Whole-Body Vibration Without Visual Feedback on Postural Steadiness in Unilateral Trans-Femoral Traumatic Amputees: A Randomized Controlled Trial.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2025-04-01 DOI:10.1002/pri.70031
Heba M Elfeky, Ahmed M Elfahl, Hanaa S Mohamed
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Abstract

Background: Unilateral traumatic trans-femoral amputees exhibit a higher incidence of falling and become physically asymmetrical because the side that was amputated has different feelings and less muscle.

Objectives: To explore the impact of Whole-body vibration Without Visual Feedback (VFDWBV) on postural steadiness in unilateral traumatic trans- femoral amputees.

Methods: A double-blinded randomized controlled study of technology and information was conducted at a modern university. A total of 108 individuals, 40-55 years who had experienced a traumatic amputation of one leg above the knee were divided into three groups: group A received whole body vibration (WBV) with their eyes opened, group B received (VFDWBV), and group C received conservative treatment only. The stability of the prosthetic leg, stability limit, and sway index (m-CTSIB) were assessed at the beginning and after 12 weeks. Sessions occurred three times each week.

Results: Significant statistical differences were seen in the stability of prosthetic legs, the limit of stability, and (m-CTSIB) between groups A and B, considering the treatment interaction (F = 24.8, p = 0.001). Additionally, the group receiving VFDWBV showed a more significant improvement in postural steadiness than those receiving WBV and the control group.

Conclusion: Utilizing VFDWBV at a frequency of 30 HZ can significantly enhance the stability of posture in individuals with unilateral traumatic trans-femoral amputations.

Trial registration: The study was registered with the Clinical Trials.gov (NCT06284733).

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无视觉反馈的全身振动对单侧经股外伤性截肢者姿势稳定性的影响:随机对照试验。
背景:单侧外伤性经股截肢者摔倒的发生率较高,而且由于被截肢的一侧感觉不同,肌肉较少,因此身体会变得不对称:探讨无视觉反馈全身振动(VFDWBV)对单侧外伤性跨股截肢者姿势稳定性的影响:在一所现代大学开展了一项技术和信息双盲随机对照研究。共有 108 名年龄在 40-55 岁之间、一条腿在膝盖以上因外伤截肢的患者被分为三组:A 组接受睁眼全身振动(WBV),B 组接受 VFDWBV,C 组仅接受保守治疗。在开始时和 12 周后,对假肢的稳定性、稳定性极限和摇摆指数(m-CTSIB)进行评估。治疗每周进行三次:考虑到治疗交互作用(F = 24.8,p = 0.001),A 组和 B 组在假肢稳定性、稳定性极限和(m-CTSIB)方面存在显著的统计学差异。此外,与接受 WBV 和对照组相比,接受 VFDWBV 的组在姿势稳定性方面有更显著的改善:结论:使用频率为 30 HZ 的 VFDWBV 可以显著提高单侧创伤性经股截肢患者的姿势稳定性:该研究已在 Clinical Trials.gov (NCT06284733) 上注册。
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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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