Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury Patient

The traumatic spinal cord injury can generate sequels with high clinical severity and dysfunction and limitations of irreversible character. Current studies seek to reverse the sequelae and gain functionality in these individuals. Galvanic vestibular stimulation (GVS) has shown to be beneficial in s...

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Main Authors: Tais Nunes Nascimento, Catarina Costa Boffino
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Rehabilitation Sciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fresc.2022.779846/full
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author Tais Nunes Nascimento
Catarina Costa Boffino
author_facet Tais Nunes Nascimento
Catarina Costa Boffino
author_sort Tais Nunes Nascimento
collection DOAJ
description The traumatic spinal cord injury can generate sequels with high clinical severity and dysfunction and limitations of irreversible character. Current studies seek to reverse the sequelae and gain functionality in these individuals. Galvanic vestibular stimulation (GVS) has shown to be beneficial in spinal cord function as an evaluation correlated to functionality and for stimulation with physiological and functional characteristics in disease and healthy people. The present study observed the effects of Noise Galvanic Vestibular Stimulation in a patient with chronic spinal cord injury with tetraplegia on postural and trunk control. The evaluations were the Functional Independence Measure (FIM), the American Spinal Injury Association (ASIA) evaluation, and the Clinical Posturography, using force platform to assess postural balance, in the sitting position, through Sensory Organization and Functional Reach Tests. Ten sessions of Noise Galvanic Vestibular Stimulation associated with customized vestibular and neurofunctional rehabilitation were performed. The effects observed were increments in all assessments and tests that include modifications in functional independence, motor and sensory levels, change in disability grade from A (complete) to C (incomplete), and improvements in postural balance and trunk control. The phenomenon of stochastic resonance has shown benefits in postural control in people without vestibular lesions and we could observe some of these phenomena in our patients. We emphasize the need for evaluation with larger populations to observe the phenomena and effects in this group of patients and potential benefits and limitations.
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spelling doaj.art-96928ddd5b1a4692990fdf871d2f8eba2023-01-02T23:33:10ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612022-04-01310.3389/fresc.2022.779846779846Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury PatientTais Nunes NascimentoCatarina Costa BoffinoThe traumatic spinal cord injury can generate sequels with high clinical severity and dysfunction and limitations of irreversible character. Current studies seek to reverse the sequelae and gain functionality in these individuals. Galvanic vestibular stimulation (GVS) has shown to be beneficial in spinal cord function as an evaluation correlated to functionality and for stimulation with physiological and functional characteristics in disease and healthy people. The present study observed the effects of Noise Galvanic Vestibular Stimulation in a patient with chronic spinal cord injury with tetraplegia on postural and trunk control. The evaluations were the Functional Independence Measure (FIM), the American Spinal Injury Association (ASIA) evaluation, and the Clinical Posturography, using force platform to assess postural balance, in the sitting position, through Sensory Organization and Functional Reach Tests. Ten sessions of Noise Galvanic Vestibular Stimulation associated with customized vestibular and neurofunctional rehabilitation were performed. The effects observed were increments in all assessments and tests that include modifications in functional independence, motor and sensory levels, change in disability grade from A (complete) to C (incomplete), and improvements in postural balance and trunk control. The phenomenon of stochastic resonance has shown benefits in postural control in people without vestibular lesions and we could observe some of these phenomena in our patients. We emphasize the need for evaluation with larger populations to observe the phenomena and effects in this group of patients and potential benefits and limitations.https://www.frontiersin.org/articles/10.3389/fresc.2022.779846/fullgalvanic vestibular stimulationspinal cord injurycase reportrehabilitationnon-invasive neuromodulation
spellingShingle Tais Nunes Nascimento
Catarina Costa Boffino
Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury Patient
Frontiers in Rehabilitation Sciences
galvanic vestibular stimulation
spinal cord injury
case report
rehabilitation
non-invasive neuromodulation
title Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury Patient
title_full Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury Patient
title_fullStr Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury Patient
title_full_unstemmed Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury Patient
title_short Case Report: Galvanic Vestibular Stimulation in the Chronic Spinal Cord Injury Patient
title_sort case report galvanic vestibular stimulation in the chronic spinal cord injury patient
topic galvanic vestibular stimulation
spinal cord injury
case report
rehabilitation
non-invasive neuromodulation
url https://www.frontiersin.org/articles/10.3389/fresc.2022.779846/full
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