Effects of Vojta Therapy on Gait of Children with Spastic Diplegia

Lim, Hyung-won; Kim, Tack-hoon

doi:10.1589/jpts.25.1605

Cited by 18 publications

(11 citation statements)

References 15 publications

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“…Supported by randomised controlled trials using functional magnetic resonance imaging (MRI), the pontomedullary reticular formation is speculated to play a key role in Vojta therapy and is suggested to participate in locomotor control as well, as it is implicated in anticipatory postural control before gait initiation, by integrating descending cortical influences and ascending spinoreticular inputs [10][11][12]. Vojta therapy has been reported to activate the trunk musculature, thereby enhancing postural control ability [7,13,14]. Originally, Vojta therapy was applied mostly to infants with movement disturbances or known motor disorders.…”

Section: Introductionmentioning

confidence: 99%

Vojta therapy improves postural control in very early stroke rehabilitation: a randomised controlled pilot trial

Epple

Maurer-Burkhard

Lichti

et al. 2020

Neurol. Res. Pract.

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Background: It is still unclear, which physiotherapeutic approaches are most effective in stroke recovery. Vojta therapy is a type of physiotherapy that was originally developed for children and adolescents with cerebral palsy. Vojta therapy has been reported to improve automatic control of body posture. Because acute stroke patients are characterised by a disturbance in the ability to adapt to changes in body position, requiring automatic postural adjustment, we decided to investigate Vojta therapy in the early rehabilitation of stroke patients. Aim of the trial was to test the hypothesis that Vojta therapy-as a new physiotherapeutic approach in early stroke recoveryimproves postural control and motor function in patients with acute ischaemic stroke (AIS) or intracerebral haemorrhage (ICH). Methods: This prospective, randomised controlled trial included patients with imaging-confirmed AIS or ICH, severe hemiparesis and randomly assigned them to Vojta therapy or standard physiotherapy within 72 h after stroke onset. Main exclusion criterion was restricted ability to communicate. Primary endpoint was the improvement of postural control measured by the Trunk Control Test (TCT) on day 9 after admission. Secondary endpoint among others was improvement of arm function (measured with Motor Evaluation Scale for Upper Extremity in Stroke Patients [MESUPES]). Results: Forty patients (20 per group) were randomised into the trial. Median age was 75 (66-80) years, 50% were women. The median improvement in TCT within 9 days was 25.5 points (=25.5%) (interquartile range [IQR] 12.5-42.5) in the Vojta group and 0 (IQR 0-13) in the control group (p = 0.001). Patients treated with Vojta therapy achieved a greater improvement in the MESUPES than patients in the control group (20% vs 10%, p = 0.006). Conclusion: This first randomised controlled trial of Vojta therapy in acute stroke patients demonstrates improvement of postural control through Vojta therapy compared to standard physiotherapy. Although this trial has some methodical weaknesses, Vojta therapy might be a promising approach in early stroke rehabilitation and should be studied in larger trials. Trial registration: ClinicalTrials.gov; Unique identifier: NCT03035968. Registered 30 January 2017-Retrospectively registered; http://www.clinicaltrials.gov.

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Section: Introductionmentioning

confidence: 99%

Vojta therapy improves postural control in very early stroke rehabilitation: a randomised controlled pilot trial

Epple

Maurer-Burkhard

Lichti

et al. 2020

Neurol. Res. Pract.

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“…La postura de activación es fuente de aferencias sobre el SNC por medio de la información propioceptiva que proporcionan músculos, articulaciones y ligamentos (11,21). Esta postura de activación induce al GCP, activando la respuesta neuronal que producen periódicamente los patrones rítmicos de locomoción (22,23).…”

