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

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...

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Autores principales: Bastani, Andisheh, Cofré Lizama, L. Eduardo, Zoghi, Maryam, Blashki, Grant, Davis, Stephen, Kaye, Andrew H., Khan, Fary, Galea, Mary P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838879/
https://www.ncbi.nlm.nih.gov/pubmed/29556411
http://dx.doi.org/10.1186/s40673-018-0084-z
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author Bastani, Andisheh
Cofré Lizama, L. Eduardo
Zoghi, Maryam
Blashki, Grant
Davis, Stephen
Kaye, Andrew H.
Khan, Fary
Galea, Mary P.
author_facet Bastani, Andisheh
Cofré Lizama, L. Eduardo
Zoghi, Maryam
Blashki, Grant
Davis, Stephen
Kaye, Andrew H.
Khan, Fary
Galea, Mary P.
author_sort Bastani, Andisheh
collection PubMed
description 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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spelling pubmed-58388792018-03-19 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 Bastani, Andisheh Cofré Lizama, L. Eduardo Zoghi, Maryam Blashki, Grant Davis, Stephen Kaye, Andrew H. Khan, Fary Galea, Mary P. Cerebellum Ataxias Case Report 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. BioMed Central 2018-03-05 /pmc/articles/PMC5838879/ /pubmed/29556411 http://dx.doi.org/10.1186/s40673-018-0084-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Bastani, Andisheh
Cofré Lizama, L. Eduardo
Zoghi, Maryam
Blashki, Grant
Davis, Stephen
Kaye, Andrew H.
Khan, Fary
Galea, Mary P.
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5838879/
https://www.ncbi.nlm.nih.gov/pubmed/29556411
http://dx.doi.org/10.1186/s40673-018-0084-z
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