Effect of galvanic vestibular stimulation on stroke patients with lateropulsion
10.3969/j.issn.1006-9771.2024.02.011
- VernacularTitle:前庭电刺激对脑卒中患者侧倾功能障碍的效果
- Author:
Xiang GONG
1
;
Menghuan WANG
1
;
Cunshu WU
1
;
Junwen CHEN
1
;
Yue XIAO
1
;
Yun YANG
1
;
Wanting SUN
1
;
Jun LU
1
;
Guangxu XU
1
Author Information
1. Department of Rehabilitation Medicine, Nanjing Medical University, Nanjing, Jiangsu 210029, China
- Publication Type:Journal Article
- Keywords:
stroke;
lateropulsion;
galvanic vestibular stimulation;
spatial cognition;
vertical perception
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(2):210-216
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effect of galvanic vestibular stimulation on stroke patients with lateropulsion. MethodsFrom February to October, 2023, 30 stroke patients with lateropulsion in the First Affiliated Hospital of Nanjing Medical University were divided into control group (n = 15) and experimental group (n = 15) randomly. The control group received routine rehabilitation and sham galvanic vestibular stimulation, and the experimental group received routine rehabilitation and true galvanic vestibular stimulation, for two weeks. They were assessed with Scale for Contraversive Pushing (SCP), subjective visual vertical (SVV), Line Cancellation Test (LCT), Star Cancellation Test (SCT), Berg Balance Scale (BBS), Holden Functional Ambulation Category (FAC) and Barthel Index (BI) before and after treatment. ResultsAll the indexes improved in both groups after intervention (|t| > 2.461, Z > 3.000, P < 0.05), except the SVV orientation, SVV certainty and SCT in the control group; while the SCP, SVV certainty, LCT and FAC were better in the experimental group than in the control group (|t| > 2.189, Z = -2.862, P < 0.05), and the differences before and after intervention were better in the experimental group than in the control group (|t| > 2.382, P < 0.05), except LCT. SCP was correlated with SVV orientation, SVV certainty, SCT, BBS, BI and FAC (|r| > 0.381, P < 0.05). ConclusionGalvanic vestibular stimulation can improve the lateropulsion, balance, walking function and activities of daily living in stroke patients, which may be related to improvement for spatial cognitive function, especially vertical perception.
