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AlBaiti S, Arumugam A, Nawayseh N. Acute neuromuscular responses to whole-body vibration in healthy individuals: A systematic review. J Electromyogr Kinesiol 2024; 77:102888. [PMID: 38833795 DOI: 10.1016/j.jelekin.2024.102888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Revised: 04/19/2024] [Accepted: 05/13/2024] [Indexed: 06/06/2024] Open
Abstract
Whole-body vibration (WBV) training has been employed alongside conventional exercise like resistance training to enhance skeletal muscle strength and performance. This systematic review examines the evidence regarding the effect of WBV on muscle activity, strength, and performance in healthy individuals. The Academic Search Ultimate, CINAHL, Cochrane CENTRAL, PubMed, ProQuest One Academic and SCOPUS databases were searched from 1990 to April 2023 to retrieve relevant studies. Methodological quality was assessed using the Modified Downs and Black checklist, while the level of evidence was evaluated through the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) tool. Even though the quality of the included studies was moderate to high, the level of evidence was very low owing to serious concerns with three or more GRADE domains (risk of bias, inconsistency, indirectness, imprecision, and publication bias) for each outcome of interest across studies. The review suggests that in WBV training, using moderate to high vibration frequencies (25-40 Hz) and high magnitudes (3-6 mm) can enhance muscle activation and strength in pelvis and lower limb muscles. However, findings regarding WBV effect on muscle performance measures were inconsistent. Future research with robust methodology is necessary in this area to validate and support these findings.
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Affiliation(s)
- Saleh AlBaiti
- Sustainable Engineering Asset Management Research Group, RISE - Research Institute of Sciences and Engineering, University of Sharjah, P.O. Box: 27272, Sharjah, United Arab Emirates
| | - Ashokan Arumugam
- Department of Physiotherapy, College of Health Sciences, University of Sharjah, P.O. Box: 27272, Sharjah, United Arab Emirates; Neuromusculoskeletal Rehabilitation Research Group, RIMHS - Research Institute of Medical and Health Sciences, University of Sharjah, P.O. Box: 27272, Sharjah, United Arab Emirates; Adjunct Faculty, Department of Physiotherapy, Manipal College of Health Professions, Manipal, Academy of Higher Education, Manipal, Karnataka, India.
| | - Naser Nawayseh
- Department of Mechanical and Nuclear Engineering, College of Engineering, P.O. Box: 27272, University of Sharjah, Sharjah, United Arab Emirates
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Han YG, Kim MK. Effectiveness of whole-body vibration in patients with cerebral palsy: A systematic review and meta-analysis. Medicine (Baltimore) 2023; 102:e36441. [PMID: 38050249 PMCID: PMC10695530 DOI: 10.1097/md.0000000000036441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 11/10/2023] [Indexed: 12/06/2023] Open
Abstract
BACKGROUND This study examined the effects of systemic vibration exercises on cerebral palsy patients. METHODS Literature published in Cumulated Index to Nursing and Allied Health Literature (CINAHL), Cochrane library, Embase, Physiotherapy Evidence Database (PEDro), and PubMed was reviewed. A total of 2978 studies were initially retrieved. After further reading of the full texts 17 articles were finally included. A quality assessment of the included studies was conducted using the risk of bias (RoB) 2.0, and the Funnel plot and the Egger test were conducted to confirm the publication bias. Subgroup analysis was carried out according to the dependent variables, the international classification of functioning, disability, and health (ICF), frequency, treatment period and age. RESULTS The overall effect size of homogeneity was 0.474 (CI = 0.148-0.801). The analysis of the dependent variables showed the following order of the effect size: balance, muscle strength, spasticity, bone density, range of motion of the joint, gait function, and motor function. In the ICF classification, the effect size was observed to follow the order of body structure and function, activity, and participation. The effect size in the intervention according to the treatment period showed the following order: 7 to 12 weeks, 1 to 6 weeks, and 14 to 24 weeks. The age-dependent classification showed the following order in the effect size: school age, adolescent and adult, and infant and school age. CONCLUSIONS Systemic vibration is the most effective intervention to improve the balance and gait in patients with cerebral palsy and improve the body structure and function according to the ICF.
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Affiliation(s)
- Yong-Gu Han
- Department of Physical Therapy, Daegu University Medical Clinic, Republic of Korea, Republic of Korea
| | - Myoung-Kwon Kim
- Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University, Jillyang, Gyeongsan, Gyeongbuk, Republic of Korea
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Godley D, Csongradi J. Whole Body Vibration Therapy for Children with Disabilities: A Survey of Potential Risks and Benefits. Arch Rehabil Res Clin Transl 2023; 5:100298. [PMID: 38163033 PMCID: PMC10757164 DOI: 10.1016/j.arrct.2023.100298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024] Open
Abstract
The purpose of this report is to remind providers of the potential risks of Whole Body Vibration Therapy (WBVT) for children with disabilities. We reviewed the current state of knowledge and learned that WBVT may have potential risk of injury for some children. To the best of our knowledge this review is the first to clarify WBVT risks. We believe WBVT may have therapeutic value but we recommend caution and offer suggestions for future research.
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Safder SNUH, Akram MU, Dar MN, Khan AA, Khawaja SG, Subhani AR, Niazi IK, Gul S. Analysis of EEG signals using deep learning to highlight effects of vibration-based therapy on brain. Biomed Signal Process Control 2023. [DOI: 10.1016/j.bspc.2023.104605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Cai X, Qian G, Cai S, Wang F, Da Y, Ossowski Z. The effect of whole-body vibration on lower extremity function in children with cerebral palsy: A meta-analysis. PLoS One 2023; 18:e0282604. [PMID: 36897858 PMCID: PMC10004558 DOI: 10.1371/journal.pone.0282604] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 02/18/2023] [Indexed: 03/11/2023] Open
Abstract
OBJECTIVE The aim of this meta-analysis was to evaluate the effect of whole-body vibration training on lower limb motor function in children with cerebral palsy in randomized-controlled trials (RCTs). METHODS Two independent reviewers systematically searched the records of nine databases (PubMed, Cochrane, Web of Science, EMBASE, CNKI, etc.) from inception to December 2022. Tools from the Cochrane Collaboration were used to assess risk of bias. Standard meta-analyses were performed using Stata 16.0 and Revman 5.3. For continuous variables, the arms difference was calculated as the weighted mean difference (WMD) between the values before and after the intervention and its 95% confidence interval (95% CI). RESULTS Of the 472 studies identified, 13 (total sample size 451 participants) met the inclusion criteria. Meta-analysis showed that WBV training could effectively improve GMFM88-D [WMD = 2.46, 95% CI (1.26, 3.67), P<0.01] and GMFM88-E [WMD = 3.44, 95% CI (1.21, 5.68), P = 0.003], TUG [WMD = -3.17, 95% CI (-5.11, -1.24), P = 0.001], BBS [WMD = 4.00,95% CI (3.29, 4.71), P<0. 01] and the range of motion of ankle joint and the angle of ankle joint during muscle reaction in children with cerebral palsy. The effect of WBV training on 6MWT walking speed [WMD = 47.64, 95% CI (-25.57, 120.85), p = 0.20] in children with cerebral palsy was not significantly improved. CONCLUSION WBV training is more effective than other types of conventional physical therapy in improving the lower limb motor function of children with cerebral palsy. The results of this meta-analysis strengthen the evidence of previous individual studies, which can be applied to the clinical practice and decision-making of WBV training and rehabilitation in children with cerebral palsy.
