Effectiveness of whole-body vibration or biofeedback postural training as an add-on to vestibular exercises rehabilitation therapy in chronic unilateral vestibular weakness: A randomized controlled study

2021 ◽  
pp. 1-10
Author(s):  
Fazıl Necdet Ardıç ◽  
Hakan Alkan ◽  
Funda Tümkaya ◽  
Füsun Ardıç
Keyword(s):  
Whole Body Vibration ◽  
Berg Balance Scale ◽  
Vestibular Rehabilitation ◽  
Whole Body ◽  
Controlled Study ◽  
Body Vibration ◽  
Balance Scale ◽  
Rehabilitation Exercises ◽  
Group 1 ◽  
Postural Training

BACKGROUND: The efforts to achieve better functional results in vestibular rehabilitation have been continued by using different visual and somatosensory stimuli for a long time. Whole-body vibration (WBV) is a mechanical vertical stimulation that provides high frequency vibration stimulus to the proprioceptive receptors. Biofeedback provides continuous information to the subject regarding postural changes. These techniques may aid to improve vestibular rehabilitation. OBJECTIVE: We aimed to investigate the effect of adding WBV or biofeedback postural training (BPT) to standard rehabilitation exercises in patients with chronic unilateral vestibular weakness. METHODS: Ninety patients were randomized into three groups. Group 1 had WBV and Group 2 BPT in addition to the standard rehabilitation exercises. Group 3 only carried out the home-based exercises and served as the control. Outcome measures such as static posturography, Berg Balance Scale, Timed Up-and-Go test, Visual Analog Scale, and Dizziness Handicap Inventory (DHI) were used for comparison. RESULTS: Statistically significant gains were achieved in all groups with all parameters at the end of treatment when compared to baseline (p <  0.05). The patients in Group 1 (WBV), however, were significantly better than those in Groups 2 and 3 at the static posturographic stability score, Berg Balance Scale, and DHI (p <  0.05). CONCLUSION: Adding WBV to a rehabilitation program may be an effective strategy to improve postural stability and achieve better physical, functional and emotional outcomes.

scholarly journals Effects of whole-body vibration on quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic cerebral palsy: a randomized controlled study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Rania G. Hegazy ◽  
Amr Almaz Abdel-aziem ◽  
Eman I. El Hadidy ◽  
Yosra M. Ali
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Controlled Study ◽  
Control Group ◽  
Hamstring Muscle ◽  
Post Intervention ◽  
Body Vibration

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.

scholarly journals Random Whole Body Vibration over 5 Weeks Leads to Effects Similar to Placebo: A Controlled Study in Parkinson’s Disease

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Heiko Gaßner ◽  
Annette Janzen ◽  
Ansgar Schwirtz ◽  
Petra Jansen
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Placebo Group ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Controlled Study ◽  
Short Term ◽  
Timed Up And Go ◽  
Body Vibration ◽  
Functional Reach Test

Background. Random whole body vibration (WBV) training leads to beneficial short-term effects in patients with Parkinson’s disease (PD). However, the effect of WBV lasting several weeks is not clear.Objectives. The aim of this study was to assess a random WBV training over 5 weeks in PD.Methods.Twenty-one participants with PD were allocated to either an experimental or a placebo group matched by age, gender, and Hoehn&Yahr stage. The WBV training consisted of 5 series, 60 s each. In the placebo group, vibration was simulated. The primary outcome was the change of performance in Functional reach test (FRT), step-walk-turn task, biomechanical Gait Analysis, Timed up and go test (TUG), and one leg stance.Findings. In most of the parameters, there was no significant interaction of “time*group.” Both groups improved significantly in Gait parameters, TUG, and one leg stance. Only in the FRT [F(1,15)=8.397;P<0.05] and in the TUG [F(1,15)=4.971;P<0.05] the experimental group performed significantly better than the placebo group.Conclusions. Random WBV training over 5 weeks seems to be less effective than reported in previous studies performing short-term training. The slight improvements in the FRT and TUG are not clinically relevant.

scholarly journals Postural Stability in Parkinson’s Disease Patients Is Improved after Stochastic Resonance Therapy

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Oliver Kaut ◽  
Daniel Brenig ◽  
Milena Marek ◽  
Niels Allert ◽  
Ullrich Wüllner
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Stochastic Resonance ◽  
Postural Stability ◽  
Group Analysis ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Controlled Study ◽  
Body Vibration ◽  
Experimental Group

Background.Postural instability in Parkinson’s disease (PD) increases the risk of falls and is not improved by pharmacological therapy.Objective.We performed a double-blind, randomized sham-controlled study to test the effects of stochastic resonance (whole body vibration) therapy on postural stability in PD.Methods.Fifty-six PD participants were allocated to either experimental or sham groups. The experimental group received four series of vibration over eight days, with each series consisting of six stimulus trains of 60-second duration using a randomized whole body vibration. Participants allocated to the control group received a sham treatment.Results.Within-group analysis revealed that postural stability in the experimental group improved by 17.5% (p=0.005) comparing experimental and sham groups. The between-group analysis of change after treatment comparing both groups also showed a significant improvement of postural stability (p=0.03). Only in the within-group analysis several items were improved after Bonferroni correction, too, rigor 41.6% (p=0.001), bradykinesia 23.7% (p=0.001), tremor 30.8% (p=0.006), andUPDRSIIIsum score 23.9% (p=0.000), but did not reach the level of significance in the between-group analysis.Conclusions.Stochastic resonance therapy significantly enhanced postural stability even in individuals with increased risk of falling. Thus it offers a potential supplementation to canonical treatments of PD.

