Efficacy of electrotactile vestibular substitution in patients with peripheral and central vestibular loss.

Vestibular dysfunction of either central or peripheral origin can significantly affect balance, posture, and gait. We conducted a pilot study to test the effectiveness of training with the BrainPort balance device in subjects with a balance dysfunction due to peripheral or central vestibular loss. The BrainPort balance device transmits information about the patient's head position via electrotactile stimulation of the tongue.

Efficacy of electrotactile vestibular substitution in patients with bilateral vestibular and central balance loss.

Patients with bilateral vestibular loss (BVL) of both central and peripheral origin experience multiple problems with balance and posture control, movement, and abnormal gait.Wicab, Inc. has developed the BrainPort balance device to transmit head position/orientation information normally provided by the vestibular system to the brain through a substitute sensory channel: electrotactile stimulation of the tongue.

Emerging concepts of brain function.

For over 40 years, since I first obtained evidence for nonsynaptic diffusion neurotransmission (most scientists call it Volume Transmission), I have been convinced that we scientists were ignoring organizational dynamics other than the mechanistic synaptic organization of the brain. For many years it was an uneasy feeling, since I was aware there are so many avenues to explore in brain function. I have wondered how much we scientists have ignored, in our quest to understand how the brain really works, due to our efforts to "be scientific".

Reconsidering the motor recovery plateau in stroke rehabilitation.

Termination of motor rehabilitation is often recommended as patients with cerebrovascular accident (CVA) become more chronic and/or when they fail to respond positively to motor rehabilitation (commonly termed a "plateau"). Managed-care programs frequently reinforce this practice by restricting care to patients responding to therapy and/or to the most acute patients. When neuromuscular adaptation occurs in exercise, rather than terminating the current regimen, a variety of techniques (eg, modifying intensity, attempting different modalities) are used to facilitate neuromuscular adaptations.

Tactile sensory substitution studies.

Forty years ago a project to explore late brain plasticity was initiated that was to lead into a broad area of sensory substitution studies. The questions at that time were: Can a person who has never seen learn to see as an adult? Is the brain sufficiently plastic to develop an entirely new sensory system? The short answer to both questions is yes, first clearly demonstrated in 1969 ((Bach-y-Rita et al., 1969)).