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Steven S, Spiess K, Lentzen B, Reinhart N, Schoenau E, Duran I. Effect of a Rehabilitation Program Including Home-Based Vibration-Assisted Therapy on Gait Parameters in Children with Cerebral Palsy. JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS 2024; 24:259-266. [PMID: 39219323 PMCID: PMC11367170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Accepted: 06/13/2024] [Indexed: 09/04/2024]
Abstract
OBJECTIVES The aim of the present study was to examine the effects of a rehabilitation program combined with a home-based vibration-assisted therapy on gait parameters in children with cerebral palsy (CP). METHODS In a retrospective study, 180 children, 101 boys and 79 girls, (mean age 7.2 ± 3.3 years) with CP at Gross Motor Function Classification System (GMFCS) Level I and Level II were examined using gait analyses with the Leonardo Mechanograph® Gangway at three measurement points. The measurements were conducted before (M0) and after a six-month rehabilitation period (M6), as well as 12 months after the commencement of rehabilitation (M12). The difference between measurement points M6-M0 (treatment interval) and M12-M6 (follow-up interval) were compared, and significance was determined using the Wilcoxon test. RESULTS Children with CP at GMFCS Level I and II demonstrated a significant improvement in gait efficiency (pathlength/distance M6-M0: -0.053 (SD 0.25) vs M12-M6: -0.008 (0.36), p=0.038). There were no significant difference in change of mean velocity and average step length between M6-M0 and M12-M6 (p=0.964 and p=0.611). CONCLUSIONS The rehabilitation program seems to enhance gait efficiency in children with CP. German Clinical Trial Registry: DRKS0001131 at www.germanctr.de.
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Affiliation(s)
- Stefanie Steven
- Center of Prevention and Rehabilitation, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
| | - Karoline Spiess
- Center of Prevention and Rehabilitation, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
| | - Bruno Lentzen
- Center of Prevention and Rehabilitation, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
| | - Nina Reinhart
- Center of Prevention and Rehabilitation, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
| | - Eckhard Schoenau
- Center of Prevention and Rehabilitation, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
- Department of Pediatrics, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
| | - Ibrahim Duran
- Center of Prevention and Rehabilitation, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
- Department of Pediatrics, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany
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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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Pulay MÁ, Nagy R, Kói T, Harnos A, Zimonyi N, Garami M, Gasparics Á, Hegyi P, Túri I, Feketéné Szabó É. The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. J Clin Med 2023; 12:6759. [PMID: 37959224 PMCID: PMC10648882 DOI: 10.3390/jcm12216759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2023] [Revised: 10/20/2023] [Accepted: 10/23/2023] [Indexed: 11/15/2023] Open
Abstract
Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects of WBV on the musculoskeletal system in children with CP. Randomized controlled trials (RCTs) were sought in the most frequent databases. The intervention studied was WBV combined with conventional physiotherapy (PT) compared with conventional PT as the control; the main outcomes were changes in the musculoskeletal system. Weighted mean differences with 95%CIs were calculated. A random-effects model was applied, and the publication bias was checked using funnel plots. On the basis of the inclusion and exclusion criteria, 16 articles, including 414 patients, were considered in the final analysis. The improvement in walking performance (speed and step length) was statistically significant (p < 0.05), and although there were no significant differences in the further outcomes, a clear positive tendency was visible in the case of improved muscle strength, decreased spasticity, enhanced gross motor functions, and overall stability. Based on the findings, a clear assessment of the usefulness of this intervention cannot be made; nonetheless, due to the promising results, it would be worthwhile to conduct additional RCTs to enhance the available evidence in this field. Due to the wide range of vibration configurations, including varying durations and intensities, it is suggested to establish guidelines and a strategy for the incorporation of this additional treatment.
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Affiliation(s)
- Márk Ágoston Pulay
- Centre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary; (R.N.); (T.K.); (A.H.); (N.Z.); (P.H.)
- András Pető Faculty, Semmelweis University, 1125 Budapest, Hungary; (I.T.); (É.F.S.)
- Department of Ergonomics and Psychology, Faculty of Economic and Social Sciences, Budapest University of Technology and Economics, 1111 Budapest, Hungary
| | - Rita Nagy
- Centre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary; (R.N.); (T.K.); (A.H.); (N.Z.); (P.H.)
- Heim Pál National Pediatric Institute, 1089 Budapest, Hungary
- Institute for Translational Medicine, Medical School, University of Pécs, 7622 Pécs, Hungary
| | - Tamás Kói
- Centre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary; (R.N.); (T.K.); (A.H.); (N.Z.); (P.H.)
- Department of Stochastics, Institute of Mathematics, Budapest University of Technology and Economics, 1111 Budapest, Hungary
| | - Andrea Harnos
- Centre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary; (R.N.); (T.K.); (A.H.); (N.Z.); (P.H.)
- Department of Biostatistics, University of Veterinary Medicine, 1078 Budapest, Hungary
| | - Nóra Zimonyi
- Centre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary; (R.N.); (T.K.); (A.H.); (N.Z.); (P.H.)
- András Pető Faculty, Semmelweis University, 1125 Budapest, Hungary; (I.T.); (É.F.S.)
| | - Miklós Garami
- Pediatric Center, Semmelweis University, 1085 Budapest, Hungary;
| | - Ákos Gasparics
- Department of Obstetrics and Gynecology, Semmelweis University, 1088 Budapest, Hungary;
- Division of Neonatology, Department of Pediatrics, Semmelweis University, 1083 Budapest, Hungary
| | - Péter Hegyi
- Centre for Translational Medicine, Semmelweis University, 1085 Budapest, Hungary; (R.N.); (T.K.); (A.H.); (N.Z.); (P.H.)
- Institute for Translational Medicine, Medical School, University of Pécs, 7622 Pécs, Hungary
- Institute of Pancreatic Diseases, Semmelweis University, 1085 Budapest, Hungary
| | - Ibolya Túri
- András Pető Faculty, Semmelweis University, 1125 Budapest, Hungary; (I.T.); (É.F.S.)
| | - Éva Feketéné Szabó
- András Pető Faculty, Semmelweis University, 1125 Budapest, Hungary; (I.T.); (É.F.S.)
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