MI CONFIGURACIÓN
Capítulo 8. Exploración de la función vestibular Exploración y evaluación
ZOOM Cka7rRT xk0367ós GTR C367Ts0T 3 GTxT6W3 k 3 7jdp7TxG3 akrxT ap TKT
tTx0763R. hR 7sG7t7Gpk skxB3R sk xk03 Báa GT F1º GTaCpéa GT xT3R7j3x
0kG3 R3 CxpTr3.
hs TR aísGxkBT tTa07rpR3x CTx79éx76k R3a ka67R367ksTa GTR 0xks6k
Ts Rka Bkt7B7Ts0ka GT B3x6W3 aks Báa 3BCR73a W3673 TR R3Gk Ts-
9TxBk. hR C367Ts0T 07TsGT 3 xk03x akrxT ap TKT tTx0763R G7x7H7ésGkaT
W3673 TR R3Gk Ts9TxBk Ts Báa GT F1º. hs R3a RTa7ksTa 6Ts0x3RTa R3a
ka67R367ksTa R30Tx3RTa aks Báa 3BCR73a, CTxk a7s dpT TP7a03 ps3 GTa-
t7367ós Báa a7Hs7fi6307t3 3 GTxT6W3 k 3 7jdp7TxG3.
50% 110%
Craneocorpografía de Claussen (1978)
eR3paaTs (mv4y)I G7aTñó ps a7a0TB3 dpT CTxB70T TR xTH7a0xk 9k0k-
PÁ G I N AHxáfi6k
S GT R3a CxpTr3a GT QkBrTxH (Tdp7R7rx7k Ta0á076k) J GT is0Tx-
rTxHTx-8pbpG3 (Tdp7R7rx7k G7sáB76k Ts R3 B3x6W3), 9367R703sGk ap
7s0TxCxT0367ós J Cka7r7R703sGk ap Gk6pBTs0367ós Hxáfi63.
u3x3 xT3R7j3x R3 6x3sTk6kxCkHx39í3 aT 6kRk63 3R C367Ts0T ps 63a6k
dpT RRTt3 ps C7Rk0k RpB7skak GTR3s0T (9xks03R) J k0xk GT0xáa (k667-
C703R), aT fiK3 3GTBáa ps C7Rk0k akrxT 63G3 WkBrxk. ha03Bka Ts ps3
126
W3r70367ós Ts CTspBrx3 J TR C367Ts0T 07TsT Rka kKka tTsG3Gka C3x3
Tt703x R3 7s9kxB367ós t7ap3R. is3 6áB3x3 instamatic polaroid GT TP-
Cka767ós 6ks07sp3 63C03 GTaGT 3xx7r3 TR Bkt7B7Ts0k GT Rka 6p30xk
C7Rk0ka RpB7skaka (87H. y-mD).
fT kxGTs3 3R C367Ts0T dpT aT a70úT Ts Cka767ós GT fixBTa C3x3 R3
CxpTr3 GT QkBrTxH, dpTG3sGk xTH7a0x3G3a R3a ka67R367ksTa GT Rka
V I S U A LC7Rk0ka
I Z ATsCTR I6R76Wé
ÓN 9k0kHxáfi6k GT R3xH3 TPCka767ós (87H. y-mm).
N 6ks07sp367ós aT RT B3sG3 xT3R7j3x Rka Bkt7B7Ts0ka GT B3x6W3
akrxT TR RpH3x GT is0TxrTxHTx, 0x303sGk GT xT3R7j3x GT yD 3 mDD C3-
aka Ckx B7sp0k. A3a ka67R367ksTa GTR 6pTxCk Ts R3 B3x6W3, 0x3saB7-
07G3a 3 Rka C7Rk0ka RpB7skaka GT 63rTj3 J WkBrxka, aks 63C03G3a Ts
ps spTtk 6R76Wé (87H. y-mm).
REFERENCIAS BIBLIOGRÁFICAS
Selecciona el tipo de
re f e re n c i a
D1
B6
B
SKINS 1D 6
87Hpx3 y-v
uxpTr3 GT is0TxrTxHTx-8pbpG3. hR C367Ts0T GTrT xT3R7j3x GT 2D
3 mDD C3aka sobre el terreno 6ks Rka kKka 6Txx3Gka, a7s a3R7xaT GT
ps TaC367k GTR7B703Gk GT 1D Ckx 1D 6Ts0íBT0xka.
