Abstract
BackgroundCranial-nerve non-invasive neuromodulation (CN-NINM) using the portable neuromodulation stimulator (PoNS™) device has been proposed as a novel adjuvant intervention to improve efficacy of gait and balance. This device modulates input and output signals during motor tasks which prompts neuroplastic changes. In this study, we investigated the efficacy of physiotherapy using the PoNS™ in a case with cerebellar degeneration.Case presentationThe PoNS™ was used during a high-intensity physiotherapy programme delivered over 2 weeks (2 × 1.5 h sessions daily). Clinical and instrumented gait and balance tests were applied pre- and post-intervention.ResultsThe patient improved in all tests without any adverse effects.ConclusionThis study showed the efficacy and feasibility of combined high-intensity physiotherapy and CN-NINM for gait and balance rehabilitation. Further studies should explore CN-NINM effects in larger and more diverse samples of neurological patients.
Highlights
Cranial-nerve non-invasive neuromodulation (CN-NINM) using the portable neuromodulation stimulator (PoNSTM) device has been proposed as a novel adjuvant intervention to improve efficacy of gait and balance
The PoNSTM device is thought to modulate neural impulses to the brainstem and cerebellum, eliciting more targeted neuroplastic changes depending on the task performed during its use [9]
In this study we investigated the feasibility and efficacy of using the PoNSTM combined with high-intensity physiotherapy as a novel approach for improving gait and balance in a patient with cerebellar degeneration
Summary
This study showed the efficacy and feasibility of combined high-intensity physiotherapy and CN-NINM for gait and balance rehabilitation.
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