Long-Term Effects of 6-Week Whole-Body Vibration on Balance Recovery and Activities of Daily Living in the Postacute Phase of Stroke A Randomized, Controlled Trial

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Stroke (Impact Factor: 5.72). 10/2006; 37(9):2331-5. DOI: 10.1161/01.STR.0000236494.62957.f3
Source: PubMed


The long-term effects of 6-weeks whole-body vibration, as a novel method of somatosensory stimulation, on postural control and activities of daily living were compared with those of 6 weeks of exercise therapy on music of the same intensity in the postacute phase of stroke.
Fifty-three patients with moderate to severe functional disabilities were randomized within 6 weeks poststroke and within 3 days after admission to a rehabilitation center to either whole-body vibration or exercise therapy on music in addition to a regular inpatient rehabilitation program. The whole-body vibration group received 4x45-second stimulation on the Galileo 900 (30-Hz frontal plane oscillations of 3-mm amplitude) for 5 days per week during 6 weeks. The exercise therapy on music group received the same amount of exercise therapy on music. Outcome variables included the Berg Balance Scale, Trunk Control Test, Rivermead Mobility Index, Barthel Index, Functional Ambulation Categories, Motricity Index, and somatosensory threshold at 0, 6, and 12 weeks follow up.
At baseline, both groups were comparable in terms of prognostic factors and outcome measures. Both at 6 and 12 weeks follow up, no clinically relevant or statistical differences in outcome were observed between the groups. No side effects were reported.
Daily sessions of whole-body vibration during 6 weeks are not more effective in terms of recovery of balance and activities of daily living than the same amount of exercise therapy on music in the postacute phase of stroke.

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    • "Previous studies have suggested that WBV exercise increases muscle strength and improves muscular performance and balance8, 9), and the positive effects of WBV on muscle performance should help to improve balance10, 11). WBV acts through repetitive sensorimotor stimulation and therapies with WBV have been conducted for elderly patients as well as patients with cerebral palsy, multiple sclerosis, and stroke12,13,14,15). Some authors have reported WBV training combined with other physical therapies improves balance16,17,18), and WBV was shown to positively influence the postural control and mobility of chronic hemiparetic stroke patients11). "
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    ABSTRACT: [Purpose] The purpose of this study was to determine the effects of task-oriented training with whole body vibration (WBV) on the sitting balance of stroke patients. [Subjects] The subjects were 30 stroke patients who were randomly divided into experimental (n1=15) and control (n2=15) groups. [Methods] Subjects in both groups received general training five times per week. Subjects in the experimental group practiced an additional task-oriented training program with WBV, which was performed for 15 minutes, five times per week, for four weeks. The center of pressure (COP) path length and average velocity were used to assess subjects static sitting balance, and the Modified Functional Reach Test (MFRT) was used to assess their dynamic sitting balance. The paired t-test was performed to test the significance of differences between before and after the intervention. The independent t-test was conducted to test the significance of differences between the groups. [Results] Following the intervention, the experimental group showed a significant change in MFRT. [Conclusion] The results of this study suggest that task-oriented training with WBV is feasible and efficacious for stroke patients.
    Journal of Physical Therapy Science 09/2014; 26(9):1411-1414. DOI:10.1589/jpts.26.1411 · 0.39 Impact Factor
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    • "WBV is targeted at individuals who have difficulty walking7 and who may be less inclined to participate in more vigorous training.8,9 WBV has been shown to improve gait and balance in patients with multiple disease conditions, such as cerebral palsy,10 multiple sclerosis11,12 and stroke.13 A recent systematic review and meta-analysis by Lam et al. examined the effects of WBV on outcomes related to balance, mobility and falls in older adults without known medical disease.14 "
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    ABSTRACT: Whole body vibration (WBV) is a contemporary treatment modality that holds promise as an exercise training method in health–compromised individuals. A growing number of studies on individuals with Parkinson Disease are examining whether WBV improves balance and functional mobility. However, interpreting WBV studies is challenging since there is variability in the manner in which WBV intervention is conducted. The primary goal of this systematic review was to investigate the effect of WBV on improving mobility and balance as measured by a battery of clinical tests, in patients with Parkinson disease. Studies based on WBV parameters were characterized and a systematic search of peer-reviewed literature in five major databases was conducted. Randomized-controlled trials investigating the effects of WBV in patients with a Parkinson diagnosis and no cognitive impairment were included. A total of six publications met the inclusion criteria. Overall, studies demonstrated mixed results in favor of WBV for improving balance or mobility. The majority of studies seem to suggest a favorable benefit following WBV for mobility and balance, but not when compared to other active intervention or placebo. There was variability in the manner in which WBV intervention was applied. Variations among the six studies included: duration of intervention and rest, follow-up period, type of control groups, frequency of vibration, number of treatment sessions and sex distribution of subjects. Future research is needed to investigate the effects of different types of equipment and treatment dosage in individuals with Parkinson disease.
    Iranian Journal of Medical Sciences 07/2014; 39(4):318-326.
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    • "A growing body of literature has reported benefit of WBV for patients with cystic fibrosis, [24] multiple sclerosis [25] and stroke [26]. To date, trials regarding efficacy of WBV in patients with COPD are scarce. "
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