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The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects...

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Autores principales: Pulay, Márk Ágoston, Nagy, Rita, Kói, Tamás, Harnos, Andrea, Zimonyi, Nóra, Garami, Miklós, Gasparics, Ákos, Hegyi, Péter, Túri, Ibolya, Feketéné Szabó, Éva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10648882/
https://www.ncbi.nlm.nih.gov/pubmed/37959224
http://dx.doi.org/10.3390/jcm12216759
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author Pulay, Márk Ágoston
Nagy, Rita
Kói, Tamás
Harnos, Andrea
Zimonyi, Nóra
Garami, Miklós
Gasparics, Ákos
Hegyi, Péter
Túri, Ibolya
Feketéné Szabó, Éva
author_facet Pulay, Márk Ágoston
Nagy, Rita
Kói, Tamás
Harnos, Andrea
Zimonyi, Nóra
Garami, Miklós
Gasparics, Ákos
Hegyi, Péter
Túri, Ibolya
Feketéné Szabó, Éva
author_sort Pulay, Márk Ágoston
collection PubMed
description Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects of WBV on the musculoskeletal system in children with CP. Randomized controlled trials (RCTs) were sought in the most frequent databases. The intervention studied was WBV combined with conventional physiotherapy (PT) compared with conventional PT as the control; the main outcomes were changes in the musculoskeletal system. Weighted mean differences with 95%CIs were calculated. A random-effects model was applied, and the publication bias was checked using funnel plots. On the basis of the inclusion and exclusion criteria, 16 articles, including 414 patients, were considered in the final analysis. The improvement in walking performance (speed and step length) was statistically significant (p < 0.05), and although there were no significant differences in the further outcomes, a clear positive tendency was visible in the case of improved muscle strength, decreased spasticity, enhanced gross motor functions, and overall stability. Based on the findings, a clear assessment of the usefulness of this intervention cannot be made; nonetheless, due to the promising results, it would be worthwhile to conduct additional RCTs to enhance the available evidence in this field. Due to the wide range of vibration configurations, including varying durations and intensities, it is suggested to establish guidelines and a strategy for the incorporation of this additional treatment.
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spelling pubmed-106488822023-10-25 The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials Pulay, Márk Ágoston Nagy, Rita Kói, Tamás Harnos, Andrea Zimonyi, Nóra Garami, Miklós Gasparics, Ákos Hegyi, Péter Túri, Ibolya Feketéné Szabó, Éva J Clin Med Systematic Review Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects of WBV on the musculoskeletal system in children with CP. Randomized controlled trials (RCTs) were sought in the most frequent databases. The intervention studied was WBV combined with conventional physiotherapy (PT) compared with conventional PT as the control; the main outcomes were changes in the musculoskeletal system. Weighted mean differences with 95%CIs were calculated. A random-effects model was applied, and the publication bias was checked using funnel plots. On the basis of the inclusion and exclusion criteria, 16 articles, including 414 patients, were considered in the final analysis. The improvement in walking performance (speed and step length) was statistically significant (p < 0.05), and although there were no significant differences in the further outcomes, a clear positive tendency was visible in the case of improved muscle strength, decreased spasticity, enhanced gross motor functions, and overall stability. Based on the findings, a clear assessment of the usefulness of this intervention cannot be made; nonetheless, due to the promising results, it would be worthwhile to conduct additional RCTs to enhance the available evidence in this field. Due to the wide range of vibration configurations, including varying durations and intensities, it is suggested to establish guidelines and a strategy for the incorporation of this additional treatment. MDPI 2023-10-25 /pmc/articles/PMC10648882/ /pubmed/37959224 http://dx.doi.org/10.3390/jcm12216759 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 Systematic Review
Pulay, Márk Ágoston
Nagy, Rita
Kói, Tamás
Harnos, Andrea
Zimonyi, Nóra
Garami, Miklós
Gasparics, Ákos
Hegyi, Péter
Túri, Ibolya
Feketéné Szabó, Éva
The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
title The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_full The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_fullStr The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_full_unstemmed The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_short The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
title_sort effect of additional whole-body vibration on musculoskeletal system in children with cerebral palsy: a systematic review and meta-analysis of randomized clinical trials
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10648882/
https://www.ncbi.nlm.nih.gov/pubmed/37959224
http://dx.doi.org/10.3390/jcm12216759
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