Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic review

BackgroundGalvanic vestibular stimulation (GVS) may potentially improve postural rehabilitation. However, the postural control role of GVS in the neurological disorders has not been systematically reviewed.MethodsWe conducted a systematic review on PubMed, EMBASE, and Web of Science to synthesize ke...

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Main Authors: Wei Fu, Ya Bai, Xiaoming Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1580078/full
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author Wei Fu
Ya Bai
Xiaoming Wang
author_facet Wei Fu
Ya Bai
Xiaoming Wang
author_sort Wei Fu
collection DOAJ
description BackgroundGalvanic vestibular stimulation (GVS) may potentially improve postural rehabilitation. However, the postural control role of GVS in the neurological disorders has not been systematically reviewed.MethodsWe conducted a systematic review on PubMed, EMBASE, and Web of Science to synthesize key findings of the effectiveness of single and multiple sessions of GVS alone and combined with other interventions on balance in adults with neurological disorders. Diagnosis of neurological disorders, sample size, age and gender of participants, GVS parameters, postural assessments, and study findings were extracted following the PRISMA guidelines. Newcastle-Ottawa scale was used to assess study quality.ResultsTwenty-five studies were included in the systematic review. Clinical application of GVS for postural control included Parkinson’s disease, bilateral vestibulopathy, stroke-induced hemiplegia, multiple sclerosis, progressive supranuclear palsy, persistent postural-perceptual dizziness, and unilateral vestibulopathy. GVS effectively improves postural control in most neurological disorders. Risk of bias assessment showed that most studies had a low risk of bias.ConclusionGVS is a promising complementary therapy to improve postural control and balance in adults with neurological disorders. Future high quality studies should be performed to confirm these findings.
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spelling doaj-art-a63a6f031c4f4d77bb5560211791e24e2025-08-20T03:10:24ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-04-011910.3389/fnins.2025.15800781580078Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic reviewWei Fu0Ya Bai1Xiaoming Wang2Department of Geriatrics, Xijing Hospital, Air Force Medical University, Xi’an, ChinaDepartment of Neurology, Xijing Hospital, Air Force Medical University, Xi’an, ChinaDepartment of Geriatrics, Xijing Hospital, Air Force Medical University, Xi’an, ChinaBackgroundGalvanic vestibular stimulation (GVS) may potentially improve postural rehabilitation. However, the postural control role of GVS in the neurological disorders has not been systematically reviewed.MethodsWe conducted a systematic review on PubMed, EMBASE, and Web of Science to synthesize key findings of the effectiveness of single and multiple sessions of GVS alone and combined with other interventions on balance in adults with neurological disorders. Diagnosis of neurological disorders, sample size, age and gender of participants, GVS parameters, postural assessments, and study findings were extracted following the PRISMA guidelines. Newcastle-Ottawa scale was used to assess study quality.ResultsTwenty-five studies were included in the systematic review. Clinical application of GVS for postural control included Parkinson’s disease, bilateral vestibulopathy, stroke-induced hemiplegia, multiple sclerosis, progressive supranuclear palsy, persistent postural-perceptual dizziness, and unilateral vestibulopathy. GVS effectively improves postural control in most neurological disorders. Risk of bias assessment showed that most studies had a low risk of bias.ConclusionGVS is a promising complementary therapy to improve postural control and balance in adults with neurological disorders. Future high quality studies should be performed to confirm these findings.https://www.frontiersin.org/articles/10.3389/fnins.2025.1580078/fullgalvanic vestibular stimulationrehabilitationvestibularneurological disorderneuromodulation
spellingShingle Wei Fu
Ya Bai
Xiaoming Wang
Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic review
Frontiers in Neuroscience
galvanic vestibular stimulation
rehabilitation
vestibular
neurological disorder
neuromodulation
title Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic review
title_full Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic review
title_fullStr Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic review
title_full_unstemmed Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic review
title_short Galvanic vestibular stimulation for postural rehabilitation in neurological disorders: a systematic review
title_sort galvanic vestibular stimulation for postural rehabilitation in neurological disorders a systematic review
topic galvanic vestibular stimulation
rehabilitation
vestibular
neurological disorder
neuromodulation
url https://www.frontiersin.org/articles/10.3389/fnins.2025.1580078/full
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AT xiaomingwang galvanicvestibularstimulationforposturalrehabilitationinneurologicaldisordersasystematicreview