Evidence map›Paper›PMID 38722328›Full record

ArticleJournal of neurology2024

Low-intensity vestibular noise stimulation improves postural symptoms in progressive supranuclear palsy.

Max Wuehr, Daniela Peto, Urban M Fietzek, Sabrina Katzdobler, Georg Nübling, Mirlind Zaganjori, Matthias Brendel, Johannes Levin, Günter U Höglinger, Andreas Zwergal

Abstract read
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Max WuehrGerman Center for Vertigo and Balance Disorders (DSGZ), LMU University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany. max.wuehr@med.uni-muenchen.de.ORCID http://orcid.org/0000-0001-5115-3777
Daniela PetoGerman Center for Vertigo and Balance Disorders (DSGZ), LMU University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Urban M FietzekDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany.
Sabrina KatzdoblerDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany.
Georg NüblingDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany.
Mirlind ZaganjoriDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Matthias BrendelDeutsches Zentrum Für Neurodegenerative Erkrankungen (DZNE) E.V., Munich, Germany.
Johannes LevinDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany.
Günter U HöglingerDepartment of Neurology, LMU University Hospital, LMU Munich, Munich, Germany.
Andreas ZwergalGerman Center for Vertigo and Balance Disorders (DSGZ), LMU University Hospital, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.

Funding

Bundesministerium für Bildung und Forschung 01EO1401Bundesministerium für Bildung und Forschung 13GW0490B
6 · The paper itself

Abstract

backgroundPostural imbalance and falls are an early disabling symptom in patients with progressive supranuclear palsy (PSP) of multifactorial origin that may involve abnormal vestibulospinal reflexes. Low-intensity noisy galvanic vestibular stimulation (nGVS) is a non-invasive treatment to normalize deficient vestibular function and attenuate imbalance in Parkinson's disease. The presumed therapeutic mode of nGVS is stochastic resonance (SR), a mechanism by which weak sensory noise stimulation can enhance sensory information processing.

objectiveTo examine potential treatment effects of nGVS on postural instability in 16 patients with PSP with a clinically probable and [

methodsEffects of nGVS of varying intensity (0-0.7 mA) on body sway were examined, while patients were standing with eyes closed on a posturographic force plate. We assumed a bell-shaped response curve with maximal sway reductions at intermediate nGVS intensities to be indicative of SR. An established SR-curve model was fitted on individual patient outcomes and three experienced human raters had to judge whether responses to nGVS were consistent with the exhibition of SR.

resultsWe found nGVS-induced reductions of body sway compatible with SR in 9 patients (56%) with optimal improvements of 31 ± 10%. In eight patients (50%), nGVS-induced sway reductions exceeded the minimal clinically important difference (improvement: 34 ± 5%), indicative of strong SR.

conclusionnGVS yielded clinically relevant reductions in body sway compatible with the exhibition of SR in vestibular sensorimotor pathways in at least half of the assessed patients. Non-invasive vestibular noise stimulation may be thus a well-tolerated treatment strategy to ameliorate postural symptoms in PSP.

Indexed as

Postural BalanceSupranuclear Palsy, ProgressiveAgedElectric Stimulation TherapyFemaleHumansMaleMiddle AgedTreatment OutcomeVestibule, LabyrinthAtypical parkinsonismBalanceBody swayGalvanic vestibular stimulationProgressive supranuclear palsyStochastic resonance

Identifiers

PMID38722328
PMCPMC11233287

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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.