scholarly journals Effects of Galvanic Vestibular Stimulation on Visual Verticality and Standing Posture Differ Based on the Polarity of the Stimulation and Hemispheric Lesion Side in Patients With Stroke

2021 ◽  
Vol 12 ◽  
Author(s):  
Takamichi Tohyama ◽  
Kunitsugu Kondo ◽  
Yohei Otaka
Keyword(s):  
Vestibular System ◽  
Right Hemisphere ◽  
Balance Control ◽  
Weight Bearing ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Standing Posture ◽  
Postural Asymmetry ◽  
Hemisphere Lesion ◽  
Lesion Side

Introduction: There is growing evidence supporting the relationship of vertical misperception and poor balance control with asymmetrical standing posture in patients with stroke. Although the vestibular system has been shown to be responsible for vertical misperception and balance disorders, the effect of galvanic vestibular stimulation (GVS) on both vertical misperception and postural asymmetry after stroke remains elusive. The aim of this study was to investigate the effects of GVS on visual verticality and postural asymmetry after stroke and to clarify whether the effects differ depending on the polarity of the stimulation and hemispheric lesion side.Methods: We measured the subjective visual vertical (SVV) and body weight distribution on each foot in an upright stance in 24 patients with a hemispheric stroke (10 with a left hemisphere lesion and 14 with a right hemisphere lesion) and nine age-matched healthy controls. During the measurements, bipolar GVS (1.5 mA) was applied over the bilateral mastoid processes in three stimulation conditions: contralesional-anodal and ipsilesional-cathodal vestibular stimulation, ipsilesional-anodal and contralesional-cathodal vestibular stimulation, and no stimulation. To examine whether GVS modulates visual verticality and standing posture, SVV and weight-bearing in the three conditions were analyzed.Results: During no stimulation, the SVV deviated to the contralesional side in patients with a right hemisphere lesion, while more weight-bearing was observed on the ipsilesional limb than on the contralesional limb in both patient groups than in the controls. The SVV was modulated by reversing the polarity of GVS in all the groups when the cathodal stimulus side was either ipsilateral or contralateral to the lesion while the ipsilesional-cathodal vestibular stimulation reduced weight-bearing asymmetry in only the patients with a right hemisphere lesion.Conclusions: These findings demonstrate that the effects of GVS on the SVV and standing posture differ depending on the polarity of GVS and the hemispheric lesion side. Patients with a right hemisphere lesion have difficulty maintaining their preferred standing posture under visual verticality modulation evoked by GVS. The application of GVS may clarify whether the vestibular system has neural redundancy after stroke to suppress any effects of the stimulation, including modulation of the visual verticality, on balance.

The effects of stochastic monopolar galvanic vestibular stimulation on human postural sway

2003 ◽  
Vol 12 (2-3) ◽  
pp. 77-85
Author(s):  
Anthony P. Scinicariello ◽  
J. Timothy Inglis ◽  
J.J. Collins
Keyword(s):  
Vestibular System ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Lower Sensitivity ◽  
Input Stimulus ◽  
Vestibular Perception ◽  
Afferent Nerve Endings ◽  
Young Subjects

Galvanic vestibular stimulation (GVS) is a technique in which small currents are delivered transcutaneously to the afferent nerve endings of the vestibular system through electrodes placed over the mastoid bones. The applied current alters the firing rates of the peripheral vestibular afferents, causing a shift in a standing subject's vestibular perception and a corresponding postural sway. Previously, we showed that in subjects who are facing forward, stochastic bipolar binaural GVS leads to coherent stochastic mediolateral postural sway. The goal of this pilot study was to extend that work and to test the hypothesis that in subjects who are facing forward, stochastic monopolar binaural GVS leads to coherent stochastic anteroposterior postural sway. Stochastic monopolar binaural GVS was applied to ten healthy young subjects. Twenty-four trials, each containing a different galvanic input stimulus from among eight different frequency ranges, were conducted on each subject. Postural sway was evaluated through analysis of the center-of-pressure (COP) displacements under each subject's feet. Spectral analysis was performed on the galvanic stimuli and the COP displacement time series to calculate the coherence spectra. Significant coherence was found between the galvanic input signal and the anteroposterior COP displacement in some of the trials (i.e., at least one) in nine of the ten subjects. In general, the coherence values were highest for the mid-range frequencies that were tested, and lowest for the low- and high-range frequencies. However, the coherence values we obtained were lower than those we previously reported for stochastic bipolar binaural GVS and mediolateral sway. These differences may be due to fundamental characteristics of the vestibular system such as lower sensitivity to symmetric changes in afferent firing dynamics, and/or differences between the biomechanics of anteroposterior and mediolateral sway.

