論文

査読有り 国際誌
2016年1月

Can Postural Instability Respond to Galvanic Vestibular Stimulation in Patients with Parkinson's Disease?

Journal of movement disorders
  • Hiroshi Kataoka
  • ,
  • Yohei Okada
  • ,
  • Takao Kiriyama
  • ,
  • Yorihiro Kita
  • ,
  • Junji Nakamura
  • ,
  • Shu Morioka
  • ,
  • Koji Shomoto
  • ,
  • Satoshi Ueno

9
1
開始ページ
40
終了ページ
3
記述言語
英語
掲載種別
DOI
10.14802/jmd.15030

OBJECTIVE: Galvanic vestibular stimulation (GVS) activates the vestibular afferents, and these changes in vestibular input exert a strong influence on the subject's posture or standing balance. In patients with Parkinson's disease (PD), vestibular dysfunction might contribute to postural instability and gait disorders. METHODS: Current intensity was increased to 0.7 mA, and the current was applied to the patients for 20 minutes. To perform a sham stimulation, the current intensity was increased as described and then decreased to 0 mA over the course of 10 seconds. The patient's status was recorded continuously for 20 minutes with the patient in the supine position. RESULTS: Three out of 5 patients diagnosed with PD with postural instability and/or abnormal axial posture showed a reduction in postural instability after GVS. The score for item 12 of the revised Unified Parkinson's Disease Rating Scale part 3 was decreased in these patients. CONCLUSIONS: The mechanism of postural instability is complex and not completely understood. In 2 out of the 5 patients, postural instability was not changed in response to GVS. Nonetheless, the GVS-induced change in postural instability for 3 patients in our study suggests that GVS might be a therapeutic option for postural instability.

リンク情報
DOI
https://doi.org/10.14802/jmd.15030
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/26648182
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734983
ID情報
  • DOI : 10.14802/jmd.15030
  • PubMed ID : 26648182
  • PubMed Central 記事ID : PMC4734983

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