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嘈杂的电前庭刺激对不稳定受试者的姿势有更大的改善作用:一项可行性研究。

Noisy galvanic vestibular stimulation has a greater ameliorating effect on posture in unstable subjects: a feasibility study.

机构信息

Department of Otolaryngology and Head and Neck Surgery, Graduate School of Medicine, The University of Tokyo 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

Department of Otolaryngology, Tokyo Teishin Hospital, 2-14-23, Fujimi, Chiyoda-ku, Tokyo, 102-8798, Japan.

出版信息

Sci Rep. 2019 Nov 20;9(1):17189. doi: 10.1038/s41598-019-53834-7.

Abstract

Ameliorating effect of noisy galvanic vestibular stimulation (nGVS) on posture varies among subjects. In this feasibility study, we investigated the association between original postural instability and the ameliorating effect of nGVS on posture. Data were collected in a previously published study. Thirty healthy elderly were recruited. Two nGVS sessions (30 min or 3 h) were performed in a randomised order. The optimal intensity of nGVS, the most effective intensity for improving posture, was determined before each session. Posture was measured for 30 s during and after nGVS in the eyes-closed/foam rubber condition. The velocity, envelopment area, and root mean square of the centre of pressure movement without nGVS were significantly larger in the group with an optimal intensity than those in the group without an optimal intensity. There was a significant positive correlation between these values and the long-term ameliorating effects. The ratio of the values in the eyes-closed/foam rubber condition to those in the eyes-open condition was significantly larger in the group with an optimal intensity, and had a significant correlation with the long-term ameliorating effects. The ameliorating effects are greater in subjects who were originally unstable and in those whose postural stability was relatively independent of vestibular input.

摘要

噪声前庭电刺激(nGVS)对姿势的改善效果因人而异。在这项可行性研究中,我们调查了原始姿势不稳定性与 nGVS 对姿势的改善效果之间的关系。数据来自先前发表的一项研究。共招募了 30 名健康的老年人。以随机顺序进行两次 nGVS 治疗(30 分钟或 3 小时)。在每次治疗前确定 nGVS 的最佳强度,即改善姿势的最有效强度。在闭眼/泡沫橡胶条件下,nGVS 期间和之后测量 30 秒的姿势。无 nGVS 时,最佳强度组的压力中心移动速度、包络面积和均方根明显大于无最佳强度组。这些值与长期改善效果呈显著正相关。最佳强度组闭眼/泡沫橡胶条件下的比值明显大于睁眼条件下的比值,与长期改善效果显著相关。原始姿势不稳定和姿势稳定性相对独立于前庭输入的受试者的改善效果更大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e695/6868214/d30364f9fc8f/41598_2019_53834_Fig1_HTML.jpg

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