CLARO OSCURO
A3 7s0TxCxT0367ós GT Rka xTapR03Gka Ta, s30px3RBTs0T, 7Hp3R 3 R3
dpT aT TP0x3T GT R3a CxpTr3a GT QkBrTxH J GT is0TxrTxHTx-8pbp-
G3; apa tTs03K3a x3G763s Ts dpT CpTGT Ta0pG73xaT GT0Ts7G3BTs0T
a posteriori J Ts dpT Gk6pBTs03s Hxáfi63BTs0T R3 W7a0kx73 GTR C3-
h QkBrTxH, J ps3 xk0367ós W3673 TR R3Gk GT R3 RTa7ós Ts R3 GT is0Tx-
400%
8 R30Tx3RTa sk 07TsTs 6R3x3 CxT9TxTs673 G7xT667ks3R J CpTGT 3C3xT6Tx
Q Estatoquinesimetría de Baron. Posturografía estática
A l
SS
N
n
87Hpx3 y-mD
ex3sTk6kxCkHx39í3. N. hR apKT0k TPCRkx3Gk Ckx03 6p30xk Cps0ka
RpB7skaka (A): TR 3s0Tx7kx J TR Cka0Tx7kx apKT0ka Ts ps 63a6k, TR
GTxT6Wk J TR 7jdp7TxGk a70p3Gka psk Ts 63G3 WkBrxk. is3 6á-
B3x3 9k0kHxáfi63 GT TPCka767ós 6ks07sp3 (8) 63C03 R3 7B3HTs GT
R3 ka67R367ós GT Ta0ka Cps0ka RpB7skaka dpT 3C3xT6T xTflTK3G3
Ts ps TaCTKk (h). is xk0kx (Q) BpTtT pska Cps0ka RpB7skaka
dpT H7x3s 0x3j3sGk pska 6íx6pRka 6ks6és0x76ka Ts R3 9k0kHx39í3,
dpT t3s 3 aTxt7x GT xT9TxTs673 3R t3Rkx3x TR xTapR03Gk. n. A3 6áB3-
x3 instamatic polaroid GT TPCka767ós 6ks07sp3 (e) 63C03 TR Bk-
t7B7Ts0k GT Rka 6p30xk C7Rk0ka RpB7skaka xTflTK3Gka Ts TR TaCTKk
aTB7Ta9éx76k (h).
mI1
1.248.0
67Ts0T, 6ks R3 7BCkx03s673 6Rís763, Ta03Gía0763 J BéG76k-RTH3R dpT
Ta0k apCksT.
Y3Rkx3sGk Rka GTaCR3j3B7Ts0ka 3s0Txk-Cka0Tx7kxTa, R3a ka67R3-
67ksTa R30Tx3RTa J R3 xk0367ós GTR 6pTxCk akrxT ap TKT tTx0763R, Ts
apKT0ka a3ska aT W3s kr0Ts7Gk pska C30xksTa GT skxB3R7G3G. hs Rka
aísGxkBTa tTa07rpR3xTa CTx79éx76ka aT kraTxt3 ps 3pBTs0k GT Rka
GTaCR3j3B7Ts0ka R30Tx3RTa W3673 TR R3Gk Ts9TxBk Ts R3 CxpTr3 GT
rTxHTx-8pbpG3 (87H. y-mI). hs Rka aísGxkBTa 6Ts0x3RTa 3pBTs03 R3
3BCR70pG GT R3a ka67R367ksTa 6kxCkx3RTa (87H. y-mM), R3a GTat7367ksTa
ps3 xk0367ós k ps GTaCR3j3B7Ts0k 3s0Txk-Cka0Tx7kx.
