Assessment & Research

The effect of galvanic vestibular stimulation on postural response of Down syndrome individuals on the seesaw.

Carvalho et al. (2011) · Research in developmental disabilities 2011
★ The Verdict

Down syndrome clients feel tiny balance signals too strongly and pick shaky movement plans, so start them on stable ground and progress slowly.

✓ Read this if BCBAs writing gross-motor or safety goals for teens or adults with Down syndrome.
✗ Skip if Clinicians serving only under-five or non-DS populations.

01Research in Context

01

What this study did

The team used a small electric current to tickle the balance organs in the ears.

They watched how adults with Down syndrome kept their balance on a moving seesaw.

A neurotypical group did the same task for comparison.

02

What they found

Down syndrome adults reacted faster and more strongly to the current.

They also picked poor movement plans once the board began to tilt.

The extra sensitivity made their balance worse, not better.

03

How this fits with other research

Villarroya et al. (2012) show the same group struggles with quiet standing when the floor is soft or eyes are closed.

Gomes et al. (2016) add that visual cues are also poorly linked to sway, so the problem is not just in the ears.

Perry et al. (2024) give hope: adults who dance have smaller sway, proving training can tame the wobble.

Borji et al. (2023) and Dudley et al. (2019) show adding a word or hand task changes sway in surprising ways, hinting that attention also plays a role.

04

Why it matters

Your Down syndrome clients likely have touchy vestibular systems. Start balance work on a firm surface before adding foam, swings, or moving lights. Keep drills short and give extra rest after spins or tilts. Track dual-task effects: a simple counting job may stiffen some clients and help stability, while a verbal task may do the opposite. Use these clues to pick the right challenge level every session.

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Test balance on floor first, then on a foam pad; note any extra sway or fear and adjust task difficulty before adding toys or instructions.

02At a glance

Intervention
not applicable
Design
other
Sample size
16
Population
down syndrome, neurotypical
Finding
not reported

03Original abstract

In order to better understand the role of the vestibular system in postural adjustments on unstable surfaces, we analyzed the effects of galvanic vestibular stimulation (GVS) on the pattern of muscle activity and joint displacements (ankle knee and hip) of eight intellectually normal participants (control group--CG) and eight control group individuals with Down syndrome (DS) while balancing on seesaws of different heights. The CG individuals adopted a pattern of muscle activation characterized by alternation between ankle agonist and antagonist muscles. The individuals with DS adopted a pattern of muscle co-contraction. The GVS affected neither the ability of CG individuals to maintain balance nor their pattern of muscle contraction. On the other hand, the individuals with DS showed greater sensitivity to GVS while balancing on a seesaw and were not able to select the appropriate motor strategy to efficiently balance and compensate the effects of GVS. These increased vestibular sensitivities observed in individuals with DS can reflect deficits in the proprioceptive system.

Research in developmental disabilities, 2011 · doi:10.1016/j.ridd.2011.01.047