Novel, Rotatory Vestibular Stimulation for Contralesional Lateropulsion in Acute Hemispheric Stroke: A Randomised Feasibility Pilot Study and Kinematic Reliability Evaluation.
Background and Purpose: Pusher Syndrome, or lateropulsion following hemispheric stroke magnifies disability and delays recovery. This postural control aberration has been linked to disruption of vestibular‐mediated verticality perception and altered vestibulospinal activity. Modulating this activity...
| Publicado en: | Physiotherapy Research International Vol. 31; no. 1; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191184096&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191184096 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jan2026 vid: 31 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 191184096 191184096 191184096 10.1002/pri.70157 191184096 ppf: 1 ppct: 11 formats: tig: atl: Novel, Rotatory Vestibular Stimulation for Contralesional Lateropulsion in Acute Hemispheric Stroke: A Randomised Feasibility Pilot Study and Kinematic Reliability Evaluation. aug: au: Hill, Nick L. Fordham, Patricia Sztriha, Laszlo Jones, Gareth D. Corcoran, Jeremy affil: Neurology Department, King's College Hospital NHS Foundation Trust, London, UK sug: subj: Vestibular Stimulation Methods Pusher Syndrome Therapy Stroke Complications Kinematics Evaluation Exercise Tolerance Treatment Outcomes Stroke Patients Psychosocial Factors Rotation Research Subject Recruitment Evaluation Research Subject Retention Evaluation Rehabilitation Evaluation Human Randomized Controlled Trials Pilot Studies Physical Therapy Chi Square Test Descriptive Statistics Torso Physiology Intraclass Correlation Coefficient Intrarater Reliability Evaluation Interrater Reliability Evaluation Stroke Patients Stroke Units United Kingdom Male Female Prospective Studies Middle Age Aged Questionnaires Multicenter Studies Convenience Sample Photography Software Models, Statistical Paired T-Tests Two-Way Analysis of Variance Friedman Test Post Hoc Analysis Data Analysis Software Logistic Regression Clinical Assessment Tools Funding Source Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and Purpose: Pusher Syndrome, or lateropulsion following hemispheric stroke magnifies disability and delays recovery. This postural control aberration has been linked to disruption of vestibular‐mediated verticality perception and altered vestibulospinal activity. Modulating this activity by whole‐body rotation could improve postural control in lateropulsion and expedite recovery. A randomised feasibility pilot study and kinematic reliability evaluation were conducted to determine the appropriateness of utilising and pursuing novel, rotatory vestibular stimulation targeting lateropulsion. Methods: Acute stroke patients with lateropulsion at two stroke units in the United Kingdom (UK) were allocated to a vestibular intervention group or a conventional physiotherapy control group. Intervention group participants received 360° whole‐body rotations plus routine physiotherapy. Measures of feasibility and postural control were collected over a 6‐week period. Inferential analyses were conducted to crosscheck for adverse outcomes. Kinematic parameters of the vestibular intervention were investigated in a parallel study. Results: Eight participants were recruited and six completed the trial. The novel intervention was readily administered during all planned treatment sessions with no adverse events reported. Gains in balance and trunk alignment were found in the intervention group only, but some of the postural measures used had questionable reliability. There was acceptable within‐subject variability in the kinematic properties of the vestibular intervention. Discussion: All feasibility and acceptability criteria were met supporting the progression to a larger scale pilot study, which should incorporate additional measures of postural control and a larger sample to further refine the methodology of an efficacy study. Trial Registration: Research Registry: researchregistry848 https://www.researchregistry.com/browse‐the‐registry#home/registrationdetails/5693d35a3f7235ec10988289/ pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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