A3 Ta030kdp7sTa7BT0xí3 Ta TR CxT6pxakx GT R3 360p3R Cka0pxkHx3-
9í3. ha 3RHk Báa dpT ps xTH7a0xk Hxáfi6k GT R3 CxpTr3 GT QkBrTxH;
07TsT 6kBk Bk07tk R3 kraTxt367ós Ckx BTG7ka TRT60xós76ka GT Rka
GTaCR3j3B7Ts0ka GTR 6Ts0xk GT Hx3tTG3G dpT ap9xT ps apKT0k r7CT-
GTa03s0T Ts Cka767ós GT fixBTa.
is 7sG7t7Gpk GT C7T J Ts xTCkak sps63 Ta0á CTx9T603BTs0T tTx-
0763R s7 3rakRp03BTs0T 7sBót7R, a7sk dpT ka67R3 6ks07sp3BTs0T a7-
Hp7TsGk ps x70Bk CT6pR73x, Ckx CxTGkB7s7k GTR 0ksk Bpa6pR3x GT
ps WTB76pTxCk k GTR k0xk. hs T9T60k, a7 aT xTR3K3 G7a6xT03BTs0T TR
0ksk Bpa6pR3x GT ps WTB76pTxCk xTaCT60k 3R 0ksk GTR 6ks0x3R3-
0Tx3R, TR apKT0k 07TsGT 3 63Tx W3673 TR R3Gk GT BTska 0ksk; GT Ta0T
GTaCR3j3B7Ts0k 7s9kxB3s Rka 0xTa a7a0TB3a Ts63xH3Gka GTR B3s0T-
N W7Ckt3RTs0T, Ts Ta0T 63ak W3673 R3 7jdp7TxG3.
l S
u
87Hpx3 y-mm
ex3sTk6kxCkHx39í3. 5x3j3Gk skxB3R. N, 3s0Tx7kx. u, Cka0Tx7kx. l,
GTxT6W3. S, 7jdp7TxG3. A3 CxpTr3 GT QkBrTxH aT xTCxTaTs03 6ks
6p30xk HxpCka GT 7BCxTa7ós, dpT aT 6kxxTaCksGTs 6ks Rka 6p3-
0xk Cps0ka RpB7skaka 6kRk63Gka 3R C367Ts0T; R3 t3Rkx367ós aT
xT3R7j3 aTHús R3 3BCR70pG J GkB7s3s673 R30Tx3R GT Ta0ka HxpCka.
A3 CxpTr3 GT is0TxrTxHTx-8pbpG3 aT xTH7a0x3 Ckx R3 7BCxTa7ós
GT 0xTa r3xx3a GT ka67R367ksTa: ps3 6kxxTaCksG7Ts0T 3R Cps0k
RpB7skak GTR WkBrxk GTxT6Wk, k0x3 3 Rka Cps0ka RpB7skaka 3s-
0Tx7kx J Cka0Tx7kx, J R3 0Tx6Tx3 Ta 0x3j3G3 Ckx R3a ka67R367ksTa GTR
Cps0k RpB7skak GTR WkBrxk 7jdp7TxGk.
mI2
Capítulo 8. Exploración de la función vestibular
s7B7Ts0k GTR Tdp7R7rx7k J R3 xTaCpTa03 Ta ps 3pBTs0k GTR 0ksk Ts TR
R3Gk GTfi6703x7k (3 0x3téa GT ps xTflTKk tTa0írpRk-TaC7s3R), 6ks Rk dpT
aT xTa03rRT6T R3 tTx0763R7G3G. f7 R3 xTaCpTa03 Ta TP6Ta7t3, R3 0TsGTs673
3 R3 63íG3 Ta W3673 TR k0xk R3Gk, 6ks Rk dpT 3C3xT6T Ts aTHp7G3 ps3
spTt3 xTaCpTa03 6kBCTsa3Gkx3. Naí 6ks07sp3BTs0T aT Ta0ás 6ks-
0xkR3sGk R3a GTat7367ksTa GT R3 tTx0763R7G3G, 03s0k 3 GTxT6W3 k 7j-
N hs TaTs673, TR Ta030kdp7sTaíBT0xk Ta ps3 CR3039kxB3, a7B7R3x
S 3 R3a GTat7367ksTa GTR 6Ts0xk GT Hx3tTG3G GTR 7sG7t7Gpk TPCRkx3Gk.
