scholarly journals The Impact of Whole Body Vibration Therapy on Spasticity and Disability of the Patients with Poststroke Hemiplegia

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Alev Alp ◽  
Bilge Efe ◽  
Mihriban Adalı ◽  
Adnan Bilgiç ◽  
Sevda Demir Türe ◽  
...  

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.

2019 ◽  
Vol 33 (9) ◽  
pp. 1445-1457 ◽  
Author(s):  
Xue-Qiang Wang ◽  
Wei Gu ◽  
Bing-Lin Chen ◽  
Xin Wang ◽  
Hao-Yu Hu ◽  
...  

Objective: To confirm the benefits of whole-body vibration exercise for pain intensity and functional disability in patients with non-specific chronic low back pain. Design: Single-blind randomized controlled trial. Setting: Outpatient. Subjects: Eighty-nine patients with non-specific chronic low back pain met the inclusion criteria, they were randomly allocated to either the intervention group ( n = 45) or the control group ( n = 44). Intervention: The intervention group received whole-body vibration exercises three times a week for 12 weeks. The control group received general exercise protocol three times a week for 12 weeks. Main outcomes: The primary outcome measures were pain intensity and functional disability measured by the visual analog scale scores and Oswestry Disability Index. The secondary outcome measures included lumbar joint position sense, quality of life (Short Form Health Survey 36) and overall treatment effect (Global Perceived Effect). Results: A total of 84 subjects completed the 12-week study program. After 12 weeks, compared with the control group, the mean visual analog scale and Oswestry Disability Index scores decreased by additional 1 point (95% confidence interval (CI) = –1.22 to −0.78; P < 0.001), 3.81 point (95% CI, −4.98, −2.63; P < 0.001) based on adjusted analysis in the intervention group. And the intervention group provided additional beneficial effects for in terms of lumbar joint position sense ( P < 0.05), quality of life ( P < 0.05), and Global Perceived Effect ( P = 0.012). Conclusion: The study demonstrated that whole-body vibration exercise could provide more benefits than general exercise for relieving pain and improving functional disability in patients with non-specific chronic low back pain.


2021 ◽  
Vol 10 (18) ◽  
pp. 4273
Author(s):  
Małgorzata Domagalska-Szopa ◽  
Andrzej Szopa ◽  
Andrzej Siwiec ◽  
Ilona Kwiecień-Czerwieniec ◽  
Lutz Schreiber ◽  
...  

The objective of the present study was to determine the effectiveness of a three-week Whole-Body Vibration (WBV) training on the vascular blood flow of the lower limbs in children with myelomeningocele. The secondary goal was to evaluate the effect of WBV on the ROM of lower limb joints in this population. A total of 30 children with MMC (7–16 years old) were enrolled in the study. Children were randomly allocated to two groups of equal numbers, using an envelope code. The experimental group underwent a 3-week WBV training, while the control group received a 3-week conventional physiotherapy (PT) program. The examination consisted of two parts: (1) Doppler USG examination of the lower limb vascular blood flow; (2) evaluation of ROM. The results obtained revealed three main findings. First, WBV training effectively improved blood flow by increasing flow velocities in all tested arteries, while the impact of the PT program was limited to a single parameter. Second, WBV training effectively improved vascular resistance in arteries of the lower legs, while the PT program did not achieve any significant differences. Third, both types of treatment intervention significantly improved ROM in all joints of the lower limbs in MMC participants.


Author(s):  
José Antonio Mingorance ◽  
Pedro Montoya ◽  
José García Vivas Miranda ◽  
Inmaculada Riquelme

Whole body vibration has been proven to improve the health status of patients with fibromyalgia, providing an activation of the neuromuscular spindles, which are responsible for muscle contraction. The present study aimed to compare the effectiveness of two types of whole body vibrating platforms (vertical and rotational) during a 12-week training program. Sixty fibromyalgia patients (90% were women) were randomly assigned to one of the following groups: group A (n = 20), who performed the vibration training with a vertical platform; group B (n = 20), who did rotational platform training; or a control group C (n = 20), who did not do any training. Sensitivity measures (pressure pain and vibration thresholds), quality of life (Quality of Life Index), motor function tasks (Berg Scale, six-minute walking test, isometric back muscle strength), and static and dynamic balance (Romberg test and gait analysis) were assessed before, immediately after, and three months after the therapy program. Although both types of vibration appeared to have beneficial effects with respect to the control group, the training was more effective with the rotational than with vertical platform in some parameters, such as vibration thresholds (p < 0.001), motor function tasks (p < 0.001), mediolateral sway (p < 0.001), and gait speed (p < 0.05). Nevertheless, improvements disappeared in the follow-up in both types of vibration. Our study points out greater benefits with the use of rotational rather than vertical whole body vibration. The use of the rotational modality is recommended in the standard therapy program for patients with fibromyalgia. Due to the fact that the positive effects of both types of vibration disappeared during the follow-up, continuous or intermittent use is recommended.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Rania G. Hegazy ◽  
Amr Almaz Abdel-aziem ◽  
Eman I. El Hadidy ◽  
Yosra M. Ali

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.


