{"id":13682,"date":"2025-06-10T08:13:18","date_gmt":"2025-06-10T06:13:18","guid":{"rendered":"https:\/\/ivrt.de\/?p=13682"},"modified":"2026-04-29T10:40:28","modified_gmt":"2026-04-29T08:40:28","slug":"iyi-huylu-paroksismal-pozisyonel-vertigodan-sonraki-kalinti-bas-doenmesinde-vestibueler-rehabilitasyon","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/vestibulare-rehabilitation-bei-restschwindel-nach-benignem-paroxysmalem-lagerungsschwindel\/","title":{"rendered":"Benign paroksismal pozisyonel vertigosu (BPPV) takip eden rezid\u00fcel vertigoda vestib\u00fcler rehabilitasyon"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p>\u015eu hastalar\u0131n \u00e7o\u011fu: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\">iyi huylu paroksismal pozisyonel vertigo<\/a> (BPLS) ba\u015far\u0131l\u0131 kurtarma manevralar\u0131ndan sonra bile kal\u0131c\u0131 sersemlik hissi veya dengesizlik bildirmektedir \u2013 bu klinik bir olgu olarak <strong>Kal\u0131nt\u0131 ba\u015f d\u00f6nmesi (RS)<\/strong> olarak adland\u0131r\u0131l\u0131r.<\/p>\n\n\n\n<p>\u015eu kurumdan\/ki\u015fiden yeni bir \u00e7al\u0131\u015fma: <strong>Shiozaki ve ark. (2025)<\/strong> bu kal\u0131nt\u0131 yak\u0131nmalarda vestib\u00fcler rehabilitasyonun etkinli\u011fini inceledi.<\/p>\n\n\n\n<p>\ud83d\udd17 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40424142\/\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>\u00c7al\u0131\u015fma tasar\u0131m\u0131:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Kat\u0131l\u0131mc\u0131lar:<\/strong> Ba\u015far\u0131l\u0131 BPLS tedavisinden sonra RS'li 30 ki\u015fi<\/li>\n\n\n\n<li><strong>\u0130ki grup:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Grup 1:<\/strong><br>6 ay boyunca ald\u0131 <strong>haftal\u0131k <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon tedavisi<\/a><\/strong> + g\u00fcnl\u00fck <strong>Ev egzersizleri<\/strong><\/li>\n\n\n\n<li><strong>Grup 2:<\/strong><br>kabul etti <strong>iki ayda bir aerobik egzersiz e\u011fitimleri<\/strong> ba\u011f\u0131ms\u0131z, g\u00fcnl\u00fck dayan\u0131kl\u0131l\u0131k antrenman\u0131 (\u00f6rn. y\u00fcr\u00fcme, bisiklete binme) i\u00e7in talimatlar i\u00e7eren b\u00f6l\u00fcm<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>De\u011ferlendirme \u00f6l\u00e7\u00fct\u00fc:<\/strong>\n<ul class=\"wp-block-list\">\n<li>modifiye Dizziness Handicap Inventory (mDHI)<\/li>\n\n\n\n<li>Fonksiyonel Y\u00fcr\u00fcme De\u011ferlendirmesi<\/li>\n\n\n\n<li>Posturografi (g\u00f6zler kapal\u0131ken COP)<\/li>\n\n\n\n<li>\u00d6z-De\u011ferlendirme Depresyon \u00d6l\u00e7e\u011fi (\u00d6DD\u00d6)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>Sonu\u00e7lar:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Her iki grup da \u015fu konularda geli\u015fme g\u00f6sterdi: <strong>mDHI<\/strong> ve <strong>FGA<\/strong>.<\/li>\n\n\n\n<li><strong>Yaln\u0131zca Grup 1<\/strong> ek olarak \u00f6nemli bir iyile\u015fme elde etti <strong>post\u00fcral kontrol<\/strong> (COP EC).<\/li>\n\n\n\n<li>Grup kar\u015f\u0131la\u015ft\u0131rmas\u0131nda Grup 1, <strong>\u00fcst\u00fcn iyile\u015ftirme<\/strong> mDHI und COP EC nach der Intervention.<\/li>\n<\/ul>\n\n\n\n<p><strong>Klinik \u00d6nemi:<\/strong><\/p>\n\n\n\n<p>Bu \u00e7al\u0131\u015fma, BPPV sonras\u0131 kal\u0131nt\u0131 ba\u015f d\u00f6nmesinde (RD), terap\u00f6tik rehberlik ve ev egzersizleri i\u00e7eren yap\u0131land\u0131r\u0131lm\u0131\u015f bir vestib\u00fcler rehabilitasyon program\u0131n\u0131n, spesifik olmayan dayan\u0131kl\u0131l\u0131k aktivitelerinin uygulanmas\u0131ndan daha \u00fcst\u00fcn oldu\u011funu do\u011frulamaktad\u0131r. <strong>a\u00e7\u0131k\u00e7a \u00fcst\u00fcn<\/strong> \u2013 hem \u00f6znel hem de nesnel olarak \u00f6l\u00e7\u00fclebilir.<\/p>\n\n\n\n<p>\u25b6 IVRT\u00ae terapistleri i\u00e7in bu demektir ki: <strong>Hedefe y\u00f6nelik vestib\u00fcler m\u00fcdahale, reposisyon tedavisinin \u00f6tesinde bile de\u011ferlidir.<\/strong><\/p>\n\n\n\n<p>\ud83d\udc49 <strong>\u0130yi huylu paroksismal pozisyonel vertigo hakk\u0131nda daha fazla bilgi edinmek ister misiniz?