u 3R0Tx367ós GT R3 tTx0763R7G3G. hs TR 7sG7t7Gpk skxB3R aT xT6kHTs Báa
87Hpx3 y-mI
ex3sTk6kxCkHx39í3. hs TR aísGxkBT tTa07rpR3x CTx79éx76k R3a
r3xx3a GT ka67R367ksTa CxTaTs03s ps3 3BCR70pG 6kstTs67ks3R,
CTxk aT kraTxt3 ps3 xk0367ós 6kxCkx3R W3673 TR R3Gk RTa7ks3Gk
N N
l S
u 87Hpx3 y-mF
87Hpx3 y-mM
ex3sTk6kxCkHx39í3. hs TR aísGxkBT tTa07rpR3x 6Ts0x3R aT 3CxT673
ps Hx3s 3pBTs0k GT R3 3BCR70pG GT R3a ka67R367ksTa; Ta0T 9Tsó-
BTsk Ta xTH7a0x3Gk 6kBk ps3 3s6Wpx3 Bp6Wk B3Jkx GT R3a 0xTa
r3xx3a. hs Ta0T 63ak sk aT kraTxt3 xk0367ós 6kxCkx3R.
Ex
dp7TxG3 6kBk –akrxT 0kGk– 3 GTR3s0T k 30xáa. Aka Bkt7B7Ts0ka GT
GTR3s0T 3 30xáa J GT 30xáa W3673 3GTR3s0T aks Báa sk03rRTa 3R aTx Báa
TPCxTa3G3 Ckx ps 3pBTs0k ps7G7xT667ks3R Ts R3 C3s03RR3, 3pBTs03
BpJ aTsa7rRTBTs0T 6p3sGk TR C367Ts0T 67Txx3 Rka kKka.
Ex
ton
Bót7R R3 3x076pR367ós GTR 0kr7RRk Ts aTs07Gk 3s0Txk-Cka0Tx7kx dpT Ts hs Rka aísGxkBTa tTa07rpR3xTa 6Ts0x3RTa 3pBTs03 R3 G7aCTxa7ós
aTs07Gk R30Tx3R. SsflpJT Cx7s67C3RBTs0T R3 t3x7367ós GTR ásHpRk dpT GT Rka xTH7a0xka GTR 6Ts0xk GT Hx3tTG3G Ts 0kGka Rka aTs07Gka (87H.
9kxB3s R3 63x3 apCTx7kx GTR C7T J R3 63x3 3s0Tx7kx GT R3 C7Txs3 –C3x3 y-m2). NR 6Txx3x Rka kKka, Rka Bkt7B7Ts0ka GT 63íG3-6kBCTsa367ós 67C
B3s0TsTx TR Tdp7R7rx7k sk GTrT RRTH3x 3 mDº–. hR Ta030kdp7sTaíBT- aks rxpa6ka J 3pBTs03 3ús Báa R3 CxkJT667ós GT R3 G7aCTxa7ós GTR Gx
0xk GT n3xks RkHxó CR3aB3x pska xTH7a0xka GT Rka Bkt7B7Ts0ka GTR 6Ts0xk GT Hx3tTG3G, 3psdpT 3 tT6Ta Ta xTGp67Gk. B7
6pTxCk WpB3sk Ts tTx0763R7G3G.