scholarly journals EFFECT OF BASIC FITNESS FUNCTION ACCORDING TO WHOLE-BODY VIBRATION STIMULUS WITH SLOPE DURING DEADLIFT

2020 ◽  
Vol 20 (09) ◽  
pp. 2040010
Author(s):  
SEUNG-ROK KANG ◽  
MYOUNG-HWAN KO ◽  
KAP-SOO HAN ◽  
TAE-KYU KWON
Keyword(s):  
Muscle Function ◽  
Fitness Function ◽  
Whole Body Vibration ◽  
Peak Torque ◽  
Trunk Muscles ◽  
Whole Body ◽  
Control Group ◽  
Body Vibration ◽  
Group 2 ◽  
Group 1

We aimed to investigate the effect of basic fitness function according to whole-body vibration (WBV) stimulus with slope during deadlift in adults. A total of 15 subjects performed deadlift exercise with a sound-wave vibrator. The subjects consisted of three groups: no slope and WBV group (control), WBV only group (group 1), and slope and WBV group (group 2). Slope was set at [Formula: see text], and the frequency and amplitude of WBV were 10[Formula: see text]Hz and 5[Formula: see text]mm, respectively. The participants performed Romanian deadlift 2 days a week for 4 weeks, including 10 trials per set and five sets a day. We measured basic fitness function factor including the isokinetic muscle contraction test using biodex system3. All groups showed an increase in strength of approximately [Formula: see text]%. Group 2 showed the highest increase. Moreover, maximal peak torque of the lumbar joint showed an increase trend similar to that of back muscle strength. An increase of 15.72%, 24.86%, and 51.44% was noted in the control, group 1, and group 2, respectively. The findings indicate that WBV exercise with slope is the most efficient exercise protocol for improving muscle function of the trunk. WBV with slope could help stimulate trunk muscles more and efficiently, could result in a more positive effect on muscle function compared with WBV only, and could be included in an exercise program for efficient patient rehabilitation.

The Efficacy of Whole-Body Vibration for Functional Improvement of Stroke Patients: A Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 30 (04) ◽  
pp. 199-205
Author(s):  
Lin Yue ◽  
Linglong Chen ◽  
Rongrong Zhou
Keyword(s):  
Meta Analysis ◽  
Whole Body Vibration ◽  
Berg Balance Scale ◽  
Whole Body ◽  
Functional Improvement ◽  
Stroke Patients ◽  
Body Vibration ◽  
Randomized Controlled ◽  
6Mwt Distance ◽  
Abc Scale

AbstractThe efficacy of whole-body vibration for functional improvement in stroke patients remains controversial. We conduct a systematic review and meta-analysis to explore the influence of whole-body vibration on functional improvement in stroke patients.We search PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases through June 2018 for randomized controlled trials (RCTs) assessing the effect of whole-body vibration on functional improvement in stroke patients. This meta-analysis is performed using the random-effect model.Eight RCTs are included in the meta-analysis. Overall, compared with control group for stroke patients, whole-body vibration has no positive impact on 6 min walk test (6MWT) distance (standard mean difference (Std. MD)=−0.28; 95% confidence interval (CI)=−0.66 to 0.11; P=0.16), timed-up-and-go (TUG) test (Std. MD=0.15; 95% CI=−0.54 to 0.84; P=0.67), Fugl-Meyer assessment (Std. MD=0.33; 95% CI=−0.23 to 0.89; P=0.25), Berg Balance Scale (Std. MD=0.19; 95% CI=−0.43 to 0.80; P=0.55), and activities specific balance (ABC) scale (Std. MD=−0.22; 95% CI=−0.62 to 0.17; P=0.26).Whole-body vibration shows no notable influence on 6MWT distance, TUG test, Fugl-Meyer assessment, Berg Balance Scale, and ABC scale in stroke patients.

Cross-training effect of chronic whole-body vibration exercise: a randomized controlled study

2020 ◽  
Vol 37 (2) ◽  
pp. 51-58
Author(s):  
Tuğba Aydın ◽  
Fatma Nur Kesiktaş ◽  
Akın Baskent ◽  
Ayşe Karan ◽  
Ilhan Karacan ◽  
...  
Keyword(s):  
Whole Body Vibration ◽  
Randomized Controlled Study ◽  
Whole Body ◽  
Controlled Study ◽  
Training Effect ◽  
Body Vibration ◽  
Vibration Exercise ◽  
Randomized Controlled ◽  
Cross Training
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