Acute Effects of Whole-Body Vibration on the Motor Function of Patients with Stroke

Silva, Adriana Teresa; Dias, Miqueline Pivoto Faria; Calixto, Ruanito; Carone, Antonio Luis; Martínez, Beatriz Bertolaccini; Silva, Andréia Maria; Honorato, Donizeti César

doi:10.1097/phm.0000000000000042

Cited by 29 publications

(23 citation statements)

References 38 publications

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“…Additionally, several studies asserted that WBV training is effective in patients with neurological abnormalities such as cerebral palsy 5 , 6 , 7 ) and multiple sclerosis 8 , 9 ) . A few studies in particular identified WBV training as a feasible intervention for poststroke patients 10 , 11 , 12 , 13 , 14 ) . Van Nes et al observed a short-term effect of WBV on postural control in patients who experienced a hemiplegic chronic stroke 10 ) , and a second study by van Nes et al demonstrated the long-term effect of WBV on balance recovery and activities of daily living in the post-acute phase of stroke 11 ) .…”

Section: Introductionmentioning

confidence: 99%

Does whole-body vibration training in the horizontal direction have effects on motor function and balance of chronic stroke survivors? A preliminary study

Lee

2015

J Phys Ther Sci

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[Purpose] The objective of this study was to investigate the effects of whole-body vibration (WBV) in the horizontal direction on the motor function and balance of chronic stroke survivors. [Subjects and Methods] This study was a randomized controlled trial. Twenty-one individuals with chronic stroke from an inpatient rehabilitation center participated in the study. The participants were allocated to either the WBV training group or the control group. The WBV training group (n = 12) received whole-body vibration delivered in the horizontal direction (15 min/day, 3 times/week, 6 wks) followed by conventional rehabilitation (30 min/day, 5 times/week, 6 wks); the control group (n = 9) received conventional rehabilitation only (30 min/day, 5 times/week, 6 wks). Motor function was measured by using the Fugl-Meyer assessment, and balance was measured by using the Berg Balance Scale (BBS) and the Timed Up and Go (TUG) test before and after the interventions. [Results] After the interventions, all variables improved significantly compared with the baseline values in the WBV training group. In the control group, no significant improvements in any variables were noted. In addition, the BBS score in the WBV training group increased significantly compared with that in the control group. [Conclusion] WBV training with whole-body vibration delivered in the horizontal direction may be a potential intervention for improvement of motor function and balance in patients who previously experienced a stroke.

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Section: Introductionmentioning

confidence: 99%

Does whole-body vibration training in the horizontal direction have effects on motor function and balance of chronic stroke survivors? A preliminary study

Lee

2015

J Phys Ther Sci

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“…The duration of WBV also varied significantly among studies ranging from 30 s to 2.5 min. Moreover, most of the WBV studies planned repeated sessions of WBV ranging from 17 [59] to 30 [61] with the exception of two studies [57,58] who evaluated the effect of a single WBV session. Liao [61] investigated the effect of lowintensity and high-intensity WBV with respect to sham stimulation.…”

Section: Wbv In Chronic Strokementioning

confidence: 99%

“…The outcome variables measured to clarify the possible beneficial effects of WBV included clinical, neurophysiological, and behavioral data. Some authors evaluated the severity of spasticity by means of the Modified Ashworth scale [56,58], others calculated the H/M ratio [58], while some measured balance [59] or muscle strength [54,55,57,60,61]. Outcome measures also included serum level of specific collagen proteins [56] or ultrasound evaluation of muscle structure [59].…”

Section: Wbv In Chronic Strokementioning

confidence: 99%

“…Studies evaluating balance before and after WBV found no beneficial effect in chronic stroke patients [59]. Similarly, measures of clinical functional evaluation in chronic stroke patients such as the 6 Minute Walking Test [60,61], Timed Up and Go test [57], and Berg Balance Scale [62] revealed non-significant effects of WBV. Concerning the exact timing of clinical, neurophysiological, or behavioral evaluations before and after WBV, many studies have made the evaluation before and soon after WBV [54,[57][58][59]61] or at 1 month [56, 60] and 6 weeks following WBV [55].…”

Section: Wbv In Chronic Strokementioning

confidence: 99%

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Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review

et al. 2019

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Objective Several focal muscle vibration (fMV) and whole body vibration (WBV) protocols have been designed to promote brain reorganization processes in patients with stroke. However, whether fMV and WBV should be considered helpful tools to promote post-stroke recovery remains still largely unclear. Methods We here achieve a comprehensive review of the application of fMV and WBV to promote brain reorganization processes in patients with stroke. By first discussing the putative physiological basis of fMV and WBV and then examining previous observations achieved in recent randomized controlled trials (RCT) in patients with stroke, we critically discuss possible strength and limitations of the currently available data. Results We provide the first systematic assessment of fMV studies demonstrating some improvement in upper and lower limb functions, in patients with chronic stroke. We also confirm and expand previous considerations about the rather limited rationale for the application of current WBV protocols in patients with chronic stroke. Conclusion Based on available information, we propose new recommendations for optimal stimulation parameters and strategies for recruitment of specific stroke populations that would more likely benefit from future fMV or WBV application, in terms of speed and amount of post-stroke functional recovery.

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“…The investigators of randomized controlled trials designed to examine the effects of WBV in post-stroke populations mainly used vertical WBV programs (37, 47) spanning 6-8 weeks (9, 28, 37, 47, 63); the study subjects mostly underwent vibration 3 times a week (37,47,63) at frequencies of 20-50 Hz (37,47,59,63). Patients with chronic stroke (onset ≥ 6 months) and with mild to moderate disability were qualified for the investigations (9, 37, 40, 47).…”

Section: Nervous System Diseasesmentioning

confidence: 99%

The application of whole-body vibration in physiotherapy – A narrative review

et al. 2016

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Whole-body vibration (WBV) training is a very popular kind of practice in sport, fitness and physiotherapy. This work reviews the current knowledge regarding the use and effectiveness of WBV in the physiotherapy. The discrepancies between different authors' results are probably due to divergence in WBV training protocols. The paperwork clearly showed that despite its ultimate effects, exercises on a vibration platform are safe, feasible, and well tolerated by patients with different disorders. This narrative review should help physiotherapists verify therapy programs regarding patients' exposure to WBV.

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Acute Effects of Whole-Body Vibration on the Motor Function of Patients with Stroke

Abstract: Whole-body vibration contributed little to improve the functional levels of stroke patients.

Cited by 29 publications

References 38 publications

Does whole-body vibration training in the horizontal direction have effects on motor function and balance of chronic stroke survivors? A preliminary study

Does whole-body vibration training in the horizontal direction have effects on motor function and balance of chronic stroke survivors? A preliminary study

Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review

The application of whole-body vibration in physiotherapy – A narrative review

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