Evidence map›Paper›PMID 27777829›Full record

ArticleIEEE journal of translational engineering in health and medicine2016

Non-Invasive Neuromodulation Using Time-Varying Caloric Vestibular Stimulation.

Robert D Black, Lesco L Rogers, Kristen K Ade, Heather A Nicoletto, Heather D Adkins, Daniel T Laskowitz

2 registry-linked trialsAbstract read
In one paragraph

Article in IEEE journal of translational engineering in health and medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01630044 nacompletednot on this map

Clinical Pilot Study to Evaluate a Non-Invasive, Neurostimulation Device for Treatment of Migraine Headache

TypeinterventionalSponsorScion NeuroStimRan2012 to 2013Enrolled3ConditionsMigraine HeadacheArmsTNM device
NCT03652311 nawithdrawnnot on this mapstarted 2019, after this paper: background citation

Pilot Investigation of at Home Caloric Vestibular Neuromodulation for Use in Substance Use Disorders

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2020Enrolled0ConditionsSubstance Use DisordersArmsThermoNeuroModulation TNM Device
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Vestibular Sensory Conflict During Postural Control, Freezing of Gait, and Falls in Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2022
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Noninvasive Neuromodulation in Migraine.Current pain and headache reports · 2020
    Review
  12. Peripheral Neuromodulation for the Management of Headache.Anesthesiology and pain medicine · 2020
    Review
  13. Sensory Neuromodulation.Frontiers in systems neuroscience · 2020
    Article
  14. Article
  15. Article
  16. A new era in headache treatment.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2018
    Review
  17. New treatments for headache.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Robert D BlackScion NeuroStim, LLC Raleigh NC 27613 USA.
Lesco L RogersScion NeuroStim, LLC Raleigh NC 27613 USA.
Kristen K AdeScion NeuroStim, LLC Raleigh NC 27613 USA.
Heather A NicolettoDepartment of Neurology Duke University Medical Center Durham NC 27710 USA.
Heather D AdkinsDepartment of Neurology Duke University Medical Center Durham NC 27710 USA.
Daniel T LaskowitzDepartment of Neurology Duke University Medical Center Durham NC 27710 USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Caloric vestibular stimulation (CVS) to elicit the vestibulo-ocular reflex has long been used in clinical settings to aid in the diagnosis of balance disorders and to confirm the absence of brainstem function. While a number of studies have hinted at the potential therapeutic applications of CVS, the limitations of existing devices have frustrated that potential. Current CVS irrigators use water or air during short-duration applications; however, this approach is not tenable for longer duration therapeutic protocols or home use. Here, we describe a solid-state CVS device we developed in order to address these limitations. This device delivers tightly controlled time-varying thermal waveforms, which can be programmed through an external control unit. It contains several safety features, which limit patients to the prescribed waveform and prevent the potential for temperature extremes. In this paper, we provide evidence that CVS treatment with time-varying, but not constant temperature waveforms, elicits changes in cerebral blood flow physiology consistent with the neuromodulation of brainstem centers, and we present results from a small pilot study, which demonstrate that the CVS can safely and feasibly be used longitudinally in the home setting to treat episodic migraine. Together, these results indicate that this solid-state CVS device may be a viable tool for non-invasive neuromodulation.

Indexed as

brainstemCaloric vestibular stimulationcerebral blood flowmigraineneuromodulation

Identifiers

PMID27777829
PMCPMC5074346

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.