A wearable device that
stimulates the sense of balance with electric "noise" could help
Parkinson's disease patients, according to Swedish scientists.
Scientists
from the University of Gothenburg's Sahlgrenska Academy have developed a
portable pocket-sized vestibular, or balance, stimulation device in a bid to
improve the lives of Parkinson's sufferers.
The
simple device is similar to the TENS (Transcutaneous Electrical Nerve
Stimulation) therapy which is used for pain relief, for example in child birth.
So
this is really not a very complicated device. It is a current device which is very
similar to the ones that people use for pain relief with electrical stimulation
of muscles and nerves, what's called TENS.
The difference is that we
use a particular current profile which you can stimulate the balance organs
with without creating a balance disturbance. So you do not get the impression
that the world is moving or that you are moving, you actually do not feel anything.
The
device operates by providing stimulation via patches attached to the patient's
head behind the ears, where the vestibular system is located.
Parkinson's
disease is characterized by reduced levels in the brain of the hormone
dopamine, a neurotransmitter that allows different regions of the brain to
communicate with one another. Symptoms of advanced Parkinson's disease include
an impaired sense of balance, as well as tremors, poor mobility, slowness and
stiffness.
Nearly
all patients diagnosed with the disease are treated with levodopa, a drug that
stimulates the production of dopamine in the brain. The effectiveness of oral
levodopa reduces as Parkinson's disease progresses in the patient and can lead
to involuntary movements, or dyskinesia.
In
earlier experiments on rats, researchers at Sahlgrenska showed that noisy
electric stimulation of the balance organs could be used to change the activity
of the brain, thereby balancing the effects of dopamine shortage and improving
the animals' motor skills and balance.
The
researchers have also tested the method on ten Swedish Parkinson's patients, in
both medicated and unmedicated states. According to researchers, on one day the
patients received an active noise stimulation and on another day inactive
treatment, not knowing which day the current was active.
According to the research
institute, the experiments showed that the active noise stimulation improved
both the patients' balance and the combined symptoms.
What
researchers are hoping for with this device is to find a treatment for movement
disorders where Levodopa, Parkinson's disease where Levodopa is not enough. And
in particular in patients with Parkinson's disease where there is problem with
gait and balance.
But this may not be
restricted to Parkinson's disease, so there may be other conditions with poor
balance where you could use electrical stimulation of the vestibular organs,
the balance organs to improve balance and gait.
The
plan is now for the device to be tested in a longer-term study, where patients
will be using it at home. If those trials prove successful, the developers hope
the device could be available to the public within five years.
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