2021 ◽  
Vol 163 (A3) ◽  
Author(s):  
T J Newman

A common risk to personnel is from Whole Body Vibration (WBV) and shock when transiting at speed in heavy seas, and much research has been done by maritime organisations to reduce this risk and the associated health impacts. It is well known that coxswain ‘driving style’ can radically affect exposure levels for a given sea state and sustained transit speed. A data-driven approach to define what makes a good coxswain from a WBV perspective is currently being developed by the Naval Design Partnering team (NDP). In phase 1, a systematic coxswain behaviour tracking methodology has been developed and demonstrated using a motion platform-based fast craft simulator at MARIN. The performance of several experienced volunteer coxswains from MOD, RNLI and KNRM has been evaluated based on a set pattern of tests. The advantages of using the simulator, over a sea trial, have been demonstrated: it is more repeatable, more controllable, accurate and more accessible. The potential disadvantages of the approach are also discussed with reference to feedback gathered from coxswains. Analysis has shown effective throttle control is much more important than steering to reduce WBV. Several interesting trends in WBV reduction potential have been shown which it is thought, with further validation, could aid mission planning, mission execution and provide data for training autonomous feedback/control algorithms. Further work is required before the findings of this study can be fully exploited. These subsequent phases, which include sea trials, aim to provide validation and further evidence to support the initial findings.


2013 ◽  
Vol 109 (11) ◽  
pp. 2705-2711 ◽  
Author(s):  
M. Bączyk ◽  
A. Hałuszka ◽  
W. Mrówczyński ◽  
J. Celichowski ◽  
P. Krutki

The study aimed at determining the influence of a whole body vibration (WBV) on electrophysiological properties of spinal motoneurons. The WBV training was performed on adult male Wistar rats, 5 days a week, for 5 wk, and each daily session consisted of four 30-s runs of vibration at 50 Hz. Motoneuron properties were investigated intracellularly during experiments on deeply anesthetized animals. The experimental group subjected to the WBV consisted of seven rats, and the control group of nine rats. The WBV treatment induced no significant changes in the passive membrane properties of motoneurons. However, the WBV-evoked adaptations in excitability and firing properties were observed, and they were limited to fast-type motoneurons. A significant decrease in rheobase current and a decrease in the minimum and the maximum currents required to evoke steady-state firing in motoneurons were revealed. These changes resulted in a leftward shift of the frequency-current relationship, combined with an increase in slope of this curve. The functional relevance of the described adaptive changes is the ability of fast motoneurons of rats subjected to the WBV to produce series of action potentials at higher frequencies in a response to the same intensity of activation. Previous studies proved that WBV induces changes in the contractile parameters predominantly of fast motor units (MUs). The data obtained in our experiment shed a new light to possible explanation of these results, suggesting that neuronal factors also play a substantial role in MU adaptation.


2018 ◽  
Vol 4 (1) ◽  
pp. 56-66
Author(s):  
M. Cvetkovic ◽  
J. Santos Baptista ◽  
M. A. Pires Vaz

The whole-body vibration occurs in many occupational activities, promoting discomfort in the working environment and inducing a variety of psycho – physical changes where consequences as a permanent dysfunction of certain parts of the organism may occur. The main goal of this short systematic review is finding the articles with the most reliable results relating whole-body vibrations to buses and, to compare them with the results of drivers’ lower limbs musculoskeletal disease which occurs as a consequence of many year exposure. PRISMA Statement Methodology was used and thereby 27 Scientific Journals and 25 Index - Database were searched through where 3996 works were found, of which 24 were included in this paper. As a leading standard for analysis of the whole-body vibration the ISO 2631 – 1 is used, while in some papers as an additional standard the ISO 2631-5 is also used for the sake of better understanding the vibrations. Furthermore, the European Directive 2002/44 / EC is included where a daily action exposure to the whole-body vibrations is exactly deter-mined. All the results presented in the paper were compared with the aforesaid standards. After having searched the databases, papers that deal with research of the impact of the vibration on the driver’s lower limbs did not contain any information’s on the described problem.


Author(s):  
Eduardo Guadarrama-Molina ◽  
Carlos Enrique Barrón-Gámez ◽  
Ingrid Estrada-Bellmann ◽  
Jesús D. Meléndez-Flores ◽  
Paola Ramírez-Castañeda ◽  
...  

2016 ◽  
Vol 24 (1) ◽  
pp. 139-148 ◽  
Author(s):  
Derek T. Smith ◽  
Stacey Judge ◽  
Ashley Malone ◽  
Rebecca C. Moynes ◽  
Jason Conviser ◽  
...  

Reduced strength, balance, and functional independence diminish quality of life and increase health care costs. Sixty adults (82.2 ± 4.9 years) were randomized to a control or three 12-week intervention groups: bioDensity (bD); Power Plate (PP) whole-body vibration (WBV); or bD+PP. bD involved one weekly 5-s maximal contraction of four muscle groups. PP involved two 5-min WBV sessions. Primary outcomes were strength, balance, and Functional Independence Measure (FIM). No groups differed initially. Strength significantly increased 22–51% for three muscle groups in bD and bD+PP (P < .001), with no changes in control and PP. Balance significantly improved in PP and bD+PP but not in control or bD. bD, PP, and bD+PP differentially improved FIM self-care and mobility. Strength improvements from weekly 5-min sessions of bD may impart health/clinical benefits. Balance and leg strength improvements suggest WBV beneficially impacts fall risk and incidence. Improved FIM scores are encouraging and justify larger controlled trials on bD and bD+PP efficacy.


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