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Affiliation(s)
- Xiaoye Cai
- Shanghai Normal University Tianhua College, Shanghai, P. R. China
| | - Guoping Qian
- Gdansk University of Physical Education and Sport, Gdańsk, Poland
| | - Siyuan Cai
- Victoria university of Wellington, Wellington, New Zealand
| | - Feng Wang
- Shanghai Ocean University, Shanghai, P. R. China
| | - Yingjuan Da
- Shanghai Normal University Tianhua College, Shanghai, P. R. China
| | - Zbigniew Ossowski
- Gdansk University of Physical Education and Sport, Gdańsk, Poland
- * E-mail:
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Analysis of Vibration Frequency and Direction for Facilitating Upper-Limb Muscle Activity. BIOLOGY 2022; 12:biology12010048. [PMID: 36671741 PMCID: PMC9855852 DOI: 10.3390/biology12010048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 12/15/2022] [Accepted: 12/22/2022] [Indexed: 12/28/2022]
Abstract
We aimed to determine the effect of vibration frequency and direction on upper-limb muscle activation using a handheld vibrator. We recruited 19 healthy participants who were instructed to hold a handheld vibrator in their dominant hand and maintain the elbow at 90° flexion, while vertical and horizontal vibrations were applied with frequencies of 15, 30, 45, and 60 Hz for 60 s each. Surface electromyography (EMG) measured the activities of the flexor digitorum superficialis (FDS), flexor carpi radialis (FCR), extensor carpi ulnaris (ECU), extensor carpi radialis (ECR), biceps, triceps, and deltoid anterior muscles. EMG changes were evaluated as the difference in muscle activity between vibration and no-vibration (0 Hz) conditions. Muscle activity was induced under vibration conditions in both vertical and horizontal (p < 0.05) directions. At 45 Hz, FDS and FCR activities increased during horizontal vibrations, compared with those during vertical vibrations. ECU activity significantly increased under 15-Hz vertical vibrations compared with that during horizontal vibrations. Vibrations from the handheld vibrator significantly induced upper-limb muscle activity. The maximum muscle activations for FDS, ECR, ECU, biceps, and triceps were induced by 45-Hz horizontal vibration. The 60-Hz vertical and 30-Hz horizontal vibrations facilitated maximum muscle activations for the FCR and deltoid anterior, respectively.
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Romeo DM, Venezia I, De Biase M, Sini F, Velli C, Mercuri E, Brogna C. The Use of the 6MWT for Rehabilitation in Children with Cerebral Palsy: A Narrative Review. J Pers Med 2022; 13:jpm13010028. [PMID: 36675689 PMCID: PMC9863513 DOI: 10.3390/jpm13010028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/02/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022] Open
Abstract
Assessing and improving walking abilities is considered one of the most important functional goals of physical therapy in children with cerebral palsy. However, there is still a gap in knowledge regarding the efficacy of treatment targeting the walking capacity of children with CP, as well as their responsiveness to the treatment. The 6 min walk test (6MWT) is a reliable tool to measure this function in children with CP, although less has been known about its potential efficacy to assess changes in the walking abilities associated with interventions. The aim of the present narrative review is to increase the amount of knowledge regarding the use of the 6MWT as a reliable measure to evaluate the effect of interventions on walking capacity in children with CP.
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Affiliation(s)
- Domenico M. Romeo
- Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy
- Pediatric Neurology Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
- Correspondence: ; Tel.: +39-0630156307; Fax: +39-0630154363
| | - Ilaria Venezia
- Pediatric Neurology Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Margherita De Biase
- Pediatric Neurology Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Francesca Sini
- Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy
| | - Chiara Velli
- Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy
| | - Eugenio Mercuri
- Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy
- Pediatric Neurology Unit, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Claudia Brogna
- Pediatric Neurology Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy
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Hegazy RG, Abdel-Aziem AA. Effect of Whole-Body Vibration Exercise on Hamstrings-to-Quadriceps Ratio, Walking Performance, and Postural Control in Children With Hemiparetic Cerebral Palsy: A Randomized Controlled Trial. J Manipulative Physiol Ther 2022; 45:660-670. [PMID: 37318391 DOI: 10.1016/j.jmpt.2023.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 03/23/2023] [Accepted: 04/12/2023] [Indexed: 06/16/2023]
Abstract
OBJECTIVE The purpose of this study was to investigate the effect of whole-body vibration (WBV) exercises combined with traditional physiotherapy on the hamstrings-to-quadriceps (H:Q) ratio, walking ability, and control of posture in children with hemiparetic cerebral palsy (CP). METHODS A total of 34 children with spastic hemiparetic CP (boys and girls) participated in this 2-arm, parallel, randomized controlled trial. The inclusion criteria were spasticity ranging from 1 to 1+, gross level skills (I and II), at least 1 meter tall, standing alone, and walking forward and backward. They were randomly allocated to the control group (traditional physiotherapy) and study group and were treated by the same physiotherapy program combined with WBV training (3 times per week for 2 successive months). Quadriceps and hamstring muscle strength, walking performance, and postural control were evaluated before and after intervention by a blinded assessor. RESULTS The post-intervention values of the hamstring and quadriceps muscle force, gross motor function, and stability indices of the 2 groups were higher than the pre-values (P < .05). In addition, the post-values of the study group were higher than those of the control group (P < .05). Regarding the H:Q ratio, there was no significant difference between pre-values or the post-values of both groups (P = .948 and P = .397, respectively). There were no significant differences between the pre- and post-values of each group (P = .500 and P = .195, respectively). CONCLUSION Eight weeks of WBV training combined with traditional physiotherapy was more effective than traditional physiotherapy alone in improving walking ability and postural control. Furthermore, the combined intervention strengthened the quadriceps and hamstring muscles, with no change in the H:Q ratio in children with hemiparetic CP.
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Affiliation(s)
- Rania G Hegazy
- Department of Pediatric Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt
| | - Amr A Abdel-Aziem
- Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
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Vibration, a treatment for migraine, linked to calpain driven changes in actin cytoskeleton. PLoS One 2022; 17:e0262058. [PMID: 35482731 PMCID: PMC9049534 DOI: 10.1371/journal.pone.0262058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 04/04/2022] [Indexed: 11/19/2022] Open
Abstract
Understanding how a human cell reacts to external physical stimuli is essential to understanding why vibration can elicit localized pain reduction. Stimulation of epithelial cells with external vibration forces has been shown to change cell shape, particularly in regards to structures involved in non-muscle cell motility. We hypothesized that epithelial cells respond to vibration transduction by altering proteins involved in remodeling cytoskeleton. Epithelial cells were exposed to vibration and assessed by microscopy, cytoskeletal staining, immunoblotting and quantitative RT-PCR. Here, we report that epithelial cell lines exposed to 15 minutes of vibration retract filopodia and concentrate actin at the periphery of the cell. In particular, we show an increased expression of the calcium-dependent, cysteine protease, calpain. The discovery that cell transitions are induced by limited exposure to natural forces, such as vibration, provides a foundation to explain how vibrational treatment helps migraine patients.
