Evidence map›Paper›PMID 30856136›Full record

ArticleJournal of vestibular research : equilibrium & orientation2019

Combined ionic direct current and pulse frequency modulation improves the dynamic range of vestibular canal stimulation.

F P Aplin, D Singh, C C Della Santina, G Y Fridman

Abstract read
In one paragraph

Article in Journal of vestibular research : equilibrium & orientation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. On-chip ionic current sensor.Applied physics. A, Materials science & processing · 2021
    Article
  2. Article
  3. A microfluidic system integrated with shape memory alloy valves for a safe direct current delivery system.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2020
    Article
  4. Article
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

4 authors.

F P AplinDepartments of Otolaryngology Head and Neck Surgery and Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, USA.
D SinghDepartments of Otolaryngology Head and Neck Surgery and Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, USA.
C C Della SantinaDepartments of Otolaryngology Head and Neck Surgery and Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, USA.
G Y FridmanDepartments of Otolaryngology Head and Neck Surgery and Biomedical Engineering, Johns Hopkins School of Medicine, Baltimore, MD, USA.

Funding

Electrical Stimulation to Restore Three Dimensional Vestibular SensationR01DC009255 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI DELLA SANTINA, CHARLES C · 2008 to 2018
$5.7M
Safe Direct Current for Neuroprosthetic ApplicationsR01NS092726 · NINDS · JOHNS HOPKINS UNIVERSITY · PI FRIDMAN, GENE YEVGENY · 2015 to 2019
$1.7M
NIDCD NIH HHS R01 DC009255NINDS NIH HHS R01 NS092726
6 · The paper itself

Abstract

backgroundVestibular prostheses emulate normal vestibular function by electrically stimulating the semicircular canals using pulse frequency modulation (PFM). Spontaneous activity at the vestibular nerve may limit the dynamic range elicited by PFM. One proposed solution is the co-application of ionic direct current (iDC) to inhibit this spontaneous activity.

objectiveWe aimed to test the hypothesis that a tonic iDC baseline delivered in conjunction with PFM to the vestibular semicircular canals could improve the dynamic range of evoked eye responses.

methodsGentamicin-treated chinchillas were implanted with microcatheter electrodes in the vestibular semicircular canals through which pulsatile and iDC current was delivered. PFM was used to modulate vestibulo-ocular reflex (VOR) once it was adapted to a preset iDC and pulse-frequency baseline. Responses to stimulation were assessed by recording the evoked VOR eye direction and velocity.

resultsPFM produced VOR responses aligned to the stimulated canal. Introduction of an iDC baseline lead to a small but statistically significant increase in eye response velocity, without influencing the direction of eye rotation.

conclusionsTonic iDC baselines increase the dynamic range of encoding head velocity evoked by pulsatile stimulation, potentially via the inhibition of spontaneous activity in the vestibular nerve.

Indexed as

Action PotentialsAnimalsChinchillaElectric StimulationEye MovementsHead MovementsIon Channel GatingOtologic Surgical ProceduresProstheses and ImplantsReflex, Vestibulo-OcularRotationSemicircular CanalsVestibular Evoked Myogenic PotentialsVestibular Function TestsVestibular NerveVestibule, Labyrinthdirect currentelectrical stimulationneural implantvestibular prosthesisVestibular systemvestibulo-ocular reflex

Identifiers

PMID30856136
PMCPMC6663569

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Registered trials

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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.