Vestibular rehabilitation therapy in combination with transcranial direct current stimulation (tDCS) for treatment of chronic vestibular dysfunction in the elderly: a double-blind randomized controlled trial

Saki, Nader; Bayat, Arash; Nikakhlagh, Soheila; Mirmomeni, Golshan

doi:10.1016/j.bjorl.2020.11.004

Cited by 9 publications

(14 citation statements)

References 46 publications

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“…For the intervention, we used a tDCS device (ActivaDose II, Caputron, New York, NY, USA) to alter the patient's neural plasticity by controlling excitability and activity in the brain to cause functional improvement while changes in the clinical features of dizziness were examined. Based on previous studies, the anode and cathode were attached over the right and left hemispheres, respectively, along the parieto-insular vestibular cortex (PIVC) and temporoparietal junction (TPJ) to stimulate the microcurrent [12][13][14]. This placement was determined according to the slightly broader and more intense brainwaves in the left hemisphere with excessive activation in the pre-intervention qEEG results.…”

Section: Transcranial Direct Current Stimulation (Tdcs)mentioning

confidence: 99%

“…Previous studies have shown that vestibular suppressants could help alleviate symptoms, while others have recommended vestibular training for patients with chronic imbalance and vertigo [3,11]. Recently, studies have indicated the positive effects of vestibular rehabilitation with transcranial direct-current stimulation (tDCS) as an alternative to vestibular training to improve symptoms in patients with chronic dizziness [9,12]. tDCS uses a non-invasive device that creates a microcurrent between the anode and cathode when placed over the cortical areas of the brain [13,14].…”

Section: Introductionmentioning

confidence: 99%

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Effects of Transcranial Direct Current Stimulation on Clinical Features of Dizziness and Cortical Activation in a Patient with Vestibular Migraine

Yeo,

Kim,

Yun

et al. 2024

Brain Sciences

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Background: Vestibular migraine (VM) is common migraine that occurs in patients with dizziness. Vestibular rehabilitation for managing VM generally remains unclear. Recently, it has been reported that transcranial direct current stimulation (tDCS) has positive effects in alleviating dizziness. This study investigated the effects of tDCS on dizziness and cortical activation in a patient with VM. Methods: We recruited a male patient aged 31 years with no dizziness. The patient watched a video to induce dizziness using a virtual reality device. The study applied the intervention using tDCS for 4 weeks and measured 4 assessments: functional near-infrared spectroscopy (fNIRS), quantitative electroencephalography (qEEG), dizziness handicap inventory, and visual vertigo analog scale. Results: We showed the activation in the middle temporal gyrus and inferior temporal gyrus (ITG) of the left hemisphere and in the superior temporal gyrus and ITG of the right hemisphere in the pre-intervention. After the intervention, the activation of these areas decreased. In the results of qEEG, excessive activation of C3, P3, and T5 in the left hemisphere and C4 in the right hemisphere before intervention disappeared after the intervention. Conclusions: This study indicated that tDCS-based intervention could be considered a viable approach to treating patients with vestibular dysfunction and dizziness caused by VM.

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Section: Transcranial Direct Current Stimulation (Tdcs)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of Transcranial Direct Current Stimulation on Clinical Features of Dizziness and Cortical Activation in a Patient with Vestibular Migraine

Yeo,

Kim,

Yun

et al. 2024

Brain Sciences

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“…VRT is an exercise-based therapy program to improve balance function in patients with symptoms of vestibular disorders. This exercise aims to reduce disabling symptoms through central mechanisms of neuroplasticity, including habitual adjustments, adaptations and substitutions that accelerate the vestibular compensation process ( Saki et al ,2020) . VRT is a source of nonpharmacological therapy for patients with balance disorders.…”

Section: Vestibular Rehabilitation Therapy (Vrt)mentioning

confidence: 99%

“…tDCS applied a given current of 2 Ma for 20 min. /6 days over a 3-week period/ 18 sessions (Saki et al , 2020) . VRT was performed 2 times a week/ 50 minutes/12 weeks (Ribeiro et al , 2017) .…”

Section: Vestibular Rehabilitation Therapy (Vrt)mentioning

confidence: 99%

Effectiveness of Vertigo Rehabilitation Exercise, Dizziness and Balance Disorders (Vdb) in Elderly : Narrative Review