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Ruhde L, Hulla R. An overview of the effects of whole-body vibration on individuals with cerebral palsy. J Pediatr Rehabil Med 2022; 15:193-210. [PMID: 35275570 DOI: 10.3233/prm-201508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The purpose of this review is to examine how whole-body vibration can be used as a tool in therapy to help improve common physical weaknesses in balance, bone density, gait, spasticity, and strength experienced by individuals with cerebral palsy. Cerebral palsy is the most common movement disorder in children, and whole-body vibration is quickly becoming a potential therapeutic tool with some advantages compared to traditional therapies for individuals with movement disorders. The advantages of whole-body vibration include less strain and risk of injury, more passive training activity, and reduced time to complete an effective therapeutic session, all of which are appealing for populations with physiological impairments that cause physical weakness, including individuals with cerebral palsy. This review involves a brief overview of cerebral palsy, whole-body vibration's influence on physical performance measures, its influence on physical performance in individuals with cerebral palsy, and then discusses the future directions of whole-body vibration therapy in the cerebral palsy population.
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Affiliation(s)
- Logan Ruhde
- Department of Kinesiology, University of Texas at Arlington, Arlington, TX, USA
| | - Ryan Hulla
- Department of Psychology, University of Texas at Arlington, Arlington, TX, USA
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Krause A, Lee K, König D, Faist M, Freyler K, Gollhofer A, Ritzmann R. Six weeks of whole-body vibration improves fine motor accuracy, functional mobility and quality of life in people with multiple sclerosis. PLoS One 2022; 17:e0270698. [PMID: 35816473 PMCID: PMC9273076 DOI: 10.1371/journal.pone.0270698] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 06/11/2022] [Indexed: 11/19/2022] Open
Abstract
People with multiple sclerosis (MS) suffer from sensorimotor deficits with the distal extremities being more severely affected than proximal ones. Whole-body vibration (WBV) training is known to enhance voluntary activation and coordination in healthy people. However, evidence about beneficial effects of WBV in MS patients is scarce. The current study aimed to investigate if six weeks of WBV enhances motor function in the ankle joint, coordination and quality of life in patients suffering from severe MS. In a longitudinal design, changes in motor function and quality of life were assessed before and after a 6-week control period without a training (CON) and a 6-week WBV training (2-3x/week) in 15 patients (53 ±10 years) with advanced MS (EDSS 3-6.5). Before CON (t0), after CON (t1) and after WBV(t2), outcome measures included (1) active range of motion (aROM) and (2) motor accuracy at the ankle joint, (3) functional mobility (Timed "Up & Go" test with preferred and non-preferred turns) and (4) physical and psychological impact of MS (MSIS-29 questionnaire). For (1) and (2), the stronger (SL) and the weaker leg (WL) were compared. After WBV, aROM (1) did not change (SL p = 0.26, WL p = 0.10), but was diminished after CON (SL -10% p = 0.06, WL -14% p = 0.03) with significant group differences (Δgroup WL p = 0.02). Motor accuracy in SL (2) was improved during dorsal flexion after WBV (p = 0.01, Δgroup p = 0.04) and deteriorated during plantar flexion after CON (p = 0.01, Δgroup p = 0.04). Additionally, participants (3) improved their functional mobility at the preferred turn (p = 0.04) and (4) ranked their quality of life higher solely after WBV (p = 0.05), without any differences between groups. However, values correlated significantly between angular precision and aROM as well as functional mobility. No further changes occurred. The results point towards an interception of degenerating mono-articular mobility and improvement of accuracy in the ankle joint. The motor effects after WBV are in line with enhanced perception of quality of life after six weeks which is why WBV could be a stimulus to enable greater overall autonomy in MS patients.
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Affiliation(s)
- Anne Krause
- Department of Sport Science, University of Freiburg, Freiburg, Germany
- Institute of Training and Computer Science, German Sport University Cologne, Cologne, Germany
| | - Kyungsoo Lee
- Department of Sport Science, University of Freiburg, Freiburg, Germany
| | - Daniel König
- Department of Sport Science, University of Freiburg, Freiburg, Germany
- Department of Sport Science and the Department of Nutritional Sciences, University of Vienna, Vienna, Austria
| | - Michael Faist
- Department of Neurology and Clinical Neurophysiology, University Hospital Freiburg, Freiburg, Germany
| | - Kathrin Freyler
- Department of Sport Science, University of Freiburg, Freiburg, Germany
- * E-mail:
| | - Albert Gollhofer
- Department of Sport Science, University of Freiburg, Freiburg, Germany
| | - Ramona Ritzmann
- Department of Sport Science, University of Freiburg, Freiburg, Germany
- Department of Biomechanics, Praxisklinik Rennbahn, Muttenz, Switzerland
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Hegazy RG, Abdel-aziem AA, El Hadidy EI, Ali YM. Effects of whole-body vibration on quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic cerebral palsy: a randomized controlled study. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2021. [DOI: 10.1186/s43161-021-00023-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Hemiplegic cerebral palsy (CP) enormously affects the quadriceps and hamstring muscles. It causes weakness in the affected lower-extremity muscles in addition to muscle imbalance and inadequate power production, especially in the ankle plantar-flexor and knee extensor muscles. It also causes anomalous delayed myoelectrical action of the medial hamstring. A whole-body vibration (WBV) exercise can diminish muscle spasticity and improve walking speed, muscle strength, and gross motor function without causing unfavorable impacts in adults suffering from CP. Thus, the aim of this study is to investigate the impacts of WBV training associated with conventional physical therapy on the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP.
Results
The post-intervention values of the quadriceps and hamstring muscle force, endurance, and power were significantly higher than the pre-intervention values for both groups (p = 0.001). The post-intervention values of the study group were significantly higher than the control group (quadriceps force, p = 0.015; hamstring force, p = 0.030; endurance, p = 0.025; power, p = 0.014).
Conclusion
The 8 weeks of WBV training that was added to traditional physical therapy was more successful in improving the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP when compared to traditional physical therapy alone.
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Tekin F, Kavlak E. Short and Long-Term Effects of Whole-Body Vibration on Spasticity and Motor Performance in Children With Hemiparetic Cerebral Palsy. Percept Mot Skills 2021; 128:1107-1129. [PMID: 33535899 DOI: 10.1177/0031512521991095] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study aimed to investigate the short and long-term effects of Whole-Body Vibration (WBV) therapy on spasticity and motor performance in children with hemiparetic cerebral palsy. We recruited 26 patient participants from among children undergoing conventional physiotherapy in a private rehabilitation center. We randomly assigned 22 participants to equally sized treatment (n = 11) and control (n = 11) groups. We evaluated the participants at the beginning of the study with the Gross Motor Function Measure-88, LEGSys™ Spatio-Temporal Gait Analyzer, SportKAT550™ Portable Computerized Kinesthetic Balance Device and the Modified Ashworth Scale. While children in the treatment group were treated with Compex-Winplate™ to administer WBV in three 15-minute sessions per week for eight weeks, children in the control group received continued conventional physiotherapy during this period. We then re-evaluated all participants both immediately after the treatment and again 12 weeks after the treatment. Following WBV, both gross motor functions and gait and balance skills were significantly improved (p < 0.05), and spasticity in lower and upper extremity muscles was significantly inhibited (p < 0.05). These improvements were preserved even after 12 weeks. We conclude that WBV is an effective incremental approach to conventional physiotherapy in children with hemiparetic cerebral palsy for inhibiting spasticity and improving motor performance.
