Effectiveness of electrical vestibular nerve stimulation on the range of motion in patients with Parkinson’s disease
-
Sai Sailesh Kumar Goothy
, Sudhir Gawarikar
Abstract
Objectives
The present study was undertaken to observe the effectiveness of electrical vestibular stimulation on the range of motion (ROM) in patients with Parkinson’s disease (PD).
Methods
The present study was a randomized controlled trial (ClinicalTrials.gov Identifier: NCT04450550). The study participants were assessed at three points of time. After recording baseline cognitive functions, electrical vestibular nerve stimulation was administered to the intervention group and placebo stimulation was administered to the control group for 12 weeks. Post-intervention parameters were recorded after 6 weeks and after 12 weeks after the intervention in both control and intervention groups. A total of 30 cases of PD, including both males and females were recruited in the study by convenient sampling after obtaining written informed consent. All ROM and flexibility measurements were recorded using a universal goniometer and standard protocol with help of an experienced physiotherapist at our hospital.
Results
There was a significant improvement in the hip internal and external rotation right and left sides. There was a significant improvement in the hip extension right and left. There was a significant improvement in the ankle plantarflexion left and ankle dorsiflexion right and left followed by the intervention. There was a significant decline in the hip internal rotation on right and left sides. There was a significant decline in the hip extension and ankle dorsiflexion on the left side.
Conclusions
The study results confirm the improvement of motor activities of patients with PD followed by vestibular stimulation. Further detailed studies are recommended to support the application of vestibular stimulation as an alternative therapy in the management of motor functions in patients with PD.
Funding source: Indian Council of Medical Research
Award Identifier / Grant number: Indian Council of Medical Research (2020 1352) (sa
Acknowledgments
Our sincere thanks to Dr. Jason McKeown, CEO of Neurovalens for providing the electrical vestibular nerve stimulators to our study. We also thank all the participants of the study for their support throughout the study. Special thanks to our Dean, R.D. Gardi Medical College for providing all required resources to accomplish the study.
-
Research funding: The study was funded by the Indian Council of Medical Research (2020 1352) (sanction letter 5/3/8/50/2020- ITR).
-
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
-
Competing interests: The authors state no conflict of interest.
-
Informed consent: Informed consent was obtained from all individuals included in this study.
-
Ethical approval: The local Institutional Review Board deemed the study exempt from review.
References
1. Ray Dorsey, E, Elbaz, A, Nichols, E, Abd-Allah, F, Abdelalim, A, Adsuar, JC, et al.. Global, regional, and national burden of Parkinson’s disease, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2018;17:939–53.10.1016/S1474-4422(18)30295-3Search in Google Scholar PubMed PubMed Central
2. Armstrong, MJ, Okun, MS. Diagnosis and treatment of Parkinson’s disease: a review. JAMA 2020;323:548–60.10.1001/jama.2019.22360Search in Google Scholar PubMed
3. Sethi, K. Levodopa unresponsive symptoms in Parkinson’s disease. Mov Disord 2008;23:S521–33.10.1002/mds.22049Search in Google Scholar PubMed
4. Krack, P, Batir, A, Van Blercom, N, Chabardes, S, Fraix, V, Ardouin, C, et al.. Five-year follow-up of bilateral stimulation of the subthalamic nucleus in advanced Parkinson’s disease. N Engl J Med 2003;349:1925–34.10.1056/NEJMoa035275Search in Google Scholar PubMed
5. Liu, A, Vöröslakos, M, Kronberg, G, Henin, S, Krause, MR, Huang, Y, et al.. Immediate neurophysiological effects of transcranial electrical stimulation. Nat Commun 2018;9:5092.10.1038/s41467-018-07233-7Search in Google Scholar PubMed PubMed Central
6. Yang, D, Shin, Y, Hong, KS. Systemic review on transcranial electrical stimulation parameters and EEG/fNIRS features for brain diseases. Front Neurosci 2021;15:629323.10.3389/fnins.2021.629323Search in Google Scholar PubMed PubMed Central