Suparmin¹,

Indriani²

2022

mesencephalon

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Vertigo, Dizziness and Balance Disorders (VDB)cause disturbances in the perception of motion or feelings of instability that can affect the ability to see and an unstable gait that causes balance disorders so that immobility can be disturbed, limitations in daily activities, decreased function and can increase the risk of falling. There has been no review of articles that discuss the effectiveness of rehabilitation exercises in patients with Vertigo, Dizziness and Balance Disorders (VDB) in the elderly. To determine the effectiveness of exercise in patients with Vertigo, Dizziness and Balance Disorders (VDB) in the elderly.Narrative review with PICO framework , Identify articles using databases (Google Scholar, Pubmed, and ScienDirect). Selection of articles using PRISMA Flowchart . A total of 434 articles were identified . Articles are limited to 10 years. There were 12 articles that met the inclusion criteria and with the highest prevalence in Brazil 292 population . which states that Vestibular Rehabilitation Therapy (VRT) exercises and Vestibular Rehabilitation with exercise Cawthorne & Cookseycan improve balance .In the practice of Rehabilitation Vestibular Therapy (VRT) and Vestibular Rehabilitation with exercise Cawthorne & Cookseycan reduce symptoms in conditions of balance disorders and produce good results so that it can improve postural stability, self-confidence, can reduce symptoms of dizziness. Functional independence of daily activities can be done at home every day with supervision and doing exercises according to complaints or perceived functional limitationsKeywords: Balance disorders, Cawthorne & Cooksey, Dizziness, Vestibular Rehabilitation Therapy (VRT) and Vertigo

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“…Non-pharmacological treatments based on individual disciplines (eg, oculomotor vision treatment or vestibular rehabilitation) have shown mild to moderate effectiveness in treating specific symptoms in patients with PPCS 29. Other studies have supported interdisciplinary collaboration for patients in this population, such as combining non-invasive brain stimulation with vestibular rehabilitation 30 31. A previous review by Rytter et al 29 on non-pharmacological treatments for patients with PPCS synthesised the effectiveness of interdisciplinary rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of non-pharmacological treatments for vestibular and oculomotor dysfunction in patients with persistent post-concussive symptoms: protocol for a systematic review and meta-analysis

et al. 2023

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IntroductionConcussion is a form of mild traumatic brain injury that disrupts brain function. Although symptoms are mostly transient, recovery can be delayed and result in persistent postconcussive symptoms (PPCS). Vestibular and oculomotor dysfunction are among the most debilitating impairments associated with PPCS. However, pharmacological interventions for these impairments are associated with deleterious side effects. Accordingly, increasing research has examined the utility of non-pharmacological interventions for PPCS. The aim of this review is to synthesise and evaluate the effectiveness of non-pharmacological interventions for the treatment of vestibular and oculomotor dysfunction for patients with PPCS.Methods and analysisSystematic searches of MEDLINE, PubMed, Web of Science and Scopus will identify randomised controlled trials employing non-pharmacological treatments for vestibular and/or oculomotor dysfunction for PPCS. Such interventions may include, but are not limited to, vestibular rehabilitation, optokinetic stimulation and vestibulo-ocular reflex exercises. Assessments of oculomotor function will include versional eye movements, vergence eye movements, visual-fixation movements and accommodation response. Assessments of vestibular function will include the Fukuda Step test, functional balance tests, force displacement tests, and subjective reports of balance disruption or vertigo. Where appropriate, meta-analyses of standardised mean differences will be conducted using a random effects model for continuous outcomes. For dichotomous outcomes (improved vs not improved following treatment), effects will be expressed as relative risk. The impact of heterogeneity will be calculated using the I2statistic. The Physiotherapy Evidence Database scale will be used to determine the methodological quality of individual studies and Grading of Recommendations, Assessment, Development and Evaluations used to assess the certainty and quality of evidence for each outcome.Ethics and disseminationEthical approval is not required for this review. Findings will be disseminated through peer-reviewed publications and conference presentations.PROSPERO registration numberCRD42021254720.

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Vestibular rehabilitation therapy in combination with transcranial direct current stimulation (tDCS) for treatment of chronic vestibular dysfunction in the elderly: a double-blind randomized controlled trial

Cited by 9 publications

References 46 publications

Effects of Transcranial Direct Current Stimulation on Clinical Features of Dizziness and Cortical Activation in a Patient with Vestibular Migraine

Effects of Transcranial Direct Current Stimulation on Clinical Features of Dizziness and Cortical Activation in a Patient with Vestibular Migraine

Effectiveness of Vertigo Rehabilitation Exercise, Dizziness and Balance Disorders (Vdb) in Elderly : Narrative Review

Effectiveness of non-pharmacological treatments for vestibular and oculomotor dysfunction in patients with persistent post-concussive symptoms: protocol for a systematic review and meta-analysis

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