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Affiliation(s)
- Fatih Tekin
- School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey
| | - Erdoğan Kavlak
- School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey
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Acute effect of whole-body vibration on acceleration transmission and jumping performance in children. Clin Biomech (Bristol, Avon) 2021; 81:105235. [PMID: 33221052 DOI: 10.1016/j.clinbiomech.2020.105235] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Revised: 08/14/2020] [Accepted: 11/09/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Whole-body vibration (WBV) has emerged as a potential intervention paradigm for improving motor function and bone growth in children with disabilities. However, most evidence comes from adult studies. It is critical to understand the mechanisms of children with and without disabilities responding to different WBV conditions. This study aimed to systematically investigate the acute biomechanical and neuromuscular response in typically developing children aged 6-11 years to varying WBV frequencies and amplitudes. METHODS Seventeen subjects participated in this study (mean age 8.7 years, 10 M/7F). A total of six side-alternating WBV conditions combining three frequencies (20, 25, and 30 Hz) and two amplitudes (1 and 2 mm) were randomly presented for one minute. We estimated transmission of vertical acceleration across body segments during WBV as the average rectified acceleration of motion capture markers, as well as lower-body muscle activation using electromyography. Following WBV, subjects performed countermovement jumps to assess neuromuscular facilitation. FINDINGS Vertical acceleration decreased from the ankle to the head across all conditions, with the greatest damping occurring from the ankle to the knee. Acceleration transmission was lower at the high amplitude than at the low amplitude across body segments, and the knee decreased acceleration transmission with increasing frequency. In addition, muscle activation generally increased with frequency during WBV. There were no changes in jump height or muscle activation following WBV. INTERPRETATION WBV is most likely a safe intervention paradigm for typically developing children. Appropriate WBV intervention design for children with and without disabilities should consider WBV frequency and amplitude.
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Liang V, Henderson G, Wu J. Neuromuscular response to a single session of whole-body vibration in children with cerebral palsy: A pilot study. Clin Biomech (Bristol, Avon) 2020; 80:105170. [PMID: 32920250 DOI: 10.1016/j.clinbiomech.2020.105170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Revised: 05/25/2020] [Accepted: 08/31/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Whole-body vibration (WBV) is a relative new intervention paradigm that could reduce spasticity and improve motor function in children with cerebral palsy (CP). We investigated neuromuscular response to a single session of side-alternating WBV with different amplitudes in children with CP. METHODS Ten children with spastic CP aged 7-17 years at GMFCS level I-III participated in this pilot study. Participants received two sessions of side-alternating WBV with the same frequency (20 Hz) but different amplitudes (low-amplitude: 1 mm and high-amplitude: 2 mm). Each session included six sets of 90 s of WBV and 90 s of rest. Before and after each WBV session, we used (a) the modified Ashworth scale to evaluate the spasticity of the participants' leg muscles, (b) a quiet standing task to analyze center-of-pressure (CoP) pattern and postural control, and (c) overground walking trials to assess spatiotemporal gait parameters and joint range-of-motion (RoM). RESULTS Both WBV sessions similarly reduced the spasticity of the ankle plantarflexors, improved long-range correlation of CoP profile during standing, and reduced muscle activity of tibialis anterior during walking. The high-amplitude WBV further increased ankle RoM during walking. CONCLUSIONS This study demonstrates that a single session of WBV with either a low or a high amplitude can reduce spasticity, enhance standing posture, and improve gait patterns in children with CP. It suggests that low-amplitude WBV may induce similar neuromuscular response as high-amplitude WBV in children with spastic CP and can provide positive outcomes for those who are not able to tolerate stronger vibration.
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Affiliation(s)
- Virginia Liang
- Department of Physical Therapy, University of Illinois, Chicago, IL, USA
| | - Gena Henderson
- Department of Kinesiology and Health, Georgia State University, Atlanta, GA, USA
| | - Jianhua Wu
- Department of Kinesiology and Health, Georgia State University, Atlanta, GA, USA; Center for Movement & Rehabilitation Research, Georgia State University, Atlanta, GA, USA.
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16
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Adaikina A, Hofman PL, Gusso S. The effect of side-alternating vibration therapy on mobility and health outcomes in young children with mild to moderate cerebral palsy: design and rationale for the randomized controlled study. BMC Pediatr 2020; 20:508. [PMID: 33153439 PMCID: PMC7643348 DOI: 10.1186/s12887-020-02377-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 10/07/2020] [Indexed: 11/28/2022] Open
Abstract
Background Cerebral palsy (CP) is the most common cause of physical disability in early childhood. Vibration therapy (VT) is a promising rehabilitation approach for children with CP with potential to impact mobility, bone and muscle health as demonstrated by extant research. However, it is still unclear how long therapy must be conducted for and what the optimal vibration frequency is in order to gain health benefits. Methods/design The study is a randomized clinical trial evaluating and comparing the effects of two vibration frequency (20 Hz vs 25 Hz) and duration protocols (12 weeks vs 20 weeks) of side-alternating VT on mobility and other health parameters in children with CP. Children aged 5–12 years old with CP and GMFCS level I-III who are able to understand instruction and safely stand are eligible for the study. Exclusion criteria include bone fracture within 12 weeks of enrolment; acute conditions; the history of significant organic disease; the history of taking anabolic agents, glucocorticoids, growth hormone, and botulinum toxin injection into lower limbs within 3 months of enrolment. All participants will act as their own control with a 12-week lead-in period prior to intervention. The intervention period will consist of 20 weeks of home- or school-based VT 9 min per day, 4 times a week. After the baseline assessment, participants will be randomized to either a 20 Hz or 25 Hz vibration-frequency group. The primary outcome is mobility measured by a 6-min walking test, with analysis performed on the principle of intention to treat. Secondary outcomes include body composition, muscle strength, physical activity level, balance, gross motor function, respiratory function, and quality of life. Participants will undergo four assessment visits over the study period: baseline, at weeks 12, 24, and 32. Discussion The results of the study will provide evidence-based insights into the health benefits of side-alternating VT as a therapeutic tool in young children with cerebral palsy. The investigation of different vibration training protocols will help define the optimal parameters of intervention protocols (duration, frequency) of side-alternating VT to maximize outcomes on the health of 5–12-year-old children with CP. Trial registration Australian New Zealand Clinical Trials Registry (ANZCTR): 12618002026202 (Registration date 18/12/2018).
