Acute Effect of Transcutaneous Auricular Vagus Nerve Stimulation on Hand Tremor in Parkinson's Disease: A Pilot Study of Case Series.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Medical Bulletin of Sisli Etfal Hospital Pub Date : 2023-12-29 eCollection Date: 2023-01-01 DOI:10.14744/SEMB.2023.77200
Ahmet Kivanc Menekseoglu, Merve Damla Korkmaz, Enes Efe Is, Ceyhun Basoglu, Ali Veysel Ozden
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Abstract

Objectives: The aim of this study is to investigate the effects of non-invasive vagus nerve stimulation (VNS) on tremor in Parkinson's disease (PD).

Methods: This single-center, prospective, and implementation study with before-after design included five participants diagnosed with PD. Auricular VNS was applied to each participant 3 times on different days. VNS was applied to the participants as the right ear, left ear, and bilateral ear. The cardiovascular parameters of the participants were evaluated with Kubios HRV Standard and tremor with UPDRS tremor subscale and smartphone application before and after the intervention.

Results: Significant decrease in diastolic blood pressure (p=0.043) was found in participants who underwent bilateral auricular VNS. Although there was no significant change in the UPDRS tremor subscale, decreases in the maximum tremor amplitude in the x (p=0.043) and y (0.014) planes were detected in the measurements made with the smartphone application.

Conclusion: In this study, a decrease in the tremor amplitude measured in the 3D plane with auricular VNS was found in patients with PD.

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经皮耳廓迷走神经刺激对帕金森病手部震颤的急性疗效:病例系列试点研究。
研究目的本研究旨在探讨无创迷走神经刺激(VNS)对帕金森病(PD)震颤的影响:本研究为单中心、前瞻性、实施性研究,采用前后对比设计,纳入了五名确诊为帕金森病的患者。每位参与者在不同的日期接受了 3 次耳穴 VNS 刺激。VNS分别应用于右耳、左耳和双耳。在干预前后,用 Kubios HRV 标准对参与者的心血管参数进行了评估,用 UPDRS 震颤分量表和智能手机应用程序对震颤进行了评估:结果发现,接受双侧耳廓 VNS 治疗的患者舒张压明显下降(p=0.043)。虽然 UPDRS 震颤分量表没有明显变化,但在使用智能手机应用程序进行测量时,发现 x(p=0.043)和 y(0.014)平面上的最大震颤幅度有所下降:本研究发现,使用耳廓 VNS 可降低帕金森病患者在三维平面上的震颤幅度。
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Medical Bulletin of Sisli Etfal Hospital
Medical Bulletin of Sisli Etfal Hospital MEDICINE, GENERAL & INTERNAL-
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发文量
41
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