Transcranial Magnetic Stimulation Versus Electrical Vestibular Stimulation on Balance in Geriatrics Parkinsonian Patients

Abstract

Background: The aim of this work was to investigate the efficacy of transcranial magnetic stimulation versus electrical galvanic vestibular stimulation on balance in geriatrics parkinsonian patients.Subjects and Methods: sixty geriatrics Parkinsonism male patients represent the sample of this study. The patients' ages ranged from 60 to 70 years with a mean value of 65.983 ± 2.76 years. They were assigned randomly into three equal groups; the study group one (G1) and the study group two (G2) and the control group (G3). The control group G3 treated by selected therapeutic physical exercise program. The study group G1 treated by the same program of treatment as the control group in addition to Transcranial magnetic stimulation TMS. The study group (G2) treated by the same program of treatment as G3 in addition to galvanic vestibular stimulation (GVS). The duration of treatment was three months, three times per week. The different aspects of dynamic balance (overall stability, anteroposterior stability and mediolateral stability indices) were assessed pre and post treatment objectively by Biodex balance system and clinically by Short Form of Berg Balance Scale (SFBBS) in all groups.Results: Comparison of each variable pre and post treatment in each group revealed a significant improvement in all different parameters in study groups (G1 & G2) P < 0.05; however the control group showed a significant improvement only in anteroposterior stability index. Conclusion:Transcranial magnetic stimulation and GVS have significant effect on treatment of balance disorders in geriatrics Parkinsonism patients.

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“…All patients in each group were evaluated by VAS before and after the treatment interventions. Fall risk assessment: This was performed by two methods: Overall stability index which was obtained by (Biodex Balance Master, USA) the second method was the Short Form of Berg Balance Scale (SFBBS), commonly used to evaluate dynamic balance in clinical research by assessing a patient’s ability to perform seven transitional movement items [ 28 ] . Both methods were carried out for the patients in the three groups before and after treatment interventions.…”