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Affiliation(s)
- Alena Adaikina
- Liggins Institute, University of Auckland, Auckland, New Zealand.
| | - Paul L Hofman
- Liggins Institute, University of Auckland, Auckland, New Zealand
| | - Silmara Gusso
- Department of Exercise Sciences, University of Auckland, Auckland, New Zealand
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17
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Krause A, Gollhofer A, Lee K, Freyler K, Becker T, Kurz A, Ritzmann R. Acute whole-body vibration reduces post-activation depression in the triceps surae muscle. Hum Mov Sci 2020; 72:102655. [PMID: 32721374 DOI: 10.1016/j.humov.2020.102655] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 01/09/2020] [Accepted: 06/20/2020] [Indexed: 01/22/2023]
Abstract
PURPOSE Acute whole-body vibration (WBV) is known to enhance neuromuscular activation. Especially mechanisms which act presynaptically are discussed to be involved in this modulation, but evidence is still limited. Therefore, this study aimed to investigate if 2 min of WBV might impact the premotoneuronal mechanism of post-activation depression (PAD). METHODS PAD in m. soleus was assessed by paired-pulse stimulation in 28 healthy participants prior, 2 min, 4 min and 10 min after 2 min of side-alternating WBV (10 Hz, 2 mm). Methodologies involved electromyography (m. soleus, m. tibialis anterior) and goniometric recordings (ankle, knee joint). H-reflexes were elicited with peripheral nerve stimulation and assessed by means of conditioned H-reflexes (ISI 1 s, Hcond) versus control H-reflexes (ISI10, H). RESULTS Hcond/H was significantly enhanced by +55% (2 min), +32% (4 min) and +35% (10 min) following WBV (P < 0.05). Baseline muscle activity and joint positions were shown to be reliable (Cronbach's α values >0.990) throughout the testing procedure. CONCLUSION Vibratory-induced spinal inhibition is accompanied by diminished PAD at the presynaptic terminals which interconnect the Ia afferents with the α-motoneuron. Functionally, the PAD reduction might explain enhanced motor performance following vibration therapy, but future studies will be needed to verify this assumption.
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Affiliation(s)
- Anne Krause
- Institute of Training and Computer Science in Sport, German Sport University Cologne, Germany, Am Sportpark Müngersdorf 6, 50933 Köln; Department for Sports and Sport Science, University of Freiburg, Germany, Schwarzwaldstraße 175, 79117 Freiburg i.Br
| | - Albert Gollhofer
- Department for Sports and Sport Science, University of Freiburg, Germany, Schwarzwaldstraße 175, 79117 Freiburg i.Br
| | - Kyungsoo Lee
- Department for Sports and Sport Science, University of Freiburg, Germany, Schwarzwaldstraße 175, 79117 Freiburg i.Br
| | - Kathrin Freyler
- Department for Sports and Sport Science, University of Freiburg, Germany, Schwarzwaldstraße 175, 79117 Freiburg i.Br
| | - Tobias Becker
- Department for Sports and Sport Science, University of Freiburg, Germany, Schwarzwaldstraße 175, 79117 Freiburg i.Br
| | - Alexander Kurz
- Department for Sports and Sport Science, University of Freiburg, Germany, Schwarzwaldstraße 175, 79117 Freiburg i.Br.; Bernstein Center Freiburg, University of Freiburg, Germany, Hansastraße 9a, 79104 Freiburg i.Br
| | - Ramona Ritzmann
- Department for Sports and Sport Science, University of Freiburg, Germany, Schwarzwaldstraße 175, 79117 Freiburg i.Br.; Department of Biomechanics, Rennbahnklinik, Switzerland, Kriegackerstrasse 100, 4132, Muttenz, Switzerland.
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18
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Sales RM, Cerqueira MS, Bezerra de Morais AT, de Paiva Lima CRO, Lemos A, Galvão de Moura Filho A. Acute effects of whole-body vibration on spinal excitability level and ankle plantar flexion spasticity in post-stroke individuals: A randomized controlled trial. J Bodyw Mov Ther 2020; 24:37-42. [DOI: 10.1016/j.jbmt.2019.05.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2019] [Accepted: 05/15/2019] [Indexed: 11/30/2022]
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Evaluation of Whole-Body Vibration Exercise on Neuromuscular Activation Through Electromyographic Pattern of Vastus Lateralis Muscle and on Range of Motion of Knees in Metabolic Syndrome: A Quasi-Randomized Cross-Over Controlled Trial. APPLIED SCIENCES-BASEL 2019. [DOI: 10.3390/app9234997] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Metabolic syndrome (MetS) is related to overweight and obesity, and contributes to clinical limitations. Exercise is used for the management of MetS individuals, who are often not motivated to perform this practice. Whole body vibration exercise (WBVE) produces several biological effects, besides being safe, effective, and feasible for MetS individuals. This pseudo-randomized and cross-over controlled trial study aimed to analyze the effects of WBVE on MetS individuals’ neuromuscular activation using the surface electromyography (sEMG) pattern (root mean square (RMS)) of the vastus lateralis (VL) muscle and on the range of motion (ROM) of the knees. Participants (n = 39) were allocated to two groups: the treatment group (TG), which was exposed to WBVE, and the control group (CG). WBVE interventions were performed twice a week, for a period of 5 weeks. ROM and sEMG were analyzed at baseline, after the first session, and before and after the last session. sEMG (%RMS) significantly increased in the acute effect of the last session of WBVE (108.00 ± 5.07, p < 0.008, right leg; 106.20 ± 3.53, p < 0.02, left leg) compared to the CG. ROM did not significantly change in TG or CG. In conclusion, 5 weeks of WBVE exerted neuromuscular effects capable of increasing VL muscle RMS in individuals with MetS, this effect being potentially useful in the physical rehabilitation of these individuals.
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Yardımcı-Lokmanoğlu BN, Bingöl H, Mutlu A. The forgotten sixth sense in cerebral palsy: do we have enough evidence for proprioceptive treatment? Disabil Rehabil 2019; 42:3581-3590. [DOI: 10.1080/09638288.2019.1608321] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
| | - Hasan Bingöl
- Vocational School of Health, Department of Health Care, Muş Alparslan University, Turkey
| | - Akmer Mutlu
- Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey
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21
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Chen YT, Li S, Zhou P, Li S. A startling acoustic stimulation (SAS)-TMS approach to assess the reticulospinal system in healthy and stroke subjects. J Neurol Sci 2019; 399:82-88. [PMID: 30782527 DOI: 10.1016/j.jns.2019.02.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 02/08/2019] [Accepted: 02/10/2019] [Indexed: 12/21/2022]
Abstract
Reticulospinal (RS) hyperexcitability is observed in stroke survivors with spastic hemiparesis. Habituated startle acoustic stimuli (SAS) can be used to stimulate the RS pathways non-reflexively. However, the role of RS pathways in motor function and its interactions with the corticospinal system after stroke still remain unclear. Therefore, the purpose of this study was to investigate the effects of conditioning SAS on the corticospinal system in healthy subjects and in stroke subjects with spastic hemiparesis. An established conditioning SAS- transcranial magnetic stimulation (TMS) paradigm was used to test the interactions between the RS pathways and the corticospinal system. TMS was delivered to the right hemisphere of eleven healthy subjects and the contralesional hemisphere of eleven stroke subjects during isometric elbow flexor contraction on the non-impaired (or left) side. Conditioning SAS had similar effects on the corticospinal motor system in both healthy and stroke subjects, including similar SAS-induced motor evoked potential (MEP) reduction at rest, but not during voluntary contraction tasks; similar magnitudes of TMS-induced MEP and force increment and shortening of the silent period during voluntary elbow flexor contraction. This study provides evidence that RS excitability on the contralesional side in stroke subjects with spastic hemiparesis is not abnormal, and suggests that RS projections are likely to be primarily unilateral in humans.
