Cargando…

Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy

Background: Whole-body vibration (WBV) is a therapeutic exercise tool that can be used in children with cerebral palsy (CP). A low vibration frequency with different protocols has been suggested, but no optimal dose has been explicitly indicated. We aimed to determine the superiority of a gradually...

Descripción completa

Detalles Bibliográficos
Autores principales: Peungsuwan, Punnee, Chatchawan, Uraiwan, Donpunha, Wanida, Malila, Pisamai, Sriboonreung, Thanyaluck
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047155/
https://www.ncbi.nlm.nih.gov/pubmed/36980015
http://dx.doi.org/10.3390/children10030458
_version_ 1785013850272169984
author Peungsuwan, Punnee
Chatchawan, Uraiwan
Donpunha, Wanida
Malila, Pisamai
Sriboonreung, Thanyaluck
author_facet Peungsuwan, Punnee
Chatchawan, Uraiwan
Donpunha, Wanida
Malila, Pisamai
Sriboonreung, Thanyaluck
author_sort Peungsuwan, Punnee
collection PubMed
description Background: Whole-body vibration (WBV) is a therapeutic exercise tool that can be used in children with cerebral palsy (CP). A low vibration frequency with different protocols has been suggested, but no optimal dose has been explicitly indicated. We aimed to determine the superiority of a gradually increased 7–18 Hz WBV protocol over a static 11 Hz WBV and the immediate and short-term effects of WBV training on improving spasticity, functional strength, balance, and walking ability in children with spastic CP. Methods: Twenty-four participants with CP (mean age: 11.5 ± 2.9 years) were randomly allocated into protocols of a static 11 Hz vibration frequency group (SVF) or one that increased from a 7 to an 18 Hz vibration frequency (IVF) (n = 12/group). The WBV programmes were completed for 30 min/session/day to identify immediate effects, and the short-term programme then continued for four days/week for eight weeks. Results: Modified Ashworth Scale scores significantly and immediately improved in the IVF group (hip adductor and knee extensor, p < 0.05), and after eight weeks showed significant improvement in the SVF group (ankle plantar flexor, p < 0.05). Within groups, the Five Times Sit to Stand Test (FTSTS), the Time Up and Go Test and the Functional Reach Test significantly improved in the SVF group, whereas only the FTSTS improved in the IVF group (p < 0.05). There were no significant between-group differences at the eight-week postintervention, except reduced spasticity. Conclusions: A protocol of 7–18 Hz WBV seems to offer superior immediate results in terms of improved spasticity; however, a static 11 Hz protocol appears to offer superior results after eight weeks, although the two protocols did not differ significantly in effects on physical performance. This finding may facilitate preparations to normalise muscle tone before functional mobility therapy. The study results may support future studies about the dose-response of WBV frequency.
format Online
Article
Text
id pubmed-10047155
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100471552023-03-29 Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy Peungsuwan, Punnee Chatchawan, Uraiwan Donpunha, Wanida Malila, Pisamai Sriboonreung, Thanyaluck Children (Basel) Article Background: Whole-body vibration (WBV) is a therapeutic exercise tool that can be used in children with cerebral palsy (CP). A low vibration frequency with different protocols has been suggested, but no optimal dose has been explicitly indicated. We aimed to determine the superiority of a gradually increased 7–18 Hz WBV protocol over a static 11 Hz WBV and the immediate and short-term effects of WBV training on improving spasticity, functional strength, balance, and walking ability in children with spastic CP. Methods: Twenty-four participants with CP (mean age: 11.5 ± 2.9 years) were randomly allocated into protocols of a static 11 Hz vibration frequency group (SVF) or one that increased from a 7 to an 18 Hz vibration frequency (IVF) (n = 12/group). The WBV programmes were completed for 30 min/session/day to identify immediate effects, and the short-term programme then continued for four days/week for eight weeks. Results: Modified Ashworth Scale scores significantly and immediately improved in the IVF group (hip adductor and knee extensor, p < 0.05), and after eight weeks showed significant improvement in the SVF group (ankle plantar flexor, p < 0.05). Within groups, the Five Times Sit to Stand Test (FTSTS), the Time Up and Go Test and the Functional Reach Test significantly improved in the SVF group, whereas only the FTSTS improved in the IVF group (p < 0.05). There were no significant between-group differences at the eight-week postintervention, except reduced spasticity. Conclusions: A protocol of 7–18 Hz WBV seems to offer superior immediate results in terms of improved spasticity; however, a static 11 Hz protocol appears to offer superior results after eight weeks, although the two protocols did not differ significantly in effects on physical performance. This finding may facilitate preparations to normalise muscle tone before functional mobility therapy. The study results may support future studies about the dose-response of WBV frequency. MDPI 2023-02-26 /pmc/articles/PMC10047155/ /pubmed/36980015 http://dx.doi.org/10.3390/children10030458 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Peungsuwan, Punnee
Chatchawan, Uraiwan
Donpunha, Wanida
Malila, Pisamai
Sriboonreung, Thanyaluck
Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy
title Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy
title_full Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy
title_fullStr Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy
title_full_unstemmed Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy
title_short Different Protocols for Low Whole-Body Vibration Frequency for Spasticity and Physical Performance in Children with Spastic Cerebral Palsy
title_sort different protocols for low whole-body vibration frequency for spasticity and physical performance in children with spastic cerebral palsy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10047155/
https://www.ncbi.nlm.nih.gov/pubmed/36980015
http://dx.doi.org/10.3390/children10030458
work_keys_str_mv AT peungsuwanpunnee differentprotocolsforlowwholebodyvibrationfrequencyforspasticityandphysicalperformanceinchildrenwithspasticcerebralpalsy
AT chatchawanuraiwan differentprotocolsforlowwholebodyvibrationfrequencyforspasticityandphysicalperformanceinchildrenwithspasticcerebralpalsy
AT donpunhawanida differentprotocolsforlowwholebodyvibrationfrequencyforspasticityandphysicalperformanceinchildrenwithspasticcerebralpalsy
AT malilapisamai differentprotocolsforlowwholebodyvibrationfrequencyforspasticityandphysicalperformanceinchildrenwithspasticcerebralpalsy
AT sriboonreungthanyaluck differentprotocolsforlowwholebodyvibrationfrequencyforspasticityandphysicalperformanceinchildrenwithspasticcerebralpalsy