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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    • "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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