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Affiliation(s)
- Yen-Ting Chen
- Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center, Houston, United States; TIRR Memorial Hermann Research Center, TIRR Memorial Hermann Hospital, United States
| | - Shengai Li
- Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center, Houston, United States; TIRR Memorial Hermann Research Center, TIRR Memorial Hermann Hospital, United States.
| | - Ping Zhou
- Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center, Houston, United States; TIRR Memorial Hermann Research Center, TIRR Memorial Hermann Hospital, United States
| | - Sheng Li
- Department of Physical Medicine and Rehabilitation, University of Texas Health Science Center, Houston, United States; TIRR Memorial Hermann Research Center, TIRR Memorial Hermann Hospital, United States
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22
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Song S, Lee K, Jung S, Park S, Cho H, Lee G. Effect of Horizontal Whole-Body Vibration Training on Trunk and Lower-Extremity Muscle Tone and Activation, Balance, and Gait in a Child with Cerebral Palsy. AMERICAN JOURNAL OF CASE REPORTS 2018; 19:1292-1300. [PMID: 30377290 PMCID: PMC6223197 DOI: 10.12659/ajcr.910468] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Patient: Male, 10 Final Diagnosis: Cerebral palsy Symptoms: Movement disorder Medication: — Clinical Procedure: — Specialty: Rehabilitation
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Affiliation(s)
- Sunhae Song
- Department of Physical Therapy, Graduate School of Kyungnam University, Changwon, South Korea
| | - Kyeongbong Lee
- Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Seoul, South Korea
| | - Sunhye Jung
- Department of Physical Therapy, Graduate School of Kyungnam University, Changwon, South Korea
| | - Suho Park
- Department of Physical Therapy, Graduate School of Kyungnam University, Changwon, South Korea
| | - Hyunrae Cho
- Department of Physical Therapy, Masan University, Changwon, South Korea
| | - Gyuchang Lee
- Department of Physical Therapy, Kyungnam University, Changwon, South Korea
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23
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Acute whole-body vibration increases reciprocal inhibition. Hum Mov Sci 2018; 60:191-201. [DOI: 10.1016/j.humov.2018.06.011] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Revised: 06/12/2018] [Accepted: 06/14/2018] [Indexed: 11/23/2022]
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24
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Alp A, Efe B, Adalı M, Bilgiç A, Demir Türe S, Coşkun Ş, Karabulut M, Ertem U, Günay SM. The Impact of Whole Body Vibration Therapy on Spasticity and Disability of the Patients with Poststroke Hemiplegia. Rehabil Res Pract 2018; 2018:8637573. [PMID: 30225145 PMCID: PMC6129331 DOI: 10.1155/2018/8637573] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Revised: 02/11/2018] [Accepted: 03/12/2018] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVE To determine if whole body vibration therapy (WBV) effectively improves functional outcome in patients with poststroke hemiplegia. MATERIALS AND METHODS In this single-blind RCT, WBV group (n = 10) had 40 hz frequency/4 mm amplitude vibration during 5 minutes/session, 3 days a week, for a duration of 4 weeks. The control group (n = 11) had no vibration therapy for the same duration while standing on the same platform. Patients in both of the groups did 15 minutes of stretching and active range of motion exercises before the intervention. Outcome measures were Modified Ashworth Scale (MAS), Functional Independence Measurement (FIM), and Timed 10-Meter Walk Test (10 mWT). RESULTS Only 10 mWT improved at the 1st week (p = 0.002), 1st month (p < 0.001), and 3rd month (p < 0.001) in favor of the intervention group. There was positive correlation also between 10 mWT and ankle spasticity (p < 0.001, r = 0.931). CONCLUSION This study suggests that WBV therapy may be a complementary therapy in gait rehabilitation and functional outcome of the patients with calf muscle spasticity.
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Affiliation(s)
- Alev Alp
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Bilge Efe
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Mihriban Adalı
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Adnan Bilgiç
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Sevda Demir Türe
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Şeyma Coşkun
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Merve Karabulut
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Uğur Ertem
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
| | - Selim Mahmut Günay
- Faculty of Medicine, Physical Therapy and Rehabilitation Department, Uludag University, Bursa, Turkey
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25
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Huang D, Yang Z, Wang Z, Wang P, Qu Y. The macroscopic and microscopic effect of low-frequency whole-body vibration after cerebral ischemia in rats. Metab Brain Dis 2018; 33:15-25. [PMID: 28948448 DOI: 10.1007/s11011-017-0113-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Accepted: 09/17/2017] [Indexed: 02/05/2023]
Abstract
Whole body vibration (WBV) has been applied in stroke patients with uncertain effects on motor and sensory dysfunction, and its effects on neurogenesis have not been studied yet. Here, we intended to explore the effects of daily WBV on neurological behavior, brain structure, and neurogenesis after cerebral ischemia in rats for 4 weeks. Results showed that improvements in weight or comprehensive neurological deficits were not significantly different under WBV or control treatment, and the degrees of brain damage and the numbers of necrotic neurons in the ischemic cortex were similar in two groups. However, WBV markedly improved animals' coordination from 14d to 28d (P < 0.05) and muscle strength of the upper limbs at 21d and 28d (P < 0.05 & P < 0.001) compared with the control group. WBV promoted the increase in the number of bromodeoxyuridine-positive (BrdU+) cells at 3d (P < 0.05) and 14d (P < 0.001) and the number of BrdU+/nestin+ cells at 14d (P < 0.01) after ischemia when compared to the control group. The numbers of BrdU+/NeuN+ cells at 21d and 28d (P < 0.001) were enhanced by WBV treatment. In addition, WBV significantly promoted the proliferation of astrocytes and their neural processes thickening after 14d. The expression levels of neural markers, such as doublecortin, microtubule-associated protein 2, and glial fibrillary acidic protein, were upregulated in the ipsilateral cortex at different time points. Low-frequency WBV showed inconspicuous improvements in behavioral performance and brain damage after cerebral ischemia, but showed the potential in improving coordination and muscle strength and promoted neurogenesis after long-term exposure.
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Affiliation(s)
- Dan Huang
- Department of Rehabilitation Medicine, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, People's Republic of China
| | - Zhen Yang
- Core Facility of West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, People's Republic of China
| | - Zhenyu Wang
- Department of Rehabilitation Medicine, Yongchuan Hospital, Chongqing Medical University, Chongqing, 402160, People's Republic of China
| | - Pu Wang
- Department of Rehabilitation Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, People's Republic of China.
| | - Yun Qu
- Department of Rehabilitation Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, 610041, People's Republic of China.