Section: Resultsunclassified

Revisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos

Esteban¹,

Sanz²,

Jorge³

et al. 2017

Eur J Pod

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Review of the therapeutic approach by the vojta principle in neurological patients with gait disordersRevisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos Results: After using the criteria of inclusion and exclusion were collected 3 thesis, 35 articles and 7 relevant books of different databases. During the reflex locomotion therapy (RLT), the central nervous system (CNS) seems to be activated probably due to the influence of the posture and stimulus points. All the afferent propioceptive information could cause an innate response in locomotion coordination complex which humans use during gait. Conclusions:Patients with neurological disorders could be improved by the of Vojta therapy in different gait parameters. Vojta therapy (VT) could obtain the activation of cortical and subcortical levels that intervenes during locomotion. More randomized clinical trial are necessary to increase the evidence about Vojta therapy in gait pattern of neurological diseases.Key Words: Physical therapy modalities, gait disorders, neurologic, locomotion, gait rehabilitation, cerebral stroke, cerebral palsy, multiple sclerosis. ResumenObjetivos: Revisar en la bibliografía el abordaje terapéutico del principio Vojta y la importancia de la activación de los programas motores innatos para la mejora funcional de la marcha. Métodos: Se recopilan los datos tras una búsqueda en las bases PUBMED, MEDLINE, otros recursos como Google Scholar y la biblioteca de la Universidad Europea de Madrid, siguiendo los criterios Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) y checklist. Se recogen los datos durante los meses de enero y febrero del 2017. Resultados: Tras aplicar los criterios de inclusión y exclusión resultan relevantes 3 tesis doctorales, 35 artículos y 7 libros de las distintas bases de datos. Durante la terapia de locomoción refleja (TLR) parece producirse una importante activación del sistema nervioso central (SNC) posiblemente debido a la influencia de la postura y la activación de los puntos de estímulo. Toda la información aferente propioceptiva podría provocar la respuesta innata de los complejos de coordinación locomotores que utiliza el ser humano durante la marcha. Conclusiones: Los pacientes con alteraciones neurológicas podrían beneficiarse de la terapia Vojta (TV) al obtener mejorías en diferentes parámetros de la marcha. La TV podría conseguir activar zonas a nivel cortical y subcortical que intervienen durante el movimiento locomotor. Son necesarios ensayos clínicos aleatorizados que aumenten la evidencia científica de la terapia Vojta en los patrones de marcha de patologías neurológicas.Palabras Clave: Fisioterapia, locomoción, rehabilitación de la marcha, alteraciones de la marcha, neurológicas, daño cerebral, parálisis cerebral, esclerosis múltiple.

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“…The results indicate that Vojta therapy causes specific and permanent changes in brain activity, mainly at the subcortical level. Lim and Kim [22] proved that Vojta therapy increased the gait rate during the initial phase of the treatment. Also, gait velocity and duration of a single mid-stance increased in comparison with baseline.…”

Section: Discussionmentioning

confidence: 97%

Changes in kinematic parameters during walking in adults with low back pain subjected to Vojta therapy. A pilot study

Łozińska¹,

Wójtowicz²,

Wdowiak³

et al. 2019

Physiother Quart.

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Introduction. The aim of the study was to evaluate changes in selected basic and derivative kinematic parameters of gait in adult patients with low back pain subjected to Vojta therapy. Methods. The study included 17 patients with low back pain subjected to Vojta therapy. Gait parameters were assessed with G-SENSoR, the wireless inertial measurement unit system for gait analysis. The device was placed on the body of the patient in the lumbar region at the level of L4-L5, and enabled to obtain accurate and objective information on kinematic gait parameters. Results. out of the 17 spatial and temporal parameters analysed, 3 changed significantly. The cadence decreased, and the duration of the right and left limb walk cycles increased. Conclusions. Rehabilitation with Vojta therapy may improve spatial and temporal gait parameters in adults with low back pain.

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Effects of Vojta Therapy on Gait of Children with Spastic Diplegia

Cited by 18 publications

References 15 publications

Vojta therapy improves postural control in very early stroke rehabilitation: a randomised controlled pilot trial

Vojta therapy improves postural control in very early stroke rehabilitation: a randomised controlled pilot trial

Revisión del abordaje terapéutico mediante el principio vojta sobre las alteraciones de la marcha en pacientes neurológicos

Changes in kinematic parameters during walking in adults with low back pain subjected to Vojta therapy. A pilot study

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