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Assessing the synergistic effectiveness of intermittent theta burst stimulation and the vestibular ocular reflex rehabilitation protocol in the treatment of Mal de Debarquement Syndrome: a randomised controlled trial.

作者信息

Browne Cherylea J, Sheeba S R, Astill T, Baily A, Deblieck C, Mucci V, Cavaleri R

机构信息

School of Science, Western Sydney University, Sydney, NSW, Australia.

Brain Stimulation and Rehabilitation (BrainStAR) Laboratory, Western Sydney University, Sydney, NSW, Australia.

出版信息

J Neurol. 2024 May;271(5):2615-2630. doi: 10.1007/s00415-024-12215-5. Epub 2024 Feb 12.


DOI:10.1007/s00415-024-12215-5
PMID:38345630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11055743/
Abstract

INTRODUCTION: Mal de Debarquement Syndrome (MdDS) is a rare central vestibular disorder characterised by a constant sensation of motion (rocking, swaying, bobbing), which typically arises after motion experiences (e.g. sea, air, and road travel), though can be triggered by non-motion events. The current standard of care is non-specific medications and interventions that only result in mild-to-moderate improvements. The vestibular ocular reflex (VOR) rehabilitation protocol, a specialised form of rehabilitation, has shown promising results in reducing symptoms amongst people with MdDS. Accumulating evidence suggests that it may be possible to augment the effects of VOR rehabilitation via non-invasive brain stimulation protocols, such as theta burst stimulation (TBS). METHODS: The aim of this randomised controlled trial was to evaluate the effectiveness of intermittent TBS (iTBS) over the dorsolateral prefrontal cortex in enhancing the effectiveness of a subsequently delivered VOR rehabilitation protocol in people with MdDS. Participants were allocated randomly to receive either Sham (n = 10) or Active (n = 10) iTBS, followed by the VOR rehabilitation protocol. Subjective outcome measures (symptom ratings and mental health scores) were collected 1 week pre-treatment and for 16 weeks post-treatment. Posturography (objective outcome) was recorded each day of the treatment week. RESULTS: Significant improvements in subjective and objective outcomes were reported across both treatment groups over time, but no between-group differences were observed. DISCUSSION: These findings support the effectiveness of the VOR rehabilitation protocol in reducing MdDS symptoms. Further research into iTBS is required to elucidate whether the treatment has a role in the management of MdDS. TRN: ACTRN12619001519145 (Date registered: 04 November 2019).

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4fa/11055743/869b0d5be868/415_2024_12215_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4fa/11055743/36916a22d27a/415_2024_12215_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4fa/11055743/869b0d5be868/415_2024_12215_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4fa/11055743/36916a22d27a/415_2024_12215_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4fa/11055743/869b0d5be868/415_2024_12215_Fig2_HTML.jpg

相似文献

[1]
Assessing the synergistic effectiveness of intermittent theta burst stimulation and the vestibular ocular reflex rehabilitation protocol in the treatment of Mal de Debarquement Syndrome: a randomised controlled trial.

J Neurol. 2024-5

[2]
Guideline for standardized approach in the treatment of the Mal de Debarquement syndrome.

Front Neurol. 2024-3-19

[3]
Changes of symptom and EEG in mal de debarquement syndrome patients after repetitive transcranial magnetic stimulation over bilateral prefrontal cortex: a pilot study.

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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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Mil Med. 2022-7-1

本文引用的文献

[1]
Multiple diffusion metrics in differentiating solid glioma from brain inflammation.

Front Neurosci. 2024-1-30

[2]
Treatment Options in Mal de Débarquement Syndrome: A Scoping Review.

Otol Neurotol. 2023-4-1

[3]
The Effect of Theta Burst Stimulation Over the Primary Motor Cortex on Experimental Hamstring Pain: A Randomized, Controlled Study.

J Pain. 2023-4

[4]
Visual disorders and mal de debarquement syndrome: a potential comorbidity questionnaire-based study.

Future Sci OA. 2022-9-14

[5]
Depression scores and quality of life of vertiginous patients, suffering from different vestibular disorders.

Eur Arch Otorhinolaryngol. 2022-11

[6]
Double-blind randomized N-of-1 trial of transcranial alternating current stimulation for mal de débarquement syndrome.

PLoS One. 2022

[7]
The Immediate Effects of Intermittent Theta Burst Stimulation of the Cerebellar Vermis on Cerebral Cortical Excitability During a Balance Task in Healthy Individuals: A Pilot Study.

Front Hum Neurosci. 2021-11-12

[8]
Theta-burst versus 20 Hz repetitive transcranial magnetic stimulation in neuropathic pain: A head-to-head comparison.

Clin Neurophysiol. 2021-10

[9]
Transcranial Alternating Current Stimulation Reduces Network Hypersynchrony and Persistent Vertigo.

Neuromodulation. 2021-7

[10]
Intermittent Theta-Burst Stimulation Over the DorsoLateral PreFrontal Cortex (DLPFC) in Healthy Subjects Produces No Cumulative Effect on Cortical Excitability.

Front Psychiatry. 2021-2-18

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