Effects of non-invasive brain stimulation (NIBS) on vestibulopathy disorders: a systematic review

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dc.contributor.authorFonseca, Bruno Henrique de Souza
dc.contributor.authorde Andrade, Pedro Henrique Sousa
dc.contributor.authorBorges, Otávio
dc.contributor.authorMariana de Aquino Miranda, Jessica
dc.contributor.authorBazan, Rodrigo [UNESP]
dc.contributor.authorde Souza, Luciane Aparecida Pascucci Sande
dc.contributor.authorJosé Luvizutto, Gustavo
dc.contributor.institutionFederal University of Triângulo Mineiro (UFTM)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-03-01T20:51:55Z
dc.date.available2023-03-01T20:51:55Z
dc.date.issued2022-01-01
dc.description.abstractObjectives: New types of treatments have emerged, such as non-invasive brain stimulation (NIBS), to treat chronic vestibular dysfunction (VD). Considering that NIBS is a promising approach to reduce VD symptoms, this review was aimed to analyze the effects of NIBS in patients with VD. Methods: We adhered to the methods described in the Cochrane Handbook for Intervention Reviews. The eligibility criteria were as follows: (a) individuals with vestibulopathy having clinical and neuroimaging; (b) Interventions: non-invasive brain stimulation, this intervention comprised transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS); (c) Control: any comparison or sham; and (d) Outcomes: dizziness and balance. We included randomized controlled trials and non-randomized studies from July 2004 to February 2020. We searched the PubMed, CINAHL, Web of Science, Scopus, Cochrane, and Ovid databases. Two pairs of reviewers independently screened all titles and abstracts. Two authors assessed the risk of bias for each study using the criteria outlined in the Cochrane Handbook for Systematic Reviews of Interventions and used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology to rate the certainty of the evidence for each outcome. Results: We identified 136 studies, and included two studies. Both studies used tDCS application. One study used anodal cerebellar tDCS or sham at 2 mA for 25 min associated with vestibular rehabilitation therapy (VRT), and the other study used anodal tDCS over the left dorsolateral prefrontal cortex (F3) for 25–30 min associated with VRT at home. Both studies showed clinical improvement in the Dizziness Handicap Inventory (DHI), State-Trait Anxiety Inventory (STAI), Activities-Specific Balance Confidence (ABC), and Self-Rating Depression Scale (SDS) scores. Both studies presented higher-quality evidence on the GRADE scale and a low risk of bias. Conclusions: Based on two studies, anodal tDCS over F3 or the cerebellum associated with VRT improved chronic vestibular symptoms.en
dc.description.affiliationDepartment of applied Physiotherapy Federal University of Triângulo Mineiro (UFTM)
dc.description.affiliationDepartment of Neurology Botucatu Medical School (UNESP)
dc.description.affiliationUnespDepartment of Neurology Botucatu Medical School (UNESP)
dc.identifierhttp://dx.doi.org/10.1080/21695717.2022.2067721
dc.identifier.citationHearing, Balance and Communication.
dc.identifier.doi10.1080/21695717.2022.2067721
dc.identifier.issn2169-5725
dc.identifier.issn2169-5717
dc.identifier.scopus2-s2.0-85132664730
dc.identifier.urihttp://hdl.handle.net/11449/241213
dc.language.isoeng
dc.relation.ispartofHearing, Balance and Communication
dc.sourceScopus
dc.subjectbalance
dc.subjectdizziness
dc.subjecttranscranial direct current stimulation
dc.subjectVestibular dysfunction
dc.titleEffects of non-invasive brain stimulation (NIBS) on vestibulopathy disorders: a systematic reviewen
dc.typeResenha
unesp.author.orcid0000-0001-9955-6049[1]
unesp.author.orcid0000-0001-5030-3497[2]
unesp.author.orcid0000-0002-2524-2159[3]
unesp.author.orcid0000-0001-5306-5404[4]
unesp.author.orcid0000-0003-3872-308X[5]
unesp.author.orcid0000-0002-7160-9556[6]
unesp.author.orcid0000-0002-6914-7225[7]

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Artigos - Neurologia, Psicologia e Psiquiatria - FMB