The combined effect of cranial-nerve non-invasive neuromodulation with high-intensity physiotherapy on gait and balance in a patient with cerebellar degeneration: a case report.

Q3 Medicine

Cerebellum and Ataxias Pub Date : 2018-03-05 eCollection Date: 2018-01-01 DOI:10.1186/s40673-018-0084-z

Andisheh Bastani, L Eduardo Cofré Lizama, Maryam Zoghi, Grant Blashki, Stephen Davis, Andrew H Kaye, Fary Khan, Mary P Galea

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引用次数: 1

Abstract

Background: Cranial-nerve non-invasive neuromodulation (CN-NINM) using the portable neuromodulation stimulator (PoNS™⁾ device has been proposed as a novel adjuvant intervention to improve efficacy of gait and balance. This device modulates input and output signals during motor tasks which prompts neuroplastic changes. In this study, we investigated the efficacy of physiotherapy using the PoNS™ in a case with cerebellar degeneration.

Case presentation: The PoNS™ was used during a high-intensity physiotherapy programme delivered over 2 weeks (2 × 1.5 h sessions daily). Clinical and instrumented gait and balance tests were applied pre- and post-intervention.

Results: The patient improved in all tests without any adverse effects.

Conclusion: This study showed the efficacy and feasibility of combined high-intensity physiotherapy and CN-NINM for gait and balance rehabilitation. Further studies should explore CN-NINM effects in larger and more diverse samples of neurological patients.

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颅神经非侵入性神经调节联合高强度物理治疗对小脑变性患者步态和平衡的影响:1例报告。

背景:使用便携式神经调节刺激器(PoNS™)装置的颅神经无创神经调节(CN-NINM)已被提出作为一种新的辅助干预措施，以改善步态和平衡的疗效。这个装置在运动任务中调节输入和输出信号，从而促进神经可塑性的变化。在这项研究中，我们研究了使用PoNS™物理治疗小脑变性的疗效。病例介绍:PoNS™用于为期2周的高强度物理治疗方案(每天2 × 1.5小时)。在干预前后分别进行了临床和仪器步态和平衡测试。结果:患者各项指标均有改善，无不良反应。结论:本研究显示了高强度物理治疗联合CN-NINM治疗步态和平衡康复的有效性和可行性。进一步的研究应该在更大、更多样化的神经系统患者样本中探索神经网络- ninm的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cerebellum and Ataxias Medicine-Neurology (clinical)

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13 weeks