Galvanic vestibular stimulation counteracts hypergravity-induced plastic alteration of vestibulo-cardiovascular reflex in rats

2009 ◽  
Vol 107 (4) ◽  
pp. 1089-1094 ◽  
Author(s):  
Chikara Abe ◽  
Kunihiko Tanaka ◽  
Chihiro Awazu ◽  
Hironobu Morita
Keyword(s):  
Vestibular System ◽  
Vestibular Nucleus ◽  
Pressor Response ◽  
Linear Acceleration ◽  
Vestibular Stimulation ◽  
Vertical Movement ◽  
Galvanic Vestibular Stimulation ◽  
Medial Vestibular Nucleus ◽  
Vertical Movements ◽  
Cardiovascular Reflex

Recent data from our laboratory demonstrated that, when rats are raised in a hypergravity environment, the sensitivity of the vestibulo-cardiovascular reflex decreases. In a hypergravity environment, static input to the vestibular system is increased; however, because of decreased daily activity, phasic input to the vestibular system may decrease. This decrease may induce use-dependent plasticity of the vestibulo-cardiovascular reflex. Accordingly, we hypothesized that galvanic vestibular stimulation (GVS) may compensate the decrease in phasic input to the vestibular system, thereby preserving the vestibulo-cardiovascular reflex. To examine this hypothesis, we measured horizontal and vertical movements of rats under 1-G or 3-G environments as an index of the phasic input to the vestibular system. We then raised rats in a 3-G environment with or without GVS for 6 days and measured the pressor response to linear acceleration to examine the sensitivity of the vestibulo-cardiovascular reflex. The horizontal and vertical movement of 3-G rats was significantly less than that of 1-G rats. The pressor response to forward acceleration was also significantly lower in 3-G rats (23 ± 1 mmHg in 1-G rats vs. 12 ± 1 mmHg in 3-G rats). The pressor response was preserved in 3-G rats with GVS (20 ± 1 mmHg). GVS stimulated Fos expression in the medial vestibular nucleus. These results suggest that GVS stimulated vestibular primary neurons and prevent hypergravity-induced decrease in sensitivity of the vestibulo-cardiovascular reflex.

scholarly journals A shared neural integrator for human posture control

2017 ◽  
Vol 118 (2) ◽  
pp. 894-903 ◽  
Author(s):  
S. E. Haggerty ◽  
A. R. Wu ◽  
K. H. Sienko ◽  
A. D. Kuo
Keyword(s):  
Postural Control ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Posture Control ◽  
Neural Integrator ◽  
Standing Posture ◽  
Sensory Stimuli ◽  
Human Posture ◽  
Postural Responses

Control of standing posture requires fusion of multiple inputs including visual, vestibular, somatosensory, and other sensors, each having distinct dynamics. We propose that postural control also entails a shared neural integrator. To test this theory, we perturbed standing subjects with classic sensory stimuli (optokinetic and galvanic vestibular stimulation) and found that our proposed shared filter reproduces the dynamics of subjects’ postural responses.

Effect of noisy galvanic vestibular stimulation on center of pressure sway of static standing posture

2018 ◽  
Vol 11 (1) ◽  
pp. 85-93 ◽  
Author(s):  
Yasuto Inukai ◽  
Naofumi Otsuru ◽  
Mitsuhiro Masaki ◽  
Kei Saito ◽  
Shota Miyaguchi ◽  
...  
Keyword(s):  
Center Of Pressure ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Standing Posture

Effect of galvanic vestibular stimulation on human postural responses during support surface translations

1995 ◽  
Vol 73 (2) ◽  
pp. 896-901 ◽  
Author(s):  
J. T. Inglis ◽  
C. L. Shupert ◽  
F. Hlavacka ◽  
F. B. Horak
Keyword(s):  
Vestibular System ◽  
Equilibrium Position ◽  
Critical Role ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Support Surface ◽  
Quiet Stance ◽  
Galvanic Current ◽  
Postural Responses ◽  
Platform Translation

1. We investigated the role of the vestibular system in postural control by combining galvanic vestibular stimulation (0.2-0.5 mA) with platform translations in standing subjects. Vestibular stimulation delivered 500 ms before and continuously during the platform translation produced little change in the earliest center of pressure (COP) and center of mass (COM) movements in response to platform translations, but resulted in large changes during the execution of the postural movement and in the final equilibrium position. 2. Vestibular stimulation produced anterior or posterior shifts in the position of COP and COM, depending on the polarity of the galvanic current. These shifts were larger during platform translations than during quiet stance. The peak of these shifts in COP and COM occurred at 1.5-2.5 s after the onset of platform translation, and increased in magnitude with increasing platform velocity. The final equilibrium positions of COP and COM were also shifted, but these shifts were smaller and not dependent on platform velocity. 3. These results imply that a tonic step of galvanic current to the vestibular system can change the final equilibrium position for an automatic postural response. Furthermore, these results indicate that the vestibular system may play a larger role in interpreting sensory reafference during postural movements, and especially during fast postural movements, than in controlling quiet stance. Finally, these results indicate that the vestibular system does not play a critical role in triggering the earliest postural responses, but it may be critical in establishing an internal reference for verticality.

Enhancing human balance control with galvanic vestibular stimulation

2001 ◽  
Vol 84 (6) ◽  
pp. 475-480 ◽  
Author(s):  
Anthony P. Scinicariello ◽  
Kenneth Eaton ◽  
J. Timothy Inglis ◽  
J. J. Collins
Keyword(s):  
Balance Control ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Human Balance ◽  
Human Balance Control
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