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.
Identifieur interne : 000C40 ( Main/Exploration ); précédent : 000C39; suivant : 000C41The 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.
Auteurs : Andisheh Bastani [Australie] ; L Eduardo Cofré Lizama [Australie] ; Maryam Zoghi [Australie] ; Grant Blashki [Australie] ; Stephen Davis [Australie] ; Andrew H. Kaye [Australie] ; Fary Khan [Australie] ; Mary P. Galea [Australie]Source :
- Cerebellum & ataxias [ 2053-8871 ] ; 2018.
Abstract
Background
Cranial-nerve non-invasive neuromodulation (CN-NINM) using the portable neuromodulation stimulator (PoNS™
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.
DOI: 10.1186/s40673-018-0084-z
PubMed: 29556411
PubMed Central: PMC5838879
Affiliations:
Links toward previous steps (curation, corpus...)
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Galea</name><affiliation><nlm:affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</nlm:affiliation><wicri:noCountry code="subField">VIC 3052 Australia</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:29556411</idno><idno type="pmid">29556411</idno><idno type="doi">10.1186/s40673-018-0084-z</idno><idno 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3052 Australia</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Cofre Lizama, L Eduardo" sort="Cofre Lizama, L Eduardo" uniqKey="Cofre Lizama L" first="L Eduardo" last="Cofré Lizama">L Eduardo Cofré Lizama</name><affiliation><nlm:affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</nlm:affiliation><wicri:noCountry code="subField">VIC 3052 Australia</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Zoghi, Maryam" sort="Zoghi, Maryam" uniqKey="Zoghi M" first="Maryam" last="Zoghi">Maryam Zoghi</name><affiliation wicri:level="3"><nlm:affiliation>3Department of Rehabilitation, Nutrition and Sport, La Trobe University, Bundoora, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>3Department of Rehabilitation, Nutrition and Sport, La Trobe University, Bundoora, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Blashki, Grant" sort="Blashki, Grant" uniqKey="Blashki G" first="Grant" last="Blashki">Grant Blashki</name><affiliation wicri:level="4"><nlm:affiliation>4The Nossal Institute for Global Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>4The Nossal Institute for Global Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Davis, Stephen" sort="Davis, Stephen" uniqKey="Davis S" first="Stephen" last="Davis">Stephen Davis</name><affiliation wicri:level="4"><nlm:affiliation>5Department of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>5Department of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Kaye, Andrew H" sort="Kaye, Andrew H" uniqKey="Kaye A" first="Andrew H" last="Kaye">Andrew H. Kaye</name><affiliation wicri:level="4"><nlm:affiliation>6Department of Surgery, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>6Department of Surgery, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><affiliation><nlm:affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</nlm:affiliation><wicri:noCountry code="subField">VIC 3052 Australia</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>4The Nossal Institute for Global Health, The University of Melbourne, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>4The Nossal Institute for Global Health, The University of Melbourne, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName><orgName type="university">Université de Melbourne</orgName></affiliation></author><author><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><affiliation><nlm:affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</nlm:affiliation><wicri:noCountry code="subField">VIC 3052 Australia</wicri:noCountry></affiliation><affiliation wicri:level="3"><nlm:affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne</wicri:regionArea><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><series><title level="j">Cerebellum & ataxias</title><idno type="ISSN">2053-8871</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Cranial-nerve non-invasive neuromodulation (CN-NINM) using the portable neuromodulation stimulator (PoNS™</p></div><div type="abstract" xml:lang="en"><p><b>Case presentation</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>The patient improved in all tests without any adverse effects.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>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.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">29556411</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2053-8871</ISSN><JournalIssue CitedMedium="Print"><Volume>5</Volume><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Cerebellum & ataxias</Title><ISOAbbreviation>Cerebellum Ataxias</ISOAbbreviation></Journal><ArticleTitle>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.</ArticleTitle><Pagination><MedlinePgn>6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40673-018-0084-z</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Cranial-nerve non-invasive neuromodulation (CN-NINM) using the portable neuromodulation stimulator (PoNS™<sup>)</sup> 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.