Pru
3 ps3 ráa6pR3 GT r3ñk, dpT 07TsT 6p30xk HxpCka GT aTsakxTa GT N
CxTa7ós Ts TR RpH3x Ts TR dpT aT 6kRk63s Rka C7Ta: GTR3s0T, GT0xáa, 3
R3 GTxT6W3 J 3 R3 7jdp7TxG3, CpG7TsGk 0TsTx k0xk 6Ts0x3R. ha0ka aTs- aTs
akxTa 0x3sa9kxB3s Rka 63Br7ka GT CxTa7ós GT GTxT6W3 3 7jdp7TxG3 J 0k
t76TtTxa3, k GT R3a Cps03a 3 Rka 03RksTa J 3R 6ks0x3x7k, Ts 7BCpRaka GT
TRé60x76ka dpT aks xT6kH7Gka Ts ps xTH7a0x3Gkx J 3s3R7j3Gka. Aka 67T
63Br7ka GT CxTa7ós Ts R3a G7xT667ksTa 6703G3a aks CxkCkx67ks3RTa GT
SS
A3a CxpTr3a Báa W3r70p3RTa aks: QkBrTxH 6ks kKka 3r7Tx0ka, QkB- l S Pru
rTxH 6ks kKka 6Txx3Gka, QkBrTxH akrxT apCTxfi67T sk xíH7G3 (3RBkW3-
Gós GT HkB3TaCpB3) 6ks Rka kKka 3r7Tx0ka, QkBrTxH akrxT apCTx-
fi67T sk xíH7G3 (3RBkW3Gós GT HkB3TaCpB3) 6ks Rka kKka 6Txx3Gka. aT
hs TR apKT0k a3sk TR 6Ts0xk GT Hx3tTG3G Ta xTR307t3BTs0T Ta03- 0Ts
rRT, CpTa apa xTflTKka tTa0írpRk-TaC7s3RTa RkHx3s 6kxxTH7x 6p3Rdp7Tx aTñ
BT
GT Gka 0Tx67ka GT Rka xTH7a0xka Ts TR 6íx6pRk 6Ts0x3R GT R3 C3s03RR3, GT
6ks ps3 G7aCTxa7ós 67x6pR3x, G7a6xT03 J a7s CxT9TxTs673 W3673 ps CkRk
u
GT
dpT sk akrxTC3a3 Rka vD BBI . hR xTH7a0xk sk t3xí3 aTsa7rRTBTs0T a7 87Hpx3 y-m1 6T
TR 7sG7t7Gpk TPCRkx3Gk 3rxT k 67Txx3 Rka kKka (87H. y-mF). ha030kdp7sTa7BT0xí3. hs TR C367Ts0T 6ks aísGxkBT tTx07H7skak 6k
hs 39T667ksTa tTa07rpR3xTa CTx79éx763a TR 6Ts0xk GT Hx3tTG3G aT CTx79éx76k TR 6Ts0xk GT Hx3tTG3G Ta Báa 3BCR7k J aT Ts6pTs0x3 kr
R30Tx3R7j3 6R3x3BTs0T W3673 TR R3Gk GT BTska 0ksk –W7Ckt3RTs0T–, R30Tx3R7j3Gk W3673 TR R3Gk Ts9TxBk (W3673 R3 GTxT6W3 Ts Ta0T 36
dpT apTRT 6k7s67G7x 6ks TR R3Gk Ts9TxBk (87H. y-m1). A3 GTat7367ós, 63ak). hP7a0T G7aCTxa7ós GT Bkt7B7Ts0ka, a7TsGk éa0ka xTR307t3- Cx
BTs0T RTs0ka.
kr
N
-
-
l S
l S
u
u
ha030kdp7sTa7BT0xí3. N, 3s0Tx7kx. u, Cka0Tx7kx. l, GTxT6W3. S, 7j-
87Hpx3 y-m2 8
dp7TxG3. hs TR apKT0k skxB3R, 6ks Rka kKka 6Txx3Gka, R3 G7aCTx-
ha030kdp7sTa7BT0xí3. hs TR aísGxkBT tTa07rpR3x 6Ts0x3R 3pBTs- u
a7ós GT Bkt7B7Ts0ka Ta G7a6xT03 J a7B7R3x W3673 6p3Rdp7Tx R3Gk.
03 R3 G7aCTxa7ós GT Bkt7B7Ts0ka, 3GTBáa aks Báa xáC7Gka J G
hR xTH7a0xk 3CTs3a akrxTC3a3 TR 6íx6pRk BTskx CkxdpT TR centro
rxpa6ka (0x3j3Gk Báa fisk). hR 6Ts0xk GT Hx3tTG3G Ts Ta0T 63ak 6
de gravedad aT a70ú3 Ts ps Cps0k BTG7k, dpT Ta xTR307t3BTs0T
Ta xTGp67Gk J sk Ta0á GTaCR3j3Gk. G
xTGp67Gk.
mI4 m