Efficacy of transmastoidal galvanic stimulation on recovery outcomes in patients with unilateral peripheral vestibular disorders: a randomized controlled trial

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

article

Ahmed, Reham Ali Mohamed Ali¹  Fahmy, Ebtesam Mohamed²  Awad, Amina Mohamed³  Hamdy, Mona Mohamed²  Shaker, Hussein Ahmed Abd Rahman³ 

[1] Department of Physical Therapy for Neuromuscular Disorders And Its Surgery, Faculty of Physical Therapy, Beni-Suef University;Faculty of Medicine, Cairo University;Department of Physical Therapy for Neuromuscular Disorders And Its Surgery, Faculty of Physical Therapy, Cairo University

关键词: Unilateral peripheral vestibular disorders;    Transmastoidal galvanic stimulation;    Vestibular rehabilitation;    Recovery outcomes;   

DOI  :  10.1186/s41983-020-00207-x

学科分类：医学（综合）

来源: Springer

【 摘 要 】

Peripheral vestibular disorders are common disorders among population with increased prevalence with age advancement, manifested by balance disorders and postural instability that negatively affect daily activities and social participation. To investigate the effect of transmastoidal galvanic stimulation added to a designed vestibular rehabilitation program on recovery outcomes in Egyptian patients with unilateral peripheral vestibular disorders. Forty patients (from both sexes) diagnosed with unilateral peripheral vestibular weakness were evenly and randomly designated into two groups: study and control groups. The study group received transmastoidal galvanic stimulation, in addition to a vestibular rehabilitation program, whereas control group undergone vestibular rehabilitation program only. Treatment sessions were conducted three times weekly for four successive weeks. Assessment of vestibular canal weakness was carried out using videonystagmography, postural stability using computerized posturography, while participation in daily activities was carried out using Vestibular Disorders Activities of Daily Living Scale (VADL). All assessment measures were carried out pre- and post-treatment. Study group showed improvement of post-treatment scores of canal weakness, postural stability parameters, and VADL scale in reverse to control group that showed improvement of scores of preference and VADL only. A statistically significant difference was found between both groups in post-treatment scores of canal weakness, total equilibrium composite, and vestibular component with more improvement in the study group. Adding transmastoidal galvanic stimulation to vestibular rehabilitation exercises for unilateral peripheral vestibular disorders improves the recovery outcomes of vestibular canal weakness, equilibrium, and vestibular components of postural stability. Clinical trials identification number (NCT04010435). Registered 7 March 2019—retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/LoginUser?ts=1&cx=-jg9qo4

【 授权许可】

CC BY