7. Pallarés, JG, Hernández-Belmonte, A, Martínez-Cava, A, Vetrovsky, T, Steffl, M, Courel-Ibáñez, J. Effects of range of motion on resistance training adaptations: a systematic review and meta-analysis. Scand J Med Sci Sports 2021;31:1866–81.10.1111/sms.14006Search in Google Scholar PubMed
8. Goothy, SSK, McKeown, J, Mcgeoch, PD, Srilatha, B, Vijayaraghavan, R, Manyam, R, et al.. Electrical vestibular nerve stimulation as an adjunctive therapy in the management of type 2 diabetes. J Basic Clin Physiol Pharmacol 2021;32:1075–82.10.1515/jbcpp-2020-0210Search in Google Scholar PubMed
9. Lee, S, Liu, A, McKeown, MJ. Current perspectives on galvanic vestibular stimulation in the treatment of Parkinson’s disease. Expert Rev Neurother 2021;21:405–18.10.1080/14737175.2021.1894928Search in Google Scholar PubMed
10. Yamamoto, Y, Struzik, ZR, Soma, R, Ohashi, K, Kwak, S. Noisy vestibular stimulation improves autonomic and motor responsiveness in central neurodegenerative disorders. Ann Neurol 2005;58:175–81.10.1002/ana.20574Search in Google Scholar PubMed
11. Bosch-Bouju, C, Hyland, BI, Parr-Brownlie, LC. Motor thalamus integration of cortical, cerebellar, and basal ganglia information: implications for normal and parkinsonian conditions. Front Comput Neurosci 2013;7:163.10.3389/fncom.2013.00163Search in Google Scholar PubMed PubMed Central
12. Matsunami, K, Cohen, B. Afferent modulation of unit activity in globus pallidus and caudate nucleus: changes induced by vestibular nucleus and pyramidal tract stimulation. Brain Res 1975;91:140–6.10.1016/0006-8993(75)90473-4Search in Google Scholar PubMed
13. Bottini, G, Sterzi, R, Paulesu, E, Vallar, G, Cappa, SF, Erminio, F, et al.. Identification of the central vestibular projections in man: a positron emission tomography activation study. Exp Brain Res 1994;99:164–9.10.1007/BF00241421Search in Google Scholar PubMed
14. Kumar, SS, Rajagopalan, A, Antony, NJ, Mukkadan, JK. You are never too old to swing. Res J Pharmaceut Biol Chem Sci 2014;5:612–5.Search in Google Scholar
15. Goothy, SSK, McKeown, J. Modulation of sleep using electrical vestibular nerve stimulation prior to sleep onset: a pilot study. J Basic Clin Physiol Pharmacol 2020;32:19–23.10.1515/jbcpp-2020-0019Search in Google Scholar PubMed
16. Tramontano, M, Medici, A, Iosa, M, Chiariotti, A, Fusillo, G, Manzari, L, et al.. The effect of vestibular stimulation on motor functions of children with cerebral palsy. Mot Control 2017;21:299–311.10.1123/mc.2015-0089Search in Google Scholar PubMed
17. Moghadam, SF, Haghgoo, HA, Pishyareh, E, Bakhshi, E, Rezazadeh, N, Rostami, R, et al.. Vestibular therapy improved motor planning, attention, and balance in children with attention deficit hyperactivity disorders: a randomized controlled trial. Phys Med Rehabil Res 2018;3:1–6.10.15761/PMRR.1000171Search in Google Scholar
18. Goel, R, Kofman, I, Jeevarajan, J, De Dios, Y, Cohen, HS, Bloomberg, JJ, et al.. Using low levels of stochastic vestibular stimulation to improve balance function. PLoS One 2015;10:e0136335.10.1371/journal.pone.0136335Search in Google Scholar PubMed PubMed Central
19. Stiles, L, Smith, PF. The vestibular-basal ganglia connection: balancing motor control. Brain Res 2015;1597:180–8.10.1016/j.brainres.2014.11.063Search in Google Scholar PubMed
20. Li, L, Steidl, S, Yeomans, JS. Contributions of the vestibular nucleus and vestibulospinal tract to the startle reflex. Neuroscience 2001;106:811–21.10.1016/S0306-4522(01)00324-4Search in Google Scholar PubMed
21. Arendt, RE, MacLean, WEJr, Halpern, LF, Youngquist, GA, Baumeister, AA. The influence of rotary vestibular stimulation upon motor development of nonhandicapped and Down syndrome infants. Res Dev Disabil 1991;12:333–48.10.1016/0891-4222(91)90016-LSearch in Google Scholar
22. McCulloch, E, Goothy, SSK, McKeown, J. Electrical vestibular nerve stimulation (VeNS): a follow-up safety assessment of long-term usage. J Basic Clin Physiol Pharmacol 2022;33:645–8.10.1515/jbcpp-2021-0395Search in Google Scholar PubMed
© 2022 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorial
- Breaking the mold: revolutionary new obesity drugs set to transform treatment landscape?
