Systematic review of whole body vibration exercises in the treatment of cerebral palsy: Brief report

Sá-Caputo, Danúbia da Cunha de; Costa-Cavalcanti, Rebeca Graça; Carvalho-Lima, Rafaelle Pacheco; Arnóbio, Adriano; Bernardo, Raquel Mattos; Ronikeile-Costa, Pedro; Kutter, Cristiane; Giehl, Paula Mantilla; Asad, Nasser Ribeiro; Paiva, Dulciane Nunes; Pereira, Heloisa Viscaino Fernandes Souza; Unger, Marianne; Marín, Pedro J.; Bernardo-Filho, Mário

doi:10.3109/17518423.2014.994713

Cited by 13 publications

(16 citation statements)

References 37 publications

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“…Mechanical vibration, defined as an oscillatory motion, can be generated in OVP and transmitted to a subject [15]. The working time, as well as the rest time between bouts, the number of bouts in a session, and the periodicity of the sessions might be also controlled [15, 16]. Other prescriptive factors of WBV include frequency ( f ), peak-to-peak displacement ( D ) and the position of the individual [17].…”

Section: Introductionmentioning

confidence: 99%

Whole-body vibration improves the functional parameters of individuals with metabolic syndrome: an exploratory study

Sá-Caputo¹,

Paineiras-Domingos²,

Francisca-Santos³

et al. 2019

BMC Endocr Disord

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BackgroundMetabolic syndrome (MetS) is a cluster of metabolic abnormalities that increases the cardiovascular risk. Regular physical exercise can promote benefits, but the MetS individuals are demotivated to perform it. Thus, new possibilities are important as an alternative intervention. The whole-body vibration can be considered an exercise modality and would be a safe and low-cost strategy to improve functional parameters of individuals in different clinical conditions. The aim of this exploratory study was to assess effects of whole-body vibration on functional parameters of MetS individuals. The hypothesis of this work was that the whole-body vibration could improve the functionality of MetS individuals.MethodsTwenty-two individuals performed the intervention. The vibration frequency varied from 5 to 14 Hz and the peak-to-peak displacements, from 2.5 to 7.5 mm. Each session consisted of one minute-bout of working time followed by a one minute-bout of passive rest in each peak-to-peak displacement for three-times. The whole-body vibration protocol was applied twice per week for 5 weeks. Data from the trunk flexion, gait speed, sit-to-stand test and handgrip strength were collected. Physiological parameters (blood pressure and heart rate) were also evaluated. The Wilcoxon Rank test and Student t-test were used.ResultsNo significant changes (p > 0.05) were observed in physiological parameters (arterial blood pressure and heart rate). Significant improvements were found in trunk flexion (p = 0.01), gait speed (p = 0.02), sit-to-stand test (p = 0.005) and handgrip strength (p = 0.04) after the whole-body vibration.ConclusionsIn conclusion, whole-body vibration may induce biological responses that improve functional parameters in participants with MetS without interfering in physiological parameters, comparing before and after a 5-week whole-body vibration protocol.Trial registrationRegister in the Registro Brasileiro de Ensaios Clínicos (ReBEC) with the number RBR 2bghmh (June 6th, 2016) and UTN: U1111–1181-1177. (virgula).

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Section: Introductionmentioning

confidence: 99%

Whole-body vibration improves the functional parameters of individuals with metabolic syndrome: an exploratory study

Sá-Caputo¹,

Paineiras-Domingos²,

Francisca-Santos³

et al. 2019

BMC Endocr Disord

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“…Therefore, its neurorehabilitative application has emerged as a valuable alternative to other interventions, as there are no decisive motor prerequisites or particular cognitive requirements. 25 , 26 Nevertheless, a few studies have documented adverse effects, including fatigue, 52 pain, 52 panic, and torsion spasms due to suddenly applied vibration. 31 These side effects should be considered in the context of clinical VT and investigated further.…”

Section: Resultsmentioning

confidence: 99%

“…As a consequence, the clinical application of vibration in neurorehabilitation has emerged as a particularly valuable tool, as there are no decisive motor prerequisites or particular cognitive requirements. 25 , 26 …”

