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[帕金森病和脊柱前凸患者前庭电刺激的姿势效应:病例系列]

[Postural effect of vestibular galvanic stimulation in patients with Parkinson's disease and camptocormia: Case series].

作者信息

Dávalos-Yerovi V, Romeo A, Escalada F, Tejero M

机构信息

Departamento de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España; Rehabilitation Research Group, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.

Departamento de Medicina Física y Rehabilitación, Parc de Salut Mar, Barcelona, España.

出版信息

Rehabilitacion (Madr). 2022 Jan-Mar;56(1):78-81. doi: 10.1016/j.rh.2021.11.002. Epub 2021 Dec 20.

Abstract

The objective of this paper is to explore the postural effect of galvanic vestibular stimulation (GVS) in camptocormia. It is a retrospective case series of 7 Parkinson disease and camptocormia patients. Binaural monopolar GVS was administered. Main outcome variable was trunk forward flexion (TFF), assessed pre and immediately post GVS, and one month after. The TFF was assessed in the standing position, with open and closed eyes. The Berg balance scale was assessed before and 1 month after GVS. The TFF immediately after the GVS showed a reduction of 2.3 cm (p = 0.091) in the first reading, and after a 1-min stance (p = 0.025). Four of 5 patients maintained or even improved this effect a month after (p = 0.082). No changes in Berg balance scale were observed. Our results suggest an acute improvement in posture after one session of GVS, which significantly decreased TFF. Most of the results had a marginal significance due to small sample size.

摘要

本文的目的是探讨直流电前庭刺激(GVS)对camptocormia患者姿势的影响。这是一项对7例帕金森病合并camptocormia患者的回顾性病例系列研究。采用双耳单极GVS。主要观察变量为躯干前屈(TFF),在GVS前、GVS后即刻以及1个月后进行评估。TFF在站立位睁眼和闭眼状态下进行评估。在GVS前和GVS后1个月评估Berg平衡量表。GVS后即刻,首次读数时TFF减少了2.3厘米(p = 0.091),在站立1分钟后减少(p = 0.025)。5例患者中有4例在1个月后维持甚至改善了这种效果(p = 0.082)。未观察到Berg平衡量表有变化。我们的结果表明,单次GVS后姿势有急性改善,TFF显著降低。由于样本量小,大多数结果具有边缘显著性。

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