A novel neuromodulation technique for the rehabilitation of balance and gait: A case study

J Clin Neurosci. 2018 Aug;54:140-142. doi: 10.1016/j.jocn.2018.04.077.


Cranial-nerve non-invasive neuromodulation (CN-NINM) through the tongue has been proposed as an adjuvant intervention to improve efficacy of rehabilitation. However, CN-NINM effects have only been explored in multiple sclerosis and stroke populations. In this report we used CN-NINM during a 2-week (2 × 1.5 h sessions daily) physiotherapy program for the rehabilitation of a 57 y/o woman presenting with balance and gait impairments after a surgical resection of a fourth ventricular ependymoma. Clinical and instrumented balance and gait assessments showed improved performance in all tests and without adverse effects This study shows the beneficial effects and feasibility of combined physiotherapy and CN-NINM in this patient.

Keywords: Balance; Cranial-nerve; Gait; Neuromodulation; Neurostimulation.

MeSH terms

  • Brain Neoplasms / rehabilitation*
  • Brain Neoplasms / surgery
  • Ependymoma / rehabilitation*
  • Ependymoma / surgery
  • Female
  • Fourth Ventricle / pathology
  • Gait Disorders, Neurologic / etiology
  • Gait Disorders, Neurologic / rehabilitation*
  • Humans
  • Middle Aged
  • Radiosurgery / adverse effects
  • Sensation Disorders / etiology
  • Sensation Disorders / rehabilitation*
  • Tongue
  • Transcutaneous Electric Nerve Stimulation / methods*
  • Treatment Outcome