Effects of whole body vibration on spasticity and lower extremity function in children with cerebral palsy |
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| Institution: | 1. Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan;2. Department of Adapted Physical Education, National Taiwan Sport University, Tao-Yuan, Taiwan;3. Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan;4. Department and Graduate Institute of Physical Therapy, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan;1. Paediatric Rehab Research Group, Rehabilitation Centre for Children and Adolescents, University Children''s Hospital Zurich, Mühlebergstrasse 104, CH-8910 Affoltern am Albis, Switzerland;2. Zurich University of Applied Studies, ZHAW, Institute for Physiotherapy, Technikumstrasse 71, CH-8401 Winterthur, Switzerland;3. Children Therapy Centres of the Foundation Regional group Zurich (Stiftung RgZ), Minervastrasse 126, CH-8032 Zurich, Switzerland;4. Children''s Research Center, University Children''s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zurich, Switzerland;1. Roessingh Center for Rehabilitation, Roessingh Research & Development, Enschede, The Netherlands, Canada;2. Neurosurgery Department, Santa Maria Hospital, Lisbon, Portugal, Canada;3. University Rehabilitation Institute, Ljubljana, Slovenia, Canada;4. Centre of Physical and Rehabilitation Medicine of the South, São Brás de Alportel, Portugal, Canada;5. Sahlgrenska University Hospital, Gothenburg, Sweden, Canada;6. University of Toronto, Toronto, ON, Canada;1. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong;2. Department of Industrial and Systems Engineering, The Hong Kong Polytechnic University, Hong Kong;1. Section of Neurology, Department of Pediatrics, Alberta Children''s Hospital, University of Calgary, Calgary, Alberta, Canada;2. Riddell Movement Assessment Centre, Department of Pediatrics, Alberta Children''s Hospital, University of Calgary, Calgary, Alberta, Canada;3. Department of Medical Genetics and Pediatrics, Alberta Children''s Hospital, University of Calgary, Calgary, Alberta, Canada;1. Scientific Institute I.R.C.C.S. “Eugenio Medea”, “La Nostra Famiglia”, Neurorehabilitation Unit 1 (Developmental Neurology and Functional Rehabilitation), Brindisi Research Centre, Brindisi, Italy;2. Scientific Institute I.R.C.C.S. “Eugenio Medea”, “La Nostra Famiglia”, Neurorehabilitation Unit 2 (Developmental Psychopathology), Brindisi Research Centre, Brindisi, Italy |
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| Abstract: | AimThe aim of this study was to evaluate the effect of whole body vibration (WBV) on lower extremity spasticity and ambulatory function in children with cerebral palsy (CP) with a complete crossover design.MethodSixteen participants aged 9.8(2.3) years received a 20-min WBV and a control condition in a counterbalanced order on two separate days. Change scores of each outcome variable were used to show the improvement.ResultsRepeated-measures analyses revealed significant differences in condition scores among variables including active range-of-motion (active ROM, increased), relaxation index (RI, increased), Modified Ashworth Scale (MAS, decreased), timed up-and-go (TUG, decreased), and Six Minute Walk Test (6MWT, increased). Significant differences were also found in time change scores for MAS and 6MWT. Correlation results revealed that TUG was significantly correlated with RI (r = −.512, p = .042), and 6MWT (r = −.700, p = .003).InterpretationThis study suggested that WBV intervention can control the spasticity, enhance ambulatory performance and increase active ROM. Along with previous results, data from this study revealed the potential use of WBV in clinical rehabilitation in children with CP. Future investigations should focus on finding the combination of treatment frequency and duration to achieve an ideal result. |
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| Keywords: | Cerebral palsy Spasticity Whole body vibration Ambulation Rehabilitation |
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