Department of Physiology, R.D. Gardi Medical College, Ujjain, M.P., India.
Department of General Medicine, R.D. Gardi Medical College, Ujjain, M.P., India.
J Basic Clin Physiol Pharmacol. 2022 Oct 10;34(6):791-795. doi: 10.1515/jbcpp-2022-0138. eCollection 2023 Nov 1.
The present study was undertaken to observe the effectiveness of electrical vestibular stimulation on the range of motion (ROM) in patients with Parkinson's disease (PD).
The present study was a randomized controlled trial (ClinicalTrials.gov Identifier: NCT04450550). The study participants were assessed at three points of time. After recording baseline cognitive functions, electrical vestibular nerve stimulation was administered to the intervention group and placebo stimulation was administered to the control group for 12 weeks. Post-intervention parameters were recorded after 6 weeks and after 12 weeks after the intervention in both control and intervention groups. A total of 30 cases of PD, including both males and females were recruited in the study by convenient sampling after obtaining written informed consent. All ROM and flexibility measurements were recorded using a universal goniometer and standard protocol with help of an experienced physiotherapist at our hospital.
There was a significant improvement in the hip internal and external rotation right and left sides. There was a significant improvement in the hip extension right and left. There was a significant improvement in the ankle plantarflexion left and ankle dorsiflexion right and left followed by the intervention. There was a significant decline in the hip internal rotation on right and left sides. There was a significant decline in the hip extension and ankle dorsiflexion on the left side.
The study results confirm the improvement of motor activities of patients with PD followed by vestibular stimulation. Further detailed studies are recommended to support the application of vestibular stimulation as an alternative therapy in the management of motor functions in patients with PD.
本研究旨在观察电前庭刺激对帕金森病（PD）患者运动范围（ROM）的疗效。
本研究为随机对照试验（ClinicalTrials.gov 标识符：NCT04450550）。研究参与者在三个时间点进行评估。记录基线认知功能后，对干预组进行电前庭神经刺激，对对照组进行安慰剂刺激，持续 12 周。在干预后 6 周和 12 周后，分别记录对照组和干预组的干预后参数。通过方便抽样，在获得书面知情同意后，共招募了 30 名 PD 患者（包括男性和女性）参与本研究。使用通用量角器和我院的标准方案，在有经验的物理治疗师的帮助下，记录所有 ROM 和柔韧性测量值。
右侧和左侧髋关节内、外旋有显著改善。右侧和左侧髋关节伸展有显著改善。干预后，左侧踝关节跖屈和右侧及左侧踝关节背屈有显著改善。右侧和左侧髋关节内旋显著下降。左侧髋关节伸展和踝关节背屈显著下降。
研究结果证实，前庭刺激后 PD 患者的运动活动得到改善。建议进一步进行详细研究，以支持将前庭刺激作为 PD 患者运动功能管理的替代治疗方法的应用。
