Feasibility of Whole Body Vibration Therapy in Individuals with Dystonic or Spastic Dystonic Cerebral Palsy: A Pilot Study.

Tamis W Pin, Penelope B Butler, Sheila Purves, Nathan C-K Poon
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引用次数: 1

Abstract

Objective: To examine the feasibility and practicality of whole body vibration therapy for individuals with dystonic or spastic dystonic cerebral palsy.

Design: Pilot study.

Subjects: Children and adults with dystonic or spastic dystonic cerebral palsy.

Methods: Study participants received total body vibration therapy when standing still on a vibration platform for 3 bouts, duration 3-min, of vibration (20 Hz, 2 mm amplitude), 4 days per week for 4 weeks in addition to their usual therapy. All participants were assessed at baseline and completion of the study using the Gross Motor Function Measure Item Set, Timed Up and Go test, Barry-Albright Dystonia Scale, Edinburgh Visual Gait Score, and Pediatric Evaluation of Disability Inventory.

Results: Ten participants (mean age 18.60 years (standard deviation (SD) 14.68); 9 males, Gross Motor Function Classification System level II-IV) completed the study with more than 90% attendance rate. All participants tolerated the protocol with no adverse events.

Conclusion: The vibration treatment protocol was feasible and safe for all participants. With no significant differences found in all the outcome measures, future studies with more rigorous study designs are required before this intervention is recommended for this population group.

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肌张力障碍或痉挛性肌张力障碍脑瘫患者全身振动治疗的可行性:一项初步研究。
目的:探讨全身振动治疗肌张力障碍或痉挛性肌张力障碍脑瘫的可行性和实用性。设计:初步研究。研究对象:患有肌张力障碍或痉挛性肌张力障碍脑瘫的儿童和成人。方法:研究参与者在常规治疗之外,每周4天,在振动平台上静止站立3次,持续3分钟的振动(20 Hz, 2 mm振幅),连续4周接受全身振动治疗。所有参与者在基线和研究完成时均使用大运动功能测量项目集、计时起身和行走测试、巴里-奥尔布赖特肌张力障碍量表、爱丁堡视觉步态评分和儿童残疾评估量表进行评估。结果:10名参与者,平均年龄18.60岁(标准差14.68);9名男性,大肌肉运动功能分类系统等级II-IV级)完成研究,出勤率超过90%。所有参与者都能耐受该方案,没有不良事件发生。结论:振动治疗方案对所有患者都是可行且安全的。由于在所有结果测量中均未发现显著差异,在推荐该干预措施用于该人群之前,需要进行更严格的研究设计的未来研究。
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