Preview

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

Advanced search

Features of non-radicular pain chronic syndrome in patients with osteochondrosis of the spine and dynamics in the psychoemotional sphere of patients during treatment with galvanic vestibular stimulation

https://doi.org/10.31363/2313-7053-2025-1-917

Abstract

Recent literature has shown convincing results of cold vestibular stimulation in central pain syndromes. Galvanic vestibular stimulation is an analog of cold vestibular stimulation. Both methods can be combined under the general name of vestibular neuromodulation.
Objective: To evaluate the effectiveness of the method of galvanic vestibular stimulation for the treatment of chronic pain syndromes in spinal osteochondrosis.
Methods: The study included 46 patients diagnosed with osteochondrosis of the spine in adults with chronic pain syndrome (more than 3 months). Patients were divided into 2 groups. The first group consisted of patients who received only conservative therapy according to clinical recommendations, and the second group consisted of patients receiving similar conservative therapy in combination with a course of galvanic vestibular stimulation. The patients of the first and second groups underwent pain syndrome scaling, as well as a study of the psycho-emotional sphere using a number of psychometric techniques.
Results: According to all scales and questionnaires, the patients of the second group had better results than the first group. The results obtained were significantly different not only in terms of pain syndrome assessment scales, but also in terms of the results of the psychometric methods used.
Conclusion: Medical treatment combined with a course of anodic galvanic vestibular galvanization significantly improves the quality of life and is more effective in reducing the intensity of pain syndrome in patients with chronic pain syndrome in spinal osteochondrosis, compared with the use of conservative treatment alone.

About the Authors

A. G. Naryshkin
V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology; North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Alexander G. Naryshkin 

St. Petersburg



A. M. Sarkisyan
V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology
Russian Federation

Alexander M. Sarkisyan

St. Petersburg



M. A. Maksyutina
V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology
Russian Federation

Maria A. Maksyutina

St. Petersburg



T. A. Skoromets
I.P. Pavlov First Saint-Petersburg State Medical University
Russian Federation

Taras A. Skoromets

St. Petersburg



Igor V. Galanin
V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology
Russian Federation

Igor V. Galanin

St. Petersburg



I. A. Orlov
V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology
Russian Federation

Ilya A. Orlov

St. Petersburg



References

1. Ryabchenko AYu, Belyanin VV, Bogdanov VS. Changes in quality of life and emotional status in dorsalgia against a background of degenerativedystrophic disorders of the lumbar spine. Orenburgskii meditsinskii vestnik. 2018;6:1:16 -19. (In Russ.).

2. Bekinazarov N, Shmyrina KV, Dzhurabekova AT. Quality of life in women with discogenic lumbosacral spine disease. Mezhdunarodnyi nauchnyi zhurnal «Innovatsionnaya nauka». 2015;6:246-249. (InRuss.).

3. Kennon V., Rozenblyut A. Povyshenie chuvstvitel’nosti denervirovannyh struktur. Zakon denervacii: Per. s angl. M.: Izd-vo Inostrannoj literatury;1951. (In Russ.).

4. Ryabchenko AYu, Belyanin VV, Bogdanov VS. Changes in quality of life and emotional status in dorsalgia against a background of degenerativedystrophic disorders of the lumbar spine. Orenburgskii meditsinskii vestnik. 2018;6:1:16-19. (InRuss.).

5. Stolbkov YK, Tomilovskaya ES, Kozlovskaya IB, Gerasimenko YP. Galvanic vestibular stimulation in physiological and clinical studies in recent years. Uspekhi fiziologicheskikh nauk. 2014;45;2:57–76. (In Russ.).

6. Elie Lobel, Justus F Kleine, Denis Le Bihan, Anne Leroy-Willig, Alain Berthoz. Functional MRI of galvanic vestibular stimulation. J Neurophysiol. 1998;80:2699–2709. https://doi.org/10.1152/jn.1998.80.5.2699

7. Fitzpatrick RC, Day BL. Probing the human vestibular system with galvanic stimulation. J Appl Physiol. 2004;96:2301-2316. https://doi.org/10.1152/japplphysiol.00008.2004

8. Hagiwara K, Perchet C, Garcia-Larrea L. Cortical modulation of nociception by galvanic vestibular stimulation: A potential clinical tool? Brain Stimul. 2020;13:1:60. https://doi.org/10.1016/j.brs.2019.10.009

9. Lopez C, Blanke O, Mast FW. The human vestibular cortex revealed by coordinate-based activation likelihood estimation meta-analysis. Neuroscience. 2012;212:159-179. https://doi.org/10.1016/j.neuroscience.2012.03.028

10. Miller SM, Ngo TT. Studies of caloric vestibular stimulation: implications for the cognitive neurosciences, the clinical neurosciences and neurophilosophy. Acta Neuropsychiatr. 2007;19:183-203. https://doi.org/10.1111/j.1601-5215.2007.00208.x

11. Miller SM. Vestibular neuromodulation: stimulating the neural crossroads of psychiatric illness. Bipolar Disord. 2016;18(6)539-543. https://doi.org/10.1111/bdi.12427.

12. Naryshkin AG, Galanin IV, Gorelik AL, Seliverstov RYu, Skoromets TA. Conceptual Aspects of Vestibular Neuromodulation. Human Physiology. 2023;49:4:435–443. https://doi.org/10.1134/S0362119723700366

13. Rudwaleit M, van der Heijde D, Landewe R, Listing J, Akkoc N, Brandt J, Sieper J. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (part II): validation and final selection. Annals of the Rheumatic Diseases. 2009;68(6):777–783. https://doi.org/10.1136/ard.2009.108233.

14. Utz KS, Dimova V, Oppenländer K, Kerkhoff G. Electrified minds: transcranial direct current stimulation (tDCS) and galvanic vestibular stimulation (GVS) as methods of non-invasive brain stimulation in neuropsychology—a review of current data and future implications. Neuropsychologia. 2010;48:2789-2810. https://doi.org/10.1016/j.neuropsychologia.2010.06.002.


Review

For citations:


Naryshkin A.G., Sarkisyan A.M., Maksyutina M.A., Skoromets T.A., Galanin I.V., Orlov I.A. Features of non-radicular pain chronic syndrome in patients with osteochondrosis of the spine and dynamics in the psychoemotional sphere of patients during treatment with galvanic vestibular stimulation. V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2025;59(1):67-72. (In Russ.) https://doi.org/10.31363/2313-7053-2025-1-917

Views: 1351


ISSN 2313-7053 (Print)
ISSN 2713-055X (Online)