Research AppraisalRandomised Controlled Trial

Effects of galvanic vestibular stimulation on bodily ownership and postural control: An experimental examination with counterbalanced randomization of stimulus conditions

PloS oneErsin, Kerem, Mutlu, Berna ÖzgeDOI

Clinical Snapshot

75CEBM
Evidence: ModerateRandomised Controlled Trial

PICO Framework

P — Population48 healthy adults
I — InterventionGalvanic vestibular stimulation (GVS)
C — ComparatorBaseline (pre-GVS) and sham stimulation (placebo)
O — OutcomesBodily ownership (Rubber Hand Illusion questionnaire), postural control (Single-Leg Stance test, Fukuda Stepping Test)

Bottom Line

This well-designed crossover study demonstrates that galvanic vestibular stimulation produces time-dependent, task-specific effects on balance and bodily ownership in healthy adults. While methodologically sound with appropriate controls, the clinical relevance remains uncertain. The transient nature of effects (30-60 minutes), testing in healthy participants only, and unclear blinding procedures limit immediate clinical application. The finding that static balance temporarily worsens while dynamic balance improves suggests complex sensory reweighting processes that warrant further investigation. Australian clinicians should await studies in clinical populations and longer-duration protocols before considering therapeutic applications. The research contributes valuable mechanistic insights into vestibular-sensory integration but requires translation studies in patients with vestibular disorders to establish clinical utility.

Evidence: Moderate

Key Findings

  • P Value: Significance reported but specific p-values not provided

  • Effect Size: Not reported in abstract

  • Primary Outcome: Balance performance (SLS) significantly reduced at 30 minutes post-GVS, returning toward baseline by 60 minutes

  • Nnt Or Sensitivity: Not applicable - experimental study measuring physiological responses

  • Confidence Interval: Not reported in abstract

Clinical Application

Requires specialised GVS equipment and trained personnel; short-term effects limit practical utility Would require TGA approval for therapeutic use; potential research applications in Australian vestibular rehabilitation centres Limited to research settings currently; potential future application in vestibular rehabilitation

Abstract

Vestibular stimulation influences both bodily ownership and postural control. Although previous studies in the literature have examined the effects of galvanic vestibular stimulation (GVS) on body ownership and balance separately, their combined and time-dependent effects remain insufficiently explored. This study investigated how GVS modulates multisensory integration over time by assessing bodily ownership and postural control within the same participants. A within-participant design was used with four conditions: Baseline (pre-GVS), Sham (60-min post-GVS placebo), 30-min post-GVS, and 60-min post-GVS. Forty-eight healthy adults completed all conditions. Balance performance was assessed via the Single-Leg Stance (SLS) and Fukuda Stepping Test (FST), while bodily ownership was measured using the Rubber Hand Illusion (RHI) questionnaire. Balance performance on the SLS showed a significant reduction at 30 minutes post-GVS, with values returning toward baseline by 60 minutes. In contrast, angular deviation on the FST decreased significantly at both 30 and 60 minutes post-GVS. RHI ownership scores increased at both post-stimulation time points, with the most pronounced increase observed at 60 minutes. The sham condition also elicited increases in RHI scores, indicating possible expectancy-related effects. Overall, these findings indicate time-dependent and task-specific effects of GVS on bodily ownership and postural control. The results are consistent with adaptive sensory reweighting processes that differentially affect static and dynamic balance measures. Further research in clinical populations and using longer stimulation protocols is required to determine the extent to which these short-term effects translate into sustained functional benefits.

References

  1. 1.Ersin, K., & Mutlu, B. Ö. (2026). Effects of galvanic vestibular stimulation on bodily ownership and postural control: An experimental examination with counterbalanced randomization of stimulus conditions. PLoS One. https://doi.org/10.1371/journal.pone.0348060
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