</AbstractText><AbstractText Label="Case presentation" NlmCategory="UNASSIGNED">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.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">The patient improved in all tests without any adverse effects.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bastani</LastName><ForeName>Andisheh</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cofré Lizama</LastName><ForeName>L Eduardo</ForeName><Initials>LE</Initials><AffiliationInfo><Affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zoghi</LastName><ForeName>Maryam</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>3Department of Rehabilitation, Nutrition and Sport, La Trobe University, Bundoora, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0001 2342 0938</Identifier><Identifier Source="GRID">grid.1018.8</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blashki</LastName><ForeName>Grant</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>4The Nossal Institute for Global Health, The University of Melbourne, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0001 2179 088X</Identifier><Identifier Source="GRID">grid.1008.9</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davis</LastName><ForeName>Stephen</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>5Department of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0001 2179 088X</Identifier><Identifier Source="GRID">grid.1008.9</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaye</LastName><ForeName>Andrew H</ForeName><Initials>AH</Initials><AffiliationInfo><Affiliation>6Department of Surgery, The University of Melbourne, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0001 2179 088X</Identifier><Identifier Source="GRID">grid.1008.9</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Fary</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>4The Nossal Institute for Global Health, The University of Melbourne, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0001 2179 088X</Identifier><Identifier Source="GRID">grid.1008.9</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Galea</LastName><ForeName>Mary P</ForeName><Initials>MP</Initials><AffiliationInfo><Affiliation>1Department of Rehabilitation Medicine, Royal Melbourne Hospital, RMH-Royal Park Campus, 34-54 Poplar Rd Parkville, Melbourne, VIC 3052 Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>2Australian Rehabilitation Research Centre (ARRC), Royal Melbourne Hospital, Melbourne, Australia.</Affiliation><Identifier Source="ISNI">0000 0004 0624 1200</Identifier><Identifier Source="GRID">grid.416153.4</Identifier></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>03</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Cerebellum Ataxias</MedlineTA><NlmUniqueID>101648460</NlmUniqueID><ISSNLinking>2053-8871</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Neuroplasticity</Keyword><Keyword MajorTopicYN="N">Portable neuromodulation stimulator</Keyword><Keyword MajorTopicYN="N">Stroke</Keyword><Keyword MajorTopicYN="N">Tongue stimulator</Keyword></KeywordList><CoiStatement>Prof Fary Khan was the authorised prescriber of CN-NINM approved by the Therapeutic Goods Administration (TGA) of Australia and the Melbourne Health Human Research Ethics Committee.Not applicableThe authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>12</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>02</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>3</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>3</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>3</Month><Day>21</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29556411</ArticleId><ArticleId IdType="doi">10.1186/s40673-018-0084-z</ArticleId><ArticleId IdType="pii">84</ArticleId><ArticleId IdType="pmc">PMC5838879</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Exerc Sport Sci Rev. 2003 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first="Andisheh" last="Bastani">Andisheh Bastani</name></region><name sortKey="Blashki, Grant" sort="Blashki, Grant" uniqKey="Blashki G" first="Grant" last="Blashki">Grant Blashki</name><name sortKey="Cofre Lizama, L Eduardo" sort="Cofre Lizama, L Eduardo" uniqKey="Cofre Lizama L" first="L Eduardo" last="Cofré Lizama">L Eduardo Cofré Lizama</name><name sortKey="Davis, Stephen" sort="Davis, Stephen" uniqKey="Davis S" first="Stephen" last="Davis">Stephen Davis</name><name sortKey="Galea, Mary P" sort="Galea, Mary P" uniqKey="Galea M" first="Mary P" last="Galea">Mary P. Galea</name><name sortKey="Kaye, Andrew H" sort="Kaye, Andrew H" uniqKey="Kaye A" first="Andrew H" last="Kaye">Andrew H. Kaye</name><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><name sortKey="Khan, Fary" sort="Khan, Fary" uniqKey="Khan F" first="Fary" last="Khan">Fary Khan</name><name sortKey="Zoghi, Maryam" sort="Zoghi, Maryam" uniqKey="Zoghi M" first="Maryam" last="Zoghi">Maryam Zoghi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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