Galvanic vestibular stimulation and its applications: a systematic review

Pires, Anna Paula Batista de Ávila; Silva, Tatiana Rocha; Torres, Maíra Soares; Diniz, Maria Luiza; Tavares, Maurício Campelo; Gonçalves, Denise Utsch

doi:10.1016/j.bjorl.2022.05.010

Cited by 12 publications

(7 citation statements)

References 55 publications

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“…In these patients, the rehabilitation was focused on balance improvement and hearing function. The few papers showed the usefulness of proper physical training and the application of neurostimulation to the vestibular system [ 46 ]. Among the toxic diseases, chemotherapy-induced neuropathies have been mainly evaluated, and exercises and physical therapies aimed at strengthening, endurance, balance, and sensory-motor function could be considered in ameliorating QoL [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation of Peripheral Neuropathies: From Lexical Analysis of the Literature to Identification of Clinical Protocols

Coraci,

Romano,

Ragazzo

et al. 2023

JCM

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Peripheral nervous system diseases are a complex and heterogenous group of diseases affecting the different nerves with various severity and impact on quality of life. The current literature does not provide a structured guide for the rehabilitation of these conditions. We performed a lexical literature evaluation based on graph theory to clarify this topic. We performed a search on PubMed and calculated the frequencies of the words indicating rehabilitation approaches, nerves, and diseases. We found the usefulness of exercises and different physical agents, like laser and ultrasound therapy and neuromuscular stimulation vibration therapy. Orthoses are useful for entrapment, trauma, and hereditary diseases. Correct knowledge and assessment of the neuropathies are fundamental for the therapeutic decision and to guide rehabilitation. Despite the usefulness shown by the different approaches to modulating pain, improving muscle strength and endurance, and ameliorating balance and the sensory system, further studies are needed to define the best-personalized protocols.

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Section: Resultsmentioning

confidence: 99%

Rehabilitation of Peripheral Neuropathies: From Lexical Analysis of the Literature to Identification of Clinical Protocols

Coraci,

Romano,

Ragazzo

et al. 2023

JCM

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“…The latter leads to sufficient neuronal inhibition or excitation to reach the perceptual clinical threshold (vertigo, nausea, and vomiting) and induces measurable behavioral (oculomotor and postural) responses [ 23 , 42 ]. Dlugoiczyk in 2019 and Apba in 2022 [ 26 , 27 ] both proposed an exhaustive review of advances in GVS. Their work addressed cellular and neurophysiological mechanisms as well as clinical applications of this technique.…”

Section: Discussionmentioning

confidence: 99%

“…It also has a reweighting effect on the connection between vestibular pathways and the limbic system. Some authors found that GVS acts on all pathways involved in the vestibular system response [ 19 , 26 , 27 , 28 ]. Depending on the use of subliminal or supraliminal thresholds and the duration of stimulation, a VES effect was described, leading to modifications in the plasticity of vestibular and postural reflexes [ 19 , 26 , 27 , 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

How a Subclinical Unilateral Vestibular Signal Improves Binocular Vision

Xavier,

Chouin,

Serin-Brackman

et al. 2023

JCM

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The present study aimed to determine if an infra-liminal asymmetric vestibular signal could account for some of the visual complaints commonly encountered in chronic vestibular patients. We used infra-liminal galvanic vestibular stimulation (GVS) to investigate its potential effects on visuo-oculomotor behavior. A total of 78 healthy volunteers, 34 aged from 20 to 25 years old and 44 aged from 40 to 60 years old, were included in a crossover study to assess the impact of infra-liminal stimulation on convergence, divergence, proximal convergence point, and stereopsis. Under GVS stimulation, a repeated measures ANOVA showed a significant variation in near convergence (p < 0.001), far convergence (p < 0.001), and far divergence (p = 0.052). We also observed an unexpected effect of instantaneous blocking of the retest effect on the far divergence measurement. Further investigations are necessary to establish causal relationships, but GVS could be considered a behavioral modulator in non-pharmacological vestibular therapies.

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“…On a similar note, a growing literature indicates that artificial stimulation of the vestibular organs via galvanic or caloric waveforms can remediate a range of cognitive and affective difficulties (193,194). This literature is mostly focused on individuals with a central nervous condition rather than a vestibular disorder, and few have investigated whether cognitive improvement following vestibular stimulation correlates with improvements in balance.…”

Section: Future Directionsmentioning

confidence: 99%

Cognition in vestibular disorders: state of the field, challenges, and priorities for the future

Smith,

Wilkinson,

Bodani

et al. 2024

Front. Neurol.

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Vestibular disorders are prevalent and debilitating conditions of the inner ear and brain which affect balance, coordination, and the integration of multisensory inputs. A growing body of research has linked vestibular disorders to cognitive problems, most notably attention, visuospatial perception, spatial memory, and executive function. However, the mechanistic bases of these cognitive sequelae remain poorly defined, and there is a gap between our theoretical understanding of vestibular cognitive dysfunction, and how best to identify and manage this within clinical practice. This article takes stock of these shortcomings and provides recommendations and priorities for healthcare professionals who assess and treat vestibular disorders, and for researchers developing cognitive models and rehabilitation interventions. We highlight the importance of multidisciplinary collaboration for developing and evaluating clinically relevant theoretical models of vestibular cognition, to advance research and treatment.

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Galvanic vestibular stimulation and its applications: a systematic review

Cited by 12 publications

References 55 publications

Rehabilitation of Peripheral Neuropathies: From Lexical Analysis of the Literature to Identification of Clinical Protocols

Rehabilitation of Peripheral Neuropathies: From Lexical Analysis of the Literature to Identification of Clinical Protocols

How a Subclinical Unilateral Vestibular Signal Improves Binocular Vision

Cognition in vestibular disorders: state of the field, challenges, and priorities for the future

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