Short-Term Effects of Whole-Body Vibration Combined with Task-Related Training on Upper Extremity Function, Spasticity, and Grip Strength in Subjects with Poststroke Hemiplegia

Lee, Jung-Sun; Kim, Chang-Yong; Kim, Hyeong-Dong

doi:10.1097/phm.0000000000000454

Cited by 18 publications

(19 citation statements)

References 38 publications

(59 reference statements)

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“…Recent studies [ 9 , 10 , 17 – 19 ] also found remarkable benefits of vibration on poststroke spasticity and gait performance though the rest of the vibration studies did not [ 2 , 20 – 22 ]. Lukashevich and Likhachev [ 17 ] studied focal vibration for its ability to reduce poststroke spasticity in 13 volunteers and found that 80 hz and 0.3 amplitude focal vibrations on gastrocnemius muscle reduce maximum amplitudes of H-reflex and M-response as the reflectors of calf muscle spasticity.…”

Section: Discussionmentioning

confidence: 99%

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

Alp

Efe

Adalı

et al. 2018

Rehabilitation Research and Practice

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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.

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Section: Discussionmentioning

confidence: 99%

“…The intervention group had more benefits after 4 weeks of training on the mentioned issues than the control group and the WBV group alone also in accordance with our study. Lee et al [ 19 ] found also short-term (after 30 minutes) improvement in Ashworth scores, F-wave, and motor function of the hand in poststroke patients after treatment.…”

Section: Discussionmentioning

confidence: 99%

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

Alp

Efe

Adalı

et al. 2018

Rehabilitation Research and Practice

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“…18,21 Several studies have pointed to the significant effects of mechanical vibration in many clinical conditions, such as hemiplegia, spinal cord injury, cerebral palsy, and osteoporosis. [22][23][24][25] Given the known effects of WBVE on peripheral muscle function, functional independence, and all considerations, it is possible to suggest that WBVE seems to be an important Jussara R. Chaves e cols. • WBVE In heart surgery postoperative modality of exercise for the management of individuals with physiological changes related to decreased quality of life.…”

Section: Discussionmentioning

confidence: 99%

Estudo do efeito do exercício de vibração de corpo inteiro no pós-operatório de cirurgia cardíaca: proposição de um protocolo

et al. 2018

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Introdução: A cirurgia cardíaca é uma intervenção de grandeimportância no tratamento de doenças cardiovasculares, asquais contribuem para o aumento da morbimortalidade. Avibração mecânica gerada por uma plataforma oscilante/vibratória pode ser usada para exercícios de vibração no corpointeiro (EVCI), modalidade de exercício físico aqui proposta.Objetivo: Apresentar protocolo para avaliação de efeitos doEVCI em indivíduos no pós-operatório de cirurgia cardíaca.Métodos: Indivíduos adultos, submetidos a cirurgia cardíaca,que receberem alta da Unidade de Tratamento intensivo atéo quarto dia de pós-operatório, serão distribuídos randomicamenteem 2 grupos: grupo controle (GC), que receberá atendimentofisioterapêutico convencional; e grupo Intervenção(GI), que, além do atendimento convencional, será submetidoao EVCI. Os pacientes do GI permanecerão com os joelhosflexionados a 15° na plataforma osclante/vibratória alternada,realizarão três séries de 1 min (por 1 min de repouso) a 5 Hz e 8mm de deslocamento pico a pico, duas vezes ao dia. A cada dia,as sessões serão modificadas, atingindo o máximo sete séries de1 min e 9 Hz, no sétimo dia de pós-operatório. Serão avaliadas aforça muscular respiratória, função pulmonar, força muscularperiférica, capacidade funcional e sensação de dor através damanovacuometria, espirometria, dinamometria, Time Up andGo (TUG), Medida de Independência Funcional (MIF), EscalaVisual Analógica de Dor (EVA), POWERbreathe K5. Discussão:Estudos recentes demonstraram efeitos benéficos com EVCIem diferentes condições clínicas, que se apresenta como umapromissora forma de intervenção durante a reabilitação nopós-operatório de cirurgia cardíaca. Conclusão: A aplicaçãodesse protocolo de estudo poderá preencher as lacunas sobreevidências que justificam um programa de reabilitação comEVCI para o indivíduo submetido à cirurgia cardíaca.Descritores: Exercício de vibração de corpo inteiro; Terapia porexercício; Unidade de Terapia Intensiva. Cirurgia cardíaca.

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“…The development and refinement of upper limb rehabilitation strategies after a stroke has the potential to improve an individual's function as well as decrease the burden on caregivers and the health care system (Lee et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Exploration of barriers and enablers for evidence-based interventions for upper limb rehabilitation following a stroke: Use of Constraint Induced Movement Therapy and Robot Assisted Therapy in NHS Scotland

Sweeney

Barber

Kerr

2020

British Journal of Occupational Therapy

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Introduction The routine use of evidence-based upper limb rehabilitation interventions after stroke has the potential to improve function and increase independence. Two such interventions are Constraint Induced Movement Therapy and Robot Assisted Therapy. Despite evidence to support both interventions, their use within the National Health Service appears, anecdotally, to be low. We sought to understand user perceptions in order to explain low uptake in clinical practice. Methods A combination of a cross-sectional online survey with therapists and semi-structured interviews with stroke patients was used to explore uptake and user opinions on the benefits, enablers and barriers to each intervention. Findings The therapists surveyed reported low use of Constraint Induced Movement Therapy and Robot Assisted Therapy in clinical practice within the Scottish National Health Service. Barriers identified by therapists were inadequate staffing, and a lack of training and resources. Interviews with stroke patients identified themes that may help us to understand the acceptability of each intervention, such as the impact of motivation. Conclusion Barriers to the uptake of Constraint Induced Movement Therapy and Robot Assisted Therapy within the clinical setting were found to be similar. Further qualitative research should be completed in order to help us understand the role patient motivation plays in uptake.

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Short-Term Effects of Whole-Body Vibration Combined with Task-Related Training on Upper Extremity Function, Spasticity, and Grip Strength in Subjects with Poststroke Hemiplegia

Cited by 18 publications

References 38 publications

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

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

Estudo do efeito do exercício de vibração de corpo inteiro no pós-operatório de cirurgia cardíaca: proposição de um protocolo

Exploration of barriers and enablers for evidence-based interventions for upper limb rehabilitation following a stroke: Use of Constraint Induced Movement Therapy and Robot Assisted Therapy in NHS Scotland

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