前庭系统对维持人体姿势平衡、注视稳定及空间感知至关重要。传统前庭功能检查结果因为与患者症状严重度及恢复轨迹之间不呈线性相关，所以难以全面反映前庭系统真实功能状态。为解释这一现象，本文提出前庭储备（vestibular...
This is a conceptual/theoretical paper introducing a new framework; no practice change is warranted yet, but the vestibular reserve concept may eventually guide interpretation of mismatched vestibular test and symptom profiles.
Formalising the concept of vestibular reserve could reshape how clinicians interpret vestibular test results and explain patient variability, analogous to the impact cognitive reserve theory has had on neurology.
- 01'Vestibular reserve' describes the balance system's ability to maintain function despite structural or physiological damage.
- 02The concept aims to explain why vestibular test results and symptom severity often do not match.
- 03Analogous to cognitive and auditory reserve frameworks already used in neuroscience and audiology.
- 04Paper is exploratory and conceptual — no clinical trial or patient cohort data is presented.
- 05Published in a Chinese otolaryngology journal as a preliminary conceptual exploration.
The concept of 'vestibular reserve' can account for discordance between vestibular test results and symptom severity.
opinionunclear- PMID
- 42103640
- DOI
- 10.3760/cma.j.cn115330-20251221-00678.
- Journal
- Chinese Journal of Otorhinolaryngology Head and Neck Surgery
- Publication type
- editorial
- Evidence level
- 5
- Population
- No specific patient cohort; conceptual/theoretical discussion
- Intervention
- Introduction of the vestibular reserve conceptual framework
Primary outcomes
Conceptual definition and proposed clinical utility of vestibular reserve