Cargando…

Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial

OBJECTIVES: to investigate feasibility, safety and efficacy of home-based side-alternating whole body vibration (sWBV) to improve motor function in toddlers with cerebral palsy (CP). METHODS: Randomized controlled trial including 24 toddlers with CP (mean age 19 months (SD±3.1); 13 boys). Interventi...

Descripción completa

Detalles Bibliográficos
Autores principales: Stark, C., Herkenrath, P., Hollmann, H., Waltz, S., Becker, I., Hoebing, L., Semler, O., Hoyer-Kuhn, H., Duran, I., Hero, B., Hadders-Algra, M., Schoenau, E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Society of Musculoskeletal and Neuronal Interactions 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114341/
https://www.ncbi.nlm.nih.gov/pubmed/27609033
_version_ 1782468332143771648
author Stark, C.
Herkenrath, P.
Hollmann, H.
Waltz, S.
Becker, I.
Hoebing, L.
Semler, O.
Hoyer-Kuhn, H.
Duran, I.
Hero, B.
Hadders-Algra, M.
Schoenau, E.
author_facet Stark, C.
Herkenrath, P.
Hollmann, H.
Waltz, S.
Becker, I.
Hoebing, L.
Semler, O.
Hoyer-Kuhn, H.
Duran, I.
Hero, B.
Hadders-Algra, M.
Schoenau, E.
author_sort Stark, C.
collection PubMed
description OBJECTIVES: to investigate feasibility, safety and efficacy of home-based side-alternating whole body vibration (sWBV) to improve motor function in toddlers with cerebral palsy (CP). METHODS: Randomized controlled trial including 24 toddlers with CP (mean age 19 months (SD±3.1); 13 boys). Intervention: 14 weeks sWBV with ten 9-minute sessions weekly (non-individualized). Group A started with sWBV, followed by 14 weeks without; in group B this order was reversed. Feasibility (≥70% adherence) and adverse events were recorded; efficacy evaluated with the Gross Motor Function Measure (GMFM-66), Pediatric Evaluation of Disability Inventory (PEDI), at baseline (T0), 14 (T1) and 28 weeks (T2). RESULTS: Developmental change between T0 and T1 was similar in both groups; change scores in group A and B: GMFM-66 2.4 (SD±2.1) and 3.3 (SD±2.9) (p=0.412); PEDI mobility 8.4 (SD±6.6) and 3.5 (SD±9.2) (p=0.148), respectively. In two children muscle tone increased post-sWBV. 24 children received between 67 and 140 sWBV sessions, rate of completed sessions ranged from 48 to 100% and no dropouts were observed. CONCLUSION: A 14-week home-based sWBV intervention was feasible and safe in toddlers with CP, but was not associated with improvement in gross motor function.
format Online
Article
Text
id pubmed-5114341
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher International Society of Musculoskeletal and Neuronal Interactions
record_format MEDLINE/PubMed
spelling pubmed-51143412016-11-21 Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial Stark, C. Herkenrath, P. Hollmann, H. Waltz, S. Becker, I. Hoebing, L. Semler, O. Hoyer-Kuhn, H. Duran, I. Hero, B. Hadders-Algra, M. Schoenau, E. J Musculoskelet Neuronal Interact Original Article OBJECTIVES: to investigate feasibility, safety and efficacy of home-based side-alternating whole body vibration (sWBV) to improve motor function in toddlers with cerebral palsy (CP). METHODS: Randomized controlled trial including 24 toddlers with CP (mean age 19 months (SD±3.1); 13 boys). Intervention: 14 weeks sWBV with ten 9-minute sessions weekly (non-individualized). Group A started with sWBV, followed by 14 weeks without; in group B this order was reversed. Feasibility (≥70% adherence) and adverse events were recorded; efficacy evaluated with the Gross Motor Function Measure (GMFM-66), Pediatric Evaluation of Disability Inventory (PEDI), at baseline (T0), 14 (T1) and 28 weeks (T2). RESULTS: Developmental change between T0 and T1 was similar in both groups; change scores in group A and B: GMFM-66 2.4 (SD±2.1) and 3.3 (SD±2.9) (p=0.412); PEDI mobility 8.4 (SD±6.6) and 3.5 (SD±9.2) (p=0.148), respectively. In two children muscle tone increased post-sWBV. 24 children received between 67 and 140 sWBV sessions, rate of completed sessions ranged from 48 to 100% and no dropouts were observed. CONCLUSION: A 14-week home-based sWBV intervention was feasible and safe in toddlers with CP, but was not associated with improvement in gross motor function. International Society of Musculoskeletal and Neuronal Interactions 2016-09 /pmc/articles/PMC5114341/ /pubmed/27609033 Text en Copyright: © Journal of Musculoskeletal and Neuronal Interactions http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Stark, C.
Herkenrath, P.
Hollmann, H.
Waltz, S.
Becker, I.
Hoebing, L.
Semler, O.
Hoyer-Kuhn, H.
Duran, I.
Hero, B.
Hadders-Algra, M.
Schoenau, E.
Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial
title Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial
title_full Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial
title_fullStr Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial
title_full_unstemmed Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial
title_short Early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial
title_sort early vibration assisted physiotherapy in toddlers with cerebral palsy – a randomized controlled pilot trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5114341/
https://www.ncbi.nlm.nih.gov/pubmed/27609033
work_keys_str_mv AT starkc earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT herkenrathp earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT hollmannh earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT waltzs earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT beckeri earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT hoebingl earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT semlero earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT hoyerkuhnh earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT durani earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT herob earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT haddersalgram earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial
AT schoenaue earlyvibrationassistedphysiotherapyintoddlerswithcerebralpalsyarandomizedcontrolledpilottrial