Section: Introductionmentioning

confidence: 99%

Vibration therapy in patients with cerebral palsy: a systematic review

Ritzmann¹,

Stark²,

Krause³

2018

NDT

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The neurological disorder cerebral palsy (CP) is caused by unprogressive lesions of the immature brain and affects movement, posture, and the musculoskeletal system. Vibration therapy (VT) is increasingly used to reduce the signs and symptoms associated with this developmental disability. The purpose of this narrative review was systematically to appraise published research regarding acute and long-term effects of VT on functional, neuromuscular, and structural parameters. Systematic searches of three electronic databases identified 28 studies that fulfilled the inclusion criteria. Studies were analyzed to determine participant characteristics, VT-treatment protocols, effect on gross motor function (GMF), strength, gait, posture, mobility, spasticity, reflex excitability, muscle tone, mass, and bone strength within this population, and outcome measures used to evaluate effects. The results revealed that one acute session of VT reduces reflex excitability, spasticity, and coordination deficits. Subsequently, VT has a positive effect on the ability to move, manifested for GMF, strength, gait, and mobility in patients with CP. Effects persist up to 30 minutes after VT. Long-term effects of VT manifest as reduced muscle tone and spasticity occurring concomitantly with improved movement ability in regard to GMF, strength, gait, and mobility, as well as increased muscle mass and bone-mineral density. Posture control remained unaffected by VT. In conclusion, the acute and chronic application of VT as a nonpharmacological approach has the potential to ameliorate CP symptoms, achieving functional and structural adaptations associated with significant improvements in daily living. Even though further studies including adult populations validating the neuromuscular mechanisms underlying the aforementioned adaptations should be fostered, growing scientific evidence supports the effectiveness of VT in regard to supplementing conventional treatments (physiotherapy and drugs). Therefore, VT could reduce CP-associated physical disability and sensorimotor handicaps. Goals for patients and their caregivers referring to greater independence and improved safety may be achieved more easily and time efficiently.

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“…Moreover, as a mode of physical activity, WBVE has been identified as a feasible intervention with little to no adverse events [ 19 , 20 ]. WBVE has progressively been applied with beneficial outcomes to various clinical populations including stroke [ 7 , 21 ], obesity [ 22 ], rheumatoid arthritis [ 23 ], diabetes [ 24 ], spinal cord injury [ 25 ], chronic kidney disease [ 26 ], fibromyalgia [ 27 , 28 ], multiple sclerosis [ 29 ], cerebral palsy [ 30 , 31 ], Duchenne muscular dystrophy [ 32 ], osteogenesis imperfecta [ 33 ], osteoarthritis [ 34 ], and chronic obstructive pulmonary disease [ 35 ]. The effects of the WBVE may be due to neuromuscular responses to the interaction of the mechanical vibrations with the body and the tonic vibration response [ 36 – 39 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical Approaches of Whole-Body Vibration Exercises in Individuals with Stroke: A Narrative Revision

Sañudo

Taı̈ar

Furness

et al. 2018

Rehabilitation Research and Practice

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Stroke is associated with long-term disability and patients experience numerous physical impairments including muscle weakness, particularly in the paretic limbs, balance, and functional mobility. During acute stroke rehabilitation, when individuals are less likely to be functionally independent and rely on rehabilitative care, the efficacy of low skill interventions that can reduce sedentary behaviour should be established. As such, this narrative revision focused on the use of empirical studies of whole-body vibration exercise (WBVE) on different health outcomes in stroke patients. The effects of WBVE on neuromuscular performance (muscular strength and power), mobility, spasticity, and cardiovascular responses have been highlighted. Although some positive results were reported we can conclude that there is no solid evidence confirming the beneficial effects of WBVE among people with stroke compared with either other types of physical activities or sham WBVE. Therefore, further research should be performed in this area, testing the feasibility and efficacy of using WBVE in a more homogeneous sample of stroke patients or comparing different WBVE parameters.

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Systematic review of whole body vibration exercises in the treatment of cerebral palsy: Brief report

Abstract: The evidence for exercise performed on a vibrating platform on mobility, strength, spasticity and BMD in CP remains scant and further larger scale investigations with controlled parameters to better understand the effects of WBV exercises in this population is recommended.

Cited by 13 publications

References 37 publications

Whole-body vibration improves the functional parameters of individuals with metabolic syndrome: an exploratory study

Whole-body vibration improves the functional parameters of individuals with metabolic syndrome: an exploratory study

Vibration therapy in patients with cerebral palsy: a systematic review

Clinical Approaches of Whole-Body Vibration Exercises in Individuals with Stroke: A Narrative Revision

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