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Ritzmann R, Stark C, Krause A. Vibration therapy in patients with cerebral palsy: a systematic review. Neuropsychiatr Dis Treat 2018; 14:1607-1625. [PMID: 29950843 PMCID: PMC6018484 DOI: 10.2147/ndt.s152543] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
The neurological disorder cerebral palsy (CP) is caused by unprogressive lesions of the immature brain and affects movement, posture, and the musculoskeletal system. Vibration therapy (VT) is increasingly used to reduce the signs and symptoms associated with this developmental disability. The purpose of this narrative review was systematically to appraise published research regarding acute and long-term effects of VT on functional, neuromuscular, and structural parameters. Systematic searches of three electronic databases identified 28 studies that fulfilled the inclusion criteria. Studies were analyzed to determine participant characteristics, VT-treatment protocols, effect on gross motor function (GMF), strength, gait, posture, mobility, spasticity, reflex excitability, muscle tone, mass, and bone strength within this population, and outcome measures used to evaluate effects. The results revealed that one acute session of VT reduces reflex excitability, spasticity, and coordination deficits. Subsequently, VT has a positive effect on the ability to move, manifested for GMF, strength, gait, and mobility in patients with CP. Effects persist up to 30 minutes after VT. Long-term effects of VT manifest as reduced muscle tone and spasticity occurring concomitantly with improved movement ability in regard to GMF, strength, gait, and mobility, as well as increased muscle mass and bone-mineral density. Posture control remained unaffected by VT. In conclusion, the acute and chronic application of VT as a nonpharmacological approach has the potential to ameliorate CP symptoms, achieving functional and structural adaptations associated with significant improvements in daily living. Even though further studies including adult populations validating the neuromuscular mechanisms underlying the aforementioned adaptations should be fostered, growing scientific evidence supports the effectiveness of VT in regard to supplementing conventional treatments (physiotherapy and drugs). Therefore, VT could reduce CP-associated physical disability and sensorimotor handicaps. Goals for patients and their caregivers referring to greater independence and improved safety may be achieved more easily and time efficiently.
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Affiliation(s)
- Ramona Ritzmann
- Department of Sport Science, University of Freiburg, Freiburg, Germany
| | - Christina Stark
- Children's and Adolescent's Hospital, University of Cologne, Cologne, Germany.,Cologne Centre for Musculoskeletal Biomechanics (CCMB), University of Cologne, Cologne, Germany
| | - Anne Krause
- Institute of Training and Computer Science in Sport, German Sport University Cologne, Cologne, Germany
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Paineiras-Domingos LL, Sá-Caputo DDCD, Moreira-Marconi E, Morel DS, da Fontoura Dionello C, Sousa-Gonçalves CR, Frederico ÉHFF, Marín PJ, Tamini S, Sartorio A, Bernardo-Filho M. Can whole body vibration exercises affect growth hormone concentration? A systematic review. Growth Factors 2017; 35:189-200. [PMID: 29228887 DOI: 10.1080/08977194.2017.1401619] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Whole body vibration (WBV) has been recognized as an effective alternative exercise modality to resistance exercise for its ability in enhancing force and power, generating capacity in skeletal muscle, increasing bone mass and improving cardiovascular function. Since the effect of WBV exercises on growth hormone (GH) levels has been never compared and discussed, the aim of this study was to review systematically the literature to verify the WBV effects on GH concentration. By using PubMed, Scopus and PEDRo databases with the keywords 'growth hormone' or GH and 'whole body vibration' or WBV, we found and analysed 12 papers (182 subjects recruited), verifying their level of evidence (National Health and Medical Research Council hierarchy of evidence) and the methodological quality (PEDRo scale). Although WBV induced GH responses in nine out of 12 publications, caution should be however taken when considering the results due to the markedly different methodologies among these publications.
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Affiliation(s)
- Laisa Liane Paineiras-Domingos
- a Programa de Pós-graduação em Ciências Médicas , Faculdade de Ciências Médicas Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
| | - Danúbia da Cunha de Sá-Caputo
- a Programa de Pós-graduação em Ciências Médicas , Faculdade de Ciências Médicas Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
| | - Eloá Moreira-Marconi
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
- c Programa de Pós-graduação em Fisiopatologia Clínica e Experimental , Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
| | - Danielle Soares Morel
- a Programa de Pós-graduação em Ciências Médicas , Faculdade de Ciências Médicas Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
| | - Carla da Fontoura Dionello
- a Programa de Pós-graduação em Ciências Médicas , Faculdade de Ciências Médicas Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
| | - Cintia Renata Sousa-Gonçalves
- a Programa de Pós-graduação em Ciências Médicas , Faculdade de Ciências Médicas Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
| | - Éric Heleno Freire Ferreira Frederico
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
- d Programa de Pós Graduação em Biociências , Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
| | | | - Sofia Tamini
- f Experimental Laboratory for Auxo-endocrinological Research, Division of Auxology and Metabolic Diseases , IRCCS, Istituto Auxologico Italiano , Verbania and Milan , Italy
| | - Alessandro Sartorio
- f Experimental Laboratory for Auxo-endocrinological Research, Division of Auxology and Metabolic Diseases , IRCCS, Istituto Auxologico Italiano , Verbania and Milan , Italy
| | - Mario Bernardo-Filho
- b Departamento de Biofísica e Biometria , Laboratório de Vibrações Mecânicas e Práticas Integrativas e Complementares, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , Brazil
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Krause A, Schönau E, Gollhofer A, Duran I, Ferrari-Malik A, Freyler K, Ritzmann R. Alleviation of Motor Impairments in Patients with Cerebral Palsy: Acute Effects of Whole-body Vibration on Stretch Reflex Response, Voluntary Muscle Activation and Mobility. Front Neurol 2017; 8:416. [PMID: 28861038 PMCID: PMC5561012 DOI: 10.3389/fneur.2017.00416] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Accepted: 07/31/2017] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION Individuals suffering from cerebral palsy (CP) often have involuntary, reflex-evoked muscle activity resulting in spastic hyperreflexia. Whole-body vibration (WBV) has been demonstrated to reduce reflex activity in healthy subjects, but evidence in CP patients is still limited. Therefore, this study aimed to establish the acute neuromuscular and kinematic effects of WBV in subjects with spastic CP. METHODS 44 children with spastic CP were tested on neuromuscular activation and kinematics before and immediately after a 1-min bout of WBV (16-25 Hz, 1.5-3 mm). Assessment included (1) recordings of stretch reflex (SR) activity of the triceps surae, (2) electromyography (EMG) measurements of maximal voluntary muscle activation of lower limb muscles, and (3) neuromuscular activation during active range of motion (aROM). We recorded EMG of m. soleus (SOL), m. gastrocnemius medialis (GM), m. tibialis anterior, m. vastus medialis, m. rectus femoris, and m. biceps femoris. Angular excursion was recorded by goniometry of the ankle and knee joint. RESULTS After WBV, (1) SOL SRs were decreased (p < 0.01) while (2) maximal voluntary activation (p < 0.05) and (3) angular excursion in the knee joint (p < 0.01) were significantly increased. No changes could be observed for GM SR amplitudes or ankle joint excursion. Neuromuscular coordination expressed by greater agonist-antagonist ratios during aROM was significantly enhanced (p < 0.05). DISCUSSION The findings point toward acute neuromuscular and kinematic effects following one bout of WBV. Protocols demonstrate that pathological reflex responses are reduced (spinal level), while the execution of voluntary movement (supraspinal level) is improved in regards to kinematic and neuromuscular control. This facilitation of muscle and joint control is probably due to a reduction of spasticity-associated spinal excitability in favor of giving access for greater supraspinal input during voluntary motor control.
