PMID- 24990006 OWN - NLM STAT- MEDLINE DCOM- 20150717 LR - 20181202 IS - 1878-6448 (Electronic) IS - 1053-8135 (Linking) VI - 35 IP - 1 DP - 2014 TI - Effects of galvanic vestibular stimulation combined with physical therapy on pusher behavior in stroke patients: a case series. PG - 31-7 LID - 10.3233/NRE-141094 [doi] AB - BACKGROUND: A recent study investigated the effects of galvanic vestibular stimulation (GVS) on pusher behavior (PB) in post-stroke patients. However, there have been no reports about the effects of multisession GVS on PB. OBJECTIVE: The purpose of this study was to investigate the feasibility and effects of multisession GVS combined with physical therapy for PB in stroke patients. METHODS: Two stroke patients who showed PB were enrolled. The ABAB single-case design was used. Each phase lasted 1 wk. In phases A1 and A2, the patients underwent a 60-min-long physical therapy session 5 days a week. In phases B1 and B2, they underwent GVS for 20 min before each physical therapy session, and then the same physical therapy program as in phases A1 and A2 were performed. PB was evaluated using the Scale for Contraversive Pushing (SCP) and the Burke Lateropulsion Scale (BLS). Outcomes were tested at the baseline and after each phase. RESULTS: In both patients, the SCP scores were reduced only during phase B2. Although the BLS scores improved at the A1 phase, a larger improvement was seen at the two B phases. CONCLUSIONS: Multisession GVS combined with physical therapy may have positive effects on PB in clinical setting. FAU - Nakamura, Junji AU - Nakamura J AD - Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital, Nara, Japan Graduate School of Health Science, Kio University, Nara, Japan. FAU - Kita, Yorihiro AU - Kita Y AD - Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital, Nara, Japan Graduate School of Health Science, Kio University, Nara, Japan. FAU - Yuda, Tomohisa AU - Yuda T AD - Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital, Nara, Japan Graduate School of Health Science, Kio University, Nara, Japan. FAU - Ikuno, Koki AU - Ikuno K AD - Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital, Nara, Japan Graduate School of Health Science, Kio University, Nara, Japan. FAU - Okada, Yohei AU - Okada Y AD - Graduate School of Health Science, Kio University, Nara, Japan. FAU - Shomoto, Koji AU - Shomoto K AD - Graduate School of Health Science, Kio University, Nara, Japan. LA - eng PT - Case Reports PT - Journal Article PL - Netherlands TA - NeuroRehabilitation JT - NeuroRehabilitation JID - 9113791 SB - IM MH - Aged, 80 and over MH - Electric Stimulation Therapy/*methods MH - Female MH - Humans MH - *Physical Therapy Modalities MH - Stroke/*diagnosis/physiopathology/*therapy MH - Treatment Outcome MH - *Vestibular Nerve MH - *Vestibule, Labyrinth OTO - NOTNLM OT - Pusher behavior OT - electrical stimulation OT - galvanic vestibular stimulation OT - posture control OT - rehabilitation OT - stroke EDAT- 2014/07/06 06:00 MHDA- 2015/07/18 06:00 CRDT- 2014/07/04 06:00 PHST- 2014/07/04 06:00 [entrez] PHST- 2014/07/06 06:00 [pubmed] PHST- 2015/07/18 06:00 [medline] AID - 9383W76433681015 [pii] AID - 10.3233/NRE-141094 [doi] PST - ppublish SO - NeuroRehabilitation. 2014;35(1):31-7. doi: 10.3233/NRE-141094.