The Influence of Vestibular Stimulation Training on Static Balance during Standing in Healthy Young Adults

  • Cho, Hwa-Young (Department of Occupational Therapy, College of Health Science, Seonam University) ;
  • Choi, Su-Hee (Department of Occupational Therapy, College of Health Science, Seonam University) ;
  • Seo, Sam-Ki (Department of Physical Therapy, College of Health Science, Seonam University)
  • Received : 2011.09.30
  • Accepted : 2011.11.26
  • Published : 2011.12.26

Abstract

Purpose: We investigated a better method to enhance the vestibular system including balancing by comparing the vestibular stimulation exercise (VSE) and galvanic vestibular stimulation (GVS). Methods: The study was performed with 40 subjects randomized into four groups, including a control group, a VSE group, a GVS group, and a VSE with GVS group. The subjects of VSE performed a forward and backward roll, a right side and left side roll, and an equilibrium board in vestibular stimulation training. GVS was applied for 10 minutes and the cathode and anode side were then changed and GVS was then applied for the remaining 10 minutes. GVS was applied for 20 minutes to the subjects of this group after completion of the VSE program. Results: In the control group, all conditions were significantly decreased (p<0.05) compared to the VSE with GVS group. Also, the center of pressure (CoP) surface was more significantly decreased (p<0.01) and the CoP speed was significantly decreased in the one legged stance (p<0.05) in the control group compared to the GVS group. Conclusion: These findings suggested that GVS training increases balance ability in a narrow width. VSE with GVS training is therefore recommend as the superior method. Using GVS or VSE with GVS training is considered to clinically improve balance ability by stimulating the vestibular system.

Keywords

References

  1. Fishman MN, Colby LA, Sachs LA et al. Comparison of upper-extremity balance tasks and force platform testing in persons with hemiparesis. Physical Therapy. 1997;77(10): 1052-1062.
  2. Chandler JM, Duncan PW, Studenski SA. Balance performance on the postural stress test: Comparison of young adults, healthy elderly, and fallers. Physical Therapy. 1990; 70(7):410-415.
  3. Fitzpatrick RC, Day BL. Probing the human vestibular system with galvanic stimulation. Journal of Applied Physiology. 2004;96(6):2301-2316. https://doi.org/10.1152/japplphysiol.00008.2004
  4. Carter JR, Ray CA. Sympathetic responses to vestibular activation in humans. American Journal of Physiology- Regulatory, Integrative and Comparative Physiology. 2008; 294(3):R681-R688.
  5. Potter CN, Silverman LN. Characteristics of vestibular function and static balance skills in deaf children. Physical Therapy. 1984;64(7):1071-175.
  6. Ayres AJ. Sensory integration and learning disorders. Los Angeles, CA, Western Psychological Services, 1972: 113-129.
  7. Ottenbacher K. Developmental implications of clinically applied vestibular stimulation. Physical Therapy. 1983;63(3): 338-342.
  8. Day BL, Reynolds RF. Vestibular reafference shapes voluntary movement. Current biology. 2005;15(15):1390-1394. https://doi.org/10.1016/j.cub.2005.06.036
  9. Winter DA, Prince F, Frank J et al. Unified theory regarding a/p and m/l balance in quiet stance. Journal of Neurophysiology. 1996;75(6):2334-2343
  10. Nichols DS, Glenn TM, Hutchinson KJ. Changes in the mean center of balance during balance testing in young adults. Physical Therapy. 1995;75(8):699-706.
  11. Hwang SS. Effects of vestibular stimulation on balance and fundamental psychologic process of choldren with central nervous system dysfunction. Dankook University. Dissertation of Doctorate Degree. 1998.
  12. Park MO. Effects of vestibular stimulation training on balance for the children with cerebral palsy. Dankook University. Dissertation of Master's Degree. 2009.
  13. Cho WS. The effects of balance, flexibility and proprioception by horse riding simulator and galvanic vestibular stimulation to normal adults. Seonam University. Dissertation of Doctorate Degree. 2010.
  14. Kim GW, Ko JY, Baek SG. The reliability of a pediatric balance scale based on the raters' clinical work experience and test experience. J Kor Soc Phys Ther. 2010;22(6):35-42.
  15. Ivanenko YP, Grasso R, Lacquaniti F. Effect of gaze on postural responses to neck proprioceptive and vestibular stimulation in humans. The Journal of Physiology. 1999;519(1):301-314. https://doi.org/10.1111/j.1469-7793.1999.0301o.x
  16. Jonsson E, Seiger A, Hirschfeld H. Postural steadiness and weight distribution during tandem stance in healthy young and elderly adults. Clinical Biomechanics. 2005;20(2):202-208. https://doi.org/10.1016/j.clinbiomech.2004.09.008
  17. Wardman DL, Taylor JL, Fitzpatrick RC. Effects of galvanic vestibular stimulation on human posture and perception while standing. The Journal of Physiology. 2003;551(3):1033-1042. https://doi.org/10.1113/jphysiol.2003.045971
  18. Wardman DL, Day BL, Fitzpatrick RC. Position and velocity responses to galvanic vestibular stimulation in human subjects during standing. The Journal of Physiology. 2003;547(1): 293-299. https://doi.org/10.1113/jphysiol.2002.030767
  19. Seo SK, Kim SH, Kim TY. Evaluation of static balance in postural tasks and visual cue in normal subjects. J Kor Soc Phys Ther. 2009;21(4):51-56.
  20. Lee YW, Choi SJ, Song CH. The effect of a balance training program to improve the balance of aged patients with diabetes mellitus. J Kor Soc Phys Ther. 2010;22(3):23-30.