multiple sensor inputs— from eyes, ears, and somatosensors.
The cerebellum is the adaptive processor; it monitors vestibular performance and readjusts central vestibular processing if necessary. At both locations, vestibular sensory input is processed in association with somatosensory and visual sensory input. 01Herdman(p2)-01 2/16/07 1:38 PM Page 9 9 Chapter 1 • ANATOMY AND PHYSIOLOGY OF THE NORMAL VESTIBULAR SYSTEM Vestibular Nucleus The vestibular nuclear complex consists of four “major” nuclei (superior, medial, lateral, and descending) and at least seven “minor” nuclei (Fig.