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

IF 1.5 Q3 REHABILITATION

Rehabilitation Research and Practice Pub Date : 2018-05-02 eCollection Date: 2018-01-01 DOI:10.1155/2018/8637573

Alev Alp, Bilge Efe, Mihriban Adalı, Adnan Bilgiç, Sevda Demir Türe, Şeyma Coşkun, Merve Karabulut, Uğur Ertem, Selim Mahmut Günay

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Abstract

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.

Abstract Image

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全身振动疗法对脑卒中后偏瘫患者痉挛和功能障碍的影响。

目的：确定全身振动疗法（WBV）是否能有效改善脑卒中后偏瘫患者的功能转归。材料和方法：在单盲随机对照试验中，WBV组（n=10）有40 hz频率/4 mm振幅振动，每次5分钟，每周3天，持续4周。对照组（n=11）站在同一平台上，在相同的持续时间内没有进行振动治疗。两组患者在干预前都进行了15分钟的拉伸和活动范围锻炼。结果测量包括改良Ashworth量表（MAS）、功能独立性测量（FIM）和定时10米步行测试（10 mWT）。结果：仅10 mWT在第1周（p=0.002）、第1个月（p<0.001）和第3个月（p<0.001）有所改善，有利于干预组。10 mWT和踝关节痉挛（p＜0.001，r＝0.931）。结论：WBV治疗可能是小腿肌肉痉挛患者步态康复和功能结果的补充治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Rehabilitation Research and Practice REHABILITATION-

CiteScore

3.80

自引率

0.00%

发文量

审稿时长

19 weeks

期刊介绍： Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.