http://www.heraldsun.com.au/news/victoria/experimental-device-stimulates-the-tongue-to-improve-stroke-survivors-balance/news-story/749d2445f440f30414e9be79e161242d
AN
experimental device that stimulates the brain with electrical currents
via nerves in the tongue has been used to improve balance in stroke
survivors for the first time.
The hospital’s director of rehabilitation, Professor Fary Khan, said stroke was a leading cause of disability in Australian adults.
Rehabilitation helps them relearn lost abilities by taking advantage of the brain’s neuroplasticity — its ability to reorganise itself and form new pathways.
“There has been a lot of focus on trying to enhance the neuroplasticity of the brain by stimulating it,” said academic director of the Australian Rehabilitation Research Centre at the hospital, Professor Mary Galea.
Unlike other techniques that use magnetic and electrical stimulation via the head, this device from the US targets two cranial nerves running from the tongue to the brain.
The trigeminal and facial nerves are involved with chewing and facial expression, but they are close to nerve cells in the brain crucial to walking and balance.
“The device modulates the excitability of the circulation of the brain, enhancing or dampening it,” Prof Galea said.
It is believed that this technique improves the learning process when combined with repetitive targeted exercise.
In the pilot study, the 10 stroke victims had intensive rehabilitation, but half of the group also used the device.
“Adding this stimulation did improve people’s balance more than just physiotherapy by itself,” Prof Galea said.
Limitations of the study include that the patients were only followed for two weeks and that the sample size was small.
Professors Khan and Galea — both also of the University of Melbourne — said the findings of the trial, which was funded by a philanthropic donation, should prompt a larger randomised control study.
“Our results are very interesting and point to its potential in stroke patients, but we need larger and longer trials,” Prof Galea said.
Currently, the device is not approved or available for use in patients anywhere in the world.
The findings were published in the journal, Brain Stimulation.
Lucie.vandenberg@news.com.au
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