Effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction

Abstract A single-blind study to investigate the effects of noisy galvanic vestibular stimulation (nGVS) in straight walking and 2 Hz head yaw walking for healthy and bilateral vestibular hypofunction (BVH) participants in light and dark conditions. The optimal stimulation intensity for each partici...

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Autores principales: Po-Yin Chen, Ying-Chun Jheng, Chien-Chih Wang, Shih-En Huang, Ting-Hua Yang, Po-Cheng Hsu, Chia-Hua Kuo, Yi-Ying Lin, Wei-Yi Lai, Chung-Lan Kao
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:ea213d95e9874bef8ba183164a7b8f142021-12-02T14:03:59ZEffect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction10.1038/s41598-021-83206-z2045-2322https://doaj.org/article/ea213d95e9874bef8ba183164a7b8f142021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83206-zhttps://doaj.org/toc/2045-2322Abstract A single-blind study to investigate the effects of noisy galvanic vestibular stimulation (nGVS) in straight walking and 2 Hz head yaw walking for healthy and bilateral vestibular hypofunction (BVH) participants in light and dark conditions. The optimal stimulation intensity for each participant was determined by calculating standing stability on a force plate while randomly applying six graded nGVS intensities (0–1000 µA). The chest–pelvic (C/P) ratio and lateral deviation of the center of mass (COM) were measured by motion capture during straight and 2 Hz head yaw walking in light and dark conditions. Participants were blinded to nGVS served randomly and imperceivably. Ten BVH patients and 16 healthy participants completed all trials. In the light condition, the COM lateral deviation significantly decreased only in straight walking (p = 0.037) with nGVS for the BVH. In the dark condition, both healthy (p = 0.026) and BVH (p = 0.017) exhibited decreased lateral deviation during nGVS. The C/P ratio decreased significantly in BVH for 2 Hz head yaw walking with nGVS (p = 0.005) in light conditions. This study demonstrated that nGVS effectively reduced walking deviations, especially in visual deprived condition for the BVH. Applying nGVS with different head rotation frequencies and light exposure levels may accelerate the rehabilitation process for patients with BVH. Clinical Trial Registration This clinical trial was prospectively registered at www.clinicaltrials.gov with the Unique identifier: NCT03554941. Date of registration: (13/06/2018).Po-Yin ChenYing-Chun JhengChien-Chih WangShih-En HuangTing-Hua YangPo-Cheng HsuChia-Hua KuoYi-Ying LinWei-Yi LaiChung-Lan KaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Po-Yin Chen
Ying-Chun Jheng
Chien-Chih Wang
Shih-En Huang
Ting-Hua Yang
Po-Cheng Hsu
Chia-Hua Kuo
Yi-Ying Lin
Wei-Yi Lai
Chung-Lan Kao
Effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction
description Abstract A single-blind study to investigate the effects of noisy galvanic vestibular stimulation (nGVS) in straight walking and 2 Hz head yaw walking for healthy and bilateral vestibular hypofunction (BVH) participants in light and dark conditions. The optimal stimulation intensity for each participant was determined by calculating standing stability on a force plate while randomly applying six graded nGVS intensities (0–1000 µA). The chest–pelvic (C/P) ratio and lateral deviation of the center of mass (COM) were measured by motion capture during straight and 2 Hz head yaw walking in light and dark conditions. Participants were blinded to nGVS served randomly and imperceivably. Ten BVH patients and 16 healthy participants completed all trials. In the light condition, the COM lateral deviation significantly decreased only in straight walking (p = 0.037) with nGVS for the BVH. In the dark condition, both healthy (p = 0.026) and BVH (p = 0.017) exhibited decreased lateral deviation during nGVS. The C/P ratio decreased significantly in BVH for 2 Hz head yaw walking with nGVS (p = 0.005) in light conditions. This study demonstrated that nGVS effectively reduced walking deviations, especially in visual deprived condition for the BVH. Applying nGVS with different head rotation frequencies and light exposure levels may accelerate the rehabilitation process for patients with BVH. Clinical Trial Registration This clinical trial was prospectively registered at www.clinicaltrials.gov with the Unique identifier: NCT03554941. Date of registration: (13/06/2018).
format article
author Po-Yin Chen
Ying-Chun Jheng
Chien-Chih Wang
Shih-En Huang
Ting-Hua Yang
Po-Cheng Hsu
Chia-Hua Kuo
Yi-Ying Lin
Wei-Yi Lai
Chung-Lan Kao
author_facet Po-Yin Chen
Ying-Chun Jheng
Chien-Chih Wang
Shih-En Huang
Ting-Hua Yang
Po-Cheng Hsu
Chia-Hua Kuo
Yi-Ying Lin
Wei-Yi Lai
Chung-Lan Kao
author_sort Po-Yin Chen
title Effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction
title_short Effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction
title_full Effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction
title_fullStr Effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction
title_full_unstemmed Effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction
title_sort effect of noisy galvanic vestibular stimulation on dynamic posture sway under visual deprivation in patients with bilateral vestibular hypofunction
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/ea213d95e9874bef8ba183164a7b8f14
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