<\/strong><\/p>\n\n\n\n<p><br>O zaman uygulamaya y\u00f6nelik olan\u0131m\u0131z\u0131 tavsiye ederiz <strong>IVRT\u00ae Ba\u015f d\u00f6nmesi ve Vestib\u00fcler Terapist E\u011fitimi (<a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\">hizmet i\u00e7i e\u011fitim arama i\u00e7in<\/a>)<\/strong> \u2013 g\u00fcncel ders i\u00e7erikleri, ay\u0131r\u0131c\u0131 tan\u0131 testleri ve uygulamaya y\u00f6nelik tedavi planlamas\u0131 ile.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p>Sahiptin <strong><a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\">Pozisyonel vertigo <\/a>(BPLS)<\/strong>, tedaviyi atlatt\u0131n \u2013 ama yine de bazen kendini g\u00fcvensiz veya hafif sersemlemi\u015f mi hissediyorsun?<\/p>\n\n\n\n<p>Buna denir <strong>Kal\u0131nt\u0131 ba\u015f d\u00f6nmesi (RS)<\/strong> \u2013 ve yeni bir ara\u015ft\u0131rma g\u00f6steriyor ki: <strong>Hedefe y\u00f6nelik antrenman i\u015fe yarar!<\/strong><\/p>\n\n\n\n<p>\ud83d\udd17 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40424142\/\"><strong>Orijinal \u00e7al\u0131\u015fmaya (\u0130ngilizce)<\/strong><\/a><\/p>\n\n\n\n<p><strong>Ne incelendi?<\/strong><\/p>\n\n\n\n<p>Kal\u0131nt\u0131 ba\u015f d\u00f6nmesi olan 30 ki\u015fi iki gruba ayr\u0131ld\u0131:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Grup 1:<\/strong><br>yap\u0131yordu <strong>Haftada 1 kez <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon tedavisi<\/a><\/strong> + evde g\u00fcnl\u00fck antrenman<\/li>\n\n\n\n<li><strong>Grup 2:<\/strong><br>her 2 ayda bir genel egzersiz (\u00f6rn. y\u00fcr\u00fcy\u00fc\u015f, bisiklete binme) ipu\u00e7lar\u0131 al\u0131yordu \u2013 bu durumda bunun da <strong>g\u00fcnl\u00fck olarak uygulamak<\/strong>, ancak do\u011frudan refakat\u00e7i olmadan<\/li>\n<\/ul>\n\n\n\n<p><strong>Ne sonu\u00e7 \u00e7\u0131kt\u0131?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Her iki grup da birka\u00e7 ay sonra kendilerini daha iyi hissetti.<\/li>\n\n\n\n<li><strong>Ama Grup 1<\/strong> Y\u00fcr\u00fcrken ve dengede \u00e7ok daha g\u00fcvenliydi<\/li>\n\n\n\n<li>\u00d6zellikle bu <strong>G\u00f6zler kapal\u0131 ayakta durma<\/strong> fark\u0131 g\u00f6sterdi<\/li>\n<\/ul>\n\n\n\n<p><strong>Peki, ger\u00e7ekten ne i\u015fe yarar?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u00fczenli denge egzersizleri<\/li>\n\n\n\n<li>Terap\u00f6tik destek<\/li>\n\n\n\n<li>Ev egzersizleri<\/li>\n\n\n\n<li>Sadece y\u00fcr\u00fcy\u00fc\u015f de\u011fil \u2013 hedef odakl\u0131 antrenman<\/li>\n<\/ul>\n\n\n\n<p>\ud83d\udc49 Yard\u0131m m\u0131 ar\u0131yorsunuz?<\/p>\n\n\n\n<p>Burada b\u00f6lgenizde \u00f6zel olarak e\u011fitilmi\u015f terapistleri bulabilirsiniz:<\/p>\n\n\n\n<p><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\">IVRT\u00ae Terapist Arama<\/a><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Viele Patient:innen mit benignem paroxysmalem Lagerungsschwindel (BPLS) berichten auch nach erfolgreichen Befreiungsman\u00f6vern \u00fcber anhaltenden Benommenheitsschwindel oder Unsicherheit \u2013 ein klinisches Ph\u00e4nomen, das als Restschwindel (RS) bezeichnet wird. Eine neue Studie von Shiozaki et al. (2025) untersuchte die Wirksamkeit vestibul\u00e4rer Rehabilitation bei diesen Restbeschwerden. \ud83d\udd17 Originalstudie auf PubMed Studiendesign: Ergebnisse: Klinische Bedeutung: Diese Studie [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":18009,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":864,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-13682","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=13682"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13682\/revisions"}],"predecessor-version":[{"id":17485,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/13682\/revisions\/17485"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/18009"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=13682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=13682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=13682"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}