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Affiliation(s)
- Anne Krause
- Department of Sport Science, University of Freiburg, Freiburg, Germany
| | - Eckhard Schönau
- Center of Prevention and Rehabilitation, University of Cologne, Cologne, Germany
| | - Albert Gollhofer
- Department of Sport Science, University of Freiburg, Freiburg, Germany
| | - Ibrahim Duran
- Center of Prevention and Rehabilitation, University of Cologne, Cologne, Germany
| | - Anja Ferrari-Malik
- Center of Prevention and Rehabilitation, University of Cologne, Cologne, Germany
| | - Kathrin Freyler
- Department of Sport Science, University of Freiburg, Freiburg, Germany
| | - Ramona Ritzmann
- Department of Sport Science, University of Freiburg, Freiburg, Germany
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Gatica-Rojas V, Cartes-Velásquez R, Méndez-Rebolledo G, Guzman-Muñoz E, Lizama LEC. Effects of a Nintendo Wii exercise program on spasticity and static standing balance in spastic cerebral palsy. Dev Neurorehabil 2017; 20:388-391. [PMID: 27538127 DOI: 10.1080/17518423.2016.1211770] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE This study sought to evaluate the effects of a Nintendo Wii Balance Board (NWBB) intervention on ankle spasticity and static standing balance in young people with spastic cerebral palsy (SCP). METHODS Ten children and adolescents (aged 72-204 months) with SCP participated in an exercise program with NWBB. The intervention lasted 6 weeks, 3 sessions per week, 25 minutes for each session. Ankle spasticity was assessed using the Modified Modified Ashworth Scale (MMAS), and static standing balance was quantified using posturographic measures (center-of-pressure [CoP] measures). Pre- and post-intervention measures were compared. RESULTS Significant decreases of spasticity in the ankle plantar flexor muscles (p < 0.01). There was also a significant reduction in the CoP sway area (p = 0.04), CoP mediolateral velocity (p =0.03), and CoP anterior-posterior velocity (p = 0.03). CONCLUSION A 6-session NWBB program reduces the spasticity at the ankle plantar flexors and improves the static standing balance in young people with SCP.
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Affiliation(s)
- Valeska Gatica-Rojas
- a Human Motor Control Laboratory, Department of Human Movement Sciences, Faculty of Health Sciences , Universidad de Talca , Talca , Chile
| | | | - Guillermo Méndez-Rebolledo
- a Human Motor Control Laboratory, Department of Human Movement Sciences, Faculty of Health Sciences , Universidad de Talca , Talca , Chile
| | - Eduardo Guzman-Muñoz
- c Escuela de Kinesiología, Facultad de la Salud , Universidad Santo Tomás , Talca , Chile
| | - L Eduardo Cofré Lizama
- d Department of Medicine , Royal Melbourne Hospital, The University of Melbourne , Melbourne , Australia
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Park C, Park ES, Choi JY, Cho Y, Rha DW. Immediate Effect of a Single Session of Whole Body Vibration on Spasticity in Children With Cerebral Palsy. Ann Rehabil Med 2017; 41:273-278. [PMID: 28503461 PMCID: PMC5426268 DOI: 10.5535/arm.2017.41.2.273] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2016] [Accepted: 08/30/2016] [Indexed: 11/27/2022] Open
Abstract
Objective To investigate the immediate effect of a single session of whole body vibration (WBV) on lower extremity spasticity in children with cerebral palsy (CP). Methods Seventeen children with spastic CP were included. A single session of WBV was administered: 10-minute WBV, 1-minute rest, and 10-minute WBV. The effects of WBV were clinically assessed with the Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS) before and immediately, 30 minutes, 1 hour, 2 hours, 3 hours, and 4 hours after WBV. Results Spasticity of the ankle plantarflexor, as assessed by MAS and MTS scores, was reduced after WBV. Post-hoc analysis demonstrated that, compared to baseline, the MAS significantly improved for a period of 1 hour after WBV, and the R1 and R2–R1 of the MTS significantly improved for a period of 2 hours after WBV. Conclusion A single session of WBV improves spasticity of ankle plantarflexors for 1–2 hours in children with CP. Future studies are needed to test whether WBV is an effective preparation before physiotherapy and occupational therapy.
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Affiliation(s)
- Chunung Park
- Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Eun Sook Park
- Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Ja Young Choi
- Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Yoona Cho
- Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Dong-Wook Rha
- Department of Rehabilitation Medicine and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Korea
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Naro A, Leo A, Russo M, Casella C, Buda A, Crespantini A, Porcari B, Carioti L, Billeri L, Bramanti A, Bramanti P, Calabrò RS. Breakthroughs in the spasticity management: Are non-pharmacological treatments the future? J Clin Neurosci 2017; 39:16-27. [DOI: 10.1016/j.jocn.2017.02.044] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Accepted: 02/12/2017] [Indexed: 12/16/2022]
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Huang M, Liao LR, Pang MYC. Effects of whole body vibration on muscle spasticity for people with central nervous system disorders: a systematic review. Clin Rehabil 2016; 31:23-33. [DOI: 10.1177/0269215515621117] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives: To examine the effects of whole-body vibration on spasticity among people with central nervous system disorders. Methods: Electronic searches were conducted using CINAHL, Cochrane Library, MEDLINE, Physiotherapy Evidence Database, PubMed, PsycINFO, SPORTDiscus and Scopus to identify randomized controlled trials that investigated the effect of whole-body vibration on spasticity among people with central nervous system disorders (last search in August 2015). The methodological quality and level of evidence were rated using the PEDro scale and guidelines set by the Oxford Centre for Evidence-Based Medicine. Results: Nine trials with totally 266 subjects (three in cerebral palsy, one in multiple sclerosis, one in spinocerebellar ataxia, and four in stroke) fulfilled all selection criteria. One study was level 1b (PEDro⩾6 and sample size>50) and eight were level 2b (PEDro<6 or sample size ⩽50). All three cerebral palsy trials (level 2b) reported some beneficial effects of whole-body vibration on reducing leg muscle spasticity. Otherwise, the results revealed no consistent benefits on spasticity in other neurological conditions studied. There is little evidence that change in spasticity was related to change in functional performance. The optimal protocol could not be identified. Many reviewed studies were limited by weak methodological and reporting quality. Adverse events were minor and rare. Conclusion: Whole-body vibration may be useful in reducing leg muscle spasticity in cerebral palsy but this needs to be verified by future high quality trials. There is insufficient evidence to support or refute the notion that whole-body vibration can reduce spasticity in stroke, spinocerebellar ataxia or multiple sclerosis.
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Affiliation(s)
- Meizhen Huang
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China
| | - Lin-Rong Liao
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China
- Department of Physiotherapy, Guangdong Provincial Work Injury Rehabilitation Hospital, Guangzhou, China
| | - Marco YC Pang
- Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong, China
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Ko MS, Doo JH, Kim JS, Jeon HS. Effect of whole body vibration training on gait function and activities of daily living in children with cerebral palsy. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2015. [DOI: 10.12968/ijtr.2015.22.7.321] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Myung-Sook Ko
- Physiotherapist, Purme Rehabilitation Center, Seoul, Republic of Korea
| | - Jung-Hee Doo
- Physiotherapist, Purme Rehabilitation Center, Seoul, Republic of Korea
| | - Jeong-Soo Kim
- Physiotherapist, Seoul Rehabilitation Hospital, Seoul, Republic of Korea
| | - Hye-Seon Jeon
- Associate professor, Department of Physical Therapy, Yonsei University, Wonju, Republic of Korea
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Rehabilitation Interventions for Children With Cerebral Palsy: A Systematic Review. JOURNAL OF PEDIATRICS REVIEW 2015. [DOI: 10.5812/jpr.361] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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