电刺激前庭治疗及其应用：系统评价。
Galvanic vestibular stimulation and its applications: a systematic review.
机构信息
Universidade Federal de Minas Gerais (UFMG), Programa de Pós-Graduação em Ciências Fonoaudiológicas, Belo Horizonte, MG, Brazil.
Universidade Federal de Minas Gerais (UFMG), Programa de Pós-Graduação em Ciências da Saúde - Infectologia e Medicina Tropical, Belo Horizonte, MG, Brazil.
出版信息
Braz J Otorhinolaryngol. 2022 Nov-Dec;88 Suppl 3(Suppl 3):S202-S211. doi: 10.1016/j.bjorl.2022.05.010. Epub 2022 Jul 5.
OBJECTIVE
Galvanic vestibular stimulation has been evaluated in the context of vestibular rehabilitation. The objective was to identify evidence in the scientific literature about the clinical applications of galvanic vestibular stimulation.
METHODS
In this systematic review, the articles describing the applications of galvanic vestibular stimulation were extracted from PubMed, Web of Science, MEDLINE, Scopus, LILACS and SciELO databases. The survey was limited to articles published in English, Portuguese and Spanish. All the articles about the clinical applications of galvanic vestibular stimulation were compiled. Repeated articles in the databases, literature review articles, case reports, letters and editorials were excluded. The descriptors included: galvanic vestibular stimulation, postural balance, central nervous system diseases, vestibular diseases, spinal cord diseases and cognition.
RESULTS
The search strategy resulted in the initial selection of 994 articles; the reading of titles and abstracts was accomplished in 470 articles and the complete reading in 23 articles. Clinical applications of galvanic vestibular stimulation included Ménière's disease, vestibular neuritis, bilateral vestibular disorders, vestibular schwannoma, Parkinson's disease, ischemic central lesions, motor myelopathies, anxiety disorders, cognition and memory.
CONCLUSION
Galvanic vestibular stimulation has been considered a potentially useful strategy for balance rehabilitation, since it has the effect of stimulating the central connections related to the postural balance, favoring new neuronal synapses that allow the partial or total recovery of postural imbalance.
目的
电前庭刺激已在前庭康复的背景下进行了评估。目的是确定科学文献中关于电前庭刺激临床应用的证据。
方法
在这项系统评价中，从 PubMed、Web of Science、MEDLINE、Scopus、LILACS 和 SciELO 数据库中提取描述电前庭刺激应用的文章。该调查仅限于发表在英语、葡萄牙语和西班牙语的文章。编译了所有关于电前庭刺激临床应用的文章。排除数据库中的重复文章、文献综述文章、病例报告、信件和社论。所使用的描述符包括：电前庭刺激、姿势平衡、中枢神经系统疾病、前庭疾病、脊髓疾病和认知。
结果
搜索策略最初选择了 994 篇文章；阅读标题和摘要完成了 470 篇文章，全文阅读完成了 23 篇。电前庭刺激的临床应用包括梅尼埃病、前庭神经炎、双侧前庭疾病、前庭神经鞘瘤、帕金森病、缺血性中枢病变、运动性脊髓病、焦虑障碍、认知和记忆。
结论
电前庭刺激被认为是平衡康复的一种潜在有用策略，因为它具有刺激与姿势平衡相关的中枢连接的作用，促进新的神经元突触形成，从而允许部分或完全恢复姿势失衡。
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