- Reviews
- The relationship between the history of PDE5-inhibitors assumption and melanoma: a systematic review
- Stem cell therapy in sports medicine: current applications, challenges and future perspectives
- Original Articles
- Modulatory action of Moringa oleifera Lam. on L-arginine induced acute pancreatitis
- Isotonic saline causes greater volume overload than electrolyte-free irrigating fluids
- Anti-atherosclerotic activity of aqueous extract of Ipomoea batatas (L.) leaves in high-fat diet-induced atherosclerosis model rats
- Efficacy of Habb-e-Asab in diabetic peripheral neuropathy: a randomized placebo control study
- Indoleamine 2,3-dioxygenase controls purinergic receptor-mediated ischemia-reperfusion injury in renal tubular epithelial cells
- Effect of habitual breakfast skipping on information processing capacity, cortical response, and cognitive flexibility among medical collegiate – a cross-sectional study
- Association of neck circumference and waist-hip ratio with total leukocyte count in healthy Indian adolescents
- 3-Day food record: efficacy in patients with type 2 diabetes mellitus
- Development and user acceptability testing of healthy heart mobile application – a tool for cardiovascular risk modification among patients with type 2 diabetes mellitus
- Effectiveness of electrical vestibular nerve stimulation on the range of motion in patients with Parkinson’s disease
- Intra-operative drug level monitoring of pre-operative antibiotic for surgical prophylaxis in the patients of elective spinal surgery
- Case Report
- The black swan: a case of central nervous system graft-versus-host disease
Articles in the same Issue
- Frontmatter
- Editorial
- Breaking the mold: revolutionary new obesity drugs set to transform treatment landscape?
- Reviews
- The relationship between the history of PDE5-inhibitors assumption and melanoma: a systematic review
- Stem cell therapy in sports medicine: current applications, challenges and future perspectives
- Original Articles
- Modulatory action of Moringa oleifera Lam. on L-arginine induced acute pancreatitis
- Isotonic saline causes greater volume overload than electrolyte-free irrigating fluids
- Anti-atherosclerotic activity of aqueous extract of Ipomoea batatas (L.) leaves in high-fat diet-induced atherosclerosis model rats
- Efficacy of Habb-e-Asab in diabetic peripheral neuropathy: a randomized placebo control study
- Indoleamine 2,3-dioxygenase controls purinergic receptor-mediated ischemia-reperfusion injury in renal tubular epithelial cells
- Effect of habitual breakfast skipping on information processing capacity, cortical response, and cognitive flexibility among medical collegiate – a cross-sectional study
- Association of neck circumference and waist-hip ratio with total leukocyte count in healthy Indian adolescents
- 3-Day food record: efficacy in patients with type 2 diabetes mellitus
- Development and user acceptability testing of healthy heart mobile application – a tool for cardiovascular risk modification among patients with type 2 diabetes mellitus
- Effectiveness of electrical vestibular nerve stimulation on the range of motion in patients with Parkinson’s disease
- Intra-operative drug level monitoring of pre-operative antibiotic for surgical prophylaxis in the patients of elective spinal surgery
- Case Report
- The black swan: a case of central nervous system graft-versus-host disease