Whole body vibration training improves walking performance of stroke patients with knee hyperextension: a randomized controlled pilot study

Guo, Chuan Bin; Xun, Mi; Liu, Shouguo; Yi, Wenchao; Gong, Chen; Lan, Zhu; Machado, Sérgio; Yuan, Ti‐Fei; Shan, Chunlei

doi:10.2174/1871527315666151111124937

Cited by 23 publications

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“…Among them, 256 and 161 were male and female patients, respectively; the sex for 30 participants was not specified. 38 Average age of the participants ranged from 53.8 to 74.5 years (Table 1). People with both ischemic and hemorrhagic stroke were included ( Table 2).…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

Yang

Butler

2020

Neurorehabil Neural Repair

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Background. Controlled whole-body vibration (CWBV) training has been applied to people with stroke. However, it remains inconclusive if CWBV reduces fall risk in this population. Objective. To (1) assess the immediate and retention effects of CWBV training on fall risk factors in people at postacute and chronic stages of stroke and (2) examine if CWBV dosage is correlated with the effect size (ES) for 3 fall risk factors: body balance, functional mobility, and knee strength. Methods. Twelve randomized controlled trials were included. ES was calculated as the standardized mean difference, and meta-analyses were completed using a random-effects model. Results. CWBV training may lead to improved balance and mobility immediately after training (ES = 0.27, P = .03 for balance; ES = 0.34, P = .02 for mobility) but not at the 3-month follow-up test (ES = 0.02, P = .89 for balance; ES = 0.70, P = .11 for mobility). CWBV affects knee strength capacity with mild ES (ES = 0.08 and 0.11, respectively, for immediate and retention effect; P ≥ .68 for both). Metaregression indicated that the immediate ES is strongly correlated with training dosage for balance ( r = 0.649; P = .029) and mobility ( r = 0.785; P = .036). Conclusions. CWBV training may benefit balance and mobility immediately, but the training effect may not persist among people with stroke. Additionally, the CWBV dosage correlates with the ES for body balance and mobility. More high-quality studies are needed to determine the retention effects of CWBV training.

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Section: Resultsmentioning

confidence: 99%

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

Yang

Butler

2020

Neurorehabil Neural Repair

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“…Literature search, study characteristics and quality assessment Among the 8 studies included here, 3 studies report 6MWT distance [11,14,22], 4 studies report TUG test [11,13,14,17], 2 studies report Fugl-Meyer assessment [17,18], three studies report Berg Balance Scale [14,17,22], and 2 studies report ABC scale [11,22]. The detail for risk of bias tool are shown in ▶ fig.…”

Section: Resultsmentioning

confidence: 99%

“…However, the efficacy of whole-body vibration on functional improvement has not been well established. Several studies report the conflicting results [11,12,[16][17][18]. With accumulating evidence, we therefore perform a systematic review and meta-analysis of RCTs to investigate the efficacy of whole-body vibration versus sham procedures for stroke patients.…”

Section: Introductionmentioning

confidence: 99%

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

Lin

Chen

Zhou

2020

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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The 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.

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“…Furthermore, several studies showed beneficial long-term effects of 4-6 weeks SS-WBV with vibration frequencies of 15-40 Hz on balance performance in individuals with stroke [ 28 , 39 , 40 , 87 , 88 ]. Regarding gait performance, Guo et al [ 89 ] reported improvements in gait speed after an 8-week SS-WBV training in individuals with stroke.…”

Section: Discussionmentioning

confidence: 99%

Effects of Stochastic Resonance Whole-Body Vibration in Individuals with Unilateral Brain Lesion: A Single-Blind Randomized Controlled Trial: Whole-Body Vibration and Neuromuscular Function

Herren

Schmid

Rogan

et al. 2018

Rehabilitation Research and Practice

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Introduction Stochastic resonance whole-body vibration (SR-WBV) devices are promising sensorimotor interventions to address muscle weakness and to improve balance and mobility particularly in the elderly. However, it remains inconclusive whether individuals with stroke or traumatic brain injury (TBI) can profit from this method. The aim of this prospective single-blind randomized controlled trial was to investigate the effects of SR-WBV on muscle strength as well as gait and balance performance in this population. Methods Forty-eight individuals with stroke or TBI were randomly allocated to an experimental and a sham group. Participants were exposed daily to 5 consecutives 1-minute SR-WBV sessions, whereas the experimental group trained in a standing position with 5 Hz and the sham group in a seated position with 1 Hz. Isometric muscle strength properties of the paretic knee extensor muscles as well as balance and gait performance were measured at baseline, after the first session and after two weeks of SR-WBV. Results Both groups showed short- and long-term effects in gait performance. However, no between-group effects could be found at the three measurement points. Discussion Complementary SR-WBV showed no beneficial effects immediately after the intervention and after two weeks of conventional rehabilitation therapy. Future research is needed to identify the potential efficacy of SR-WBV in individuals with stroke and TBI using shorter and less exhausting test procedures and a generally prolonged intervention time.

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Whole body vibration training improves walking performance of stroke patients with knee hyperextension: a randomized controlled pilot study

Abstract: The results suggest that 8 weeks whole body vibration training can reduce knee hyperextension and increase ambulatory speed in stroke patients.

Cited by 23 publications

References 0 publications

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

Efficacy of Controlled Whole-Body Vibration Training on Improving Fall Risk Factors in Stroke Survivors: A Meta-analysis

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

Effects of Stochastic Resonance Whole-Body Vibration in Individuals with Unilateral Brain Lesion: A Single-Blind Randomized Controlled Trial: Whole-Body Vibration and Neuromuscular Function

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