Cheng Hsin-Yi Kathy, Yu Yu-Chun, Wong Alice May-Kuen, Tsai Yung-Shen, Ju Yan-Ying
Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.
National Taoyuan Special School, 10 Te-Shou St., Tao-Yuan 330, Taiwan.
Res Dev Disabil. 2015 Mar;38:256-61. doi: 10.1016/j.ridd.2014.12.017. Epub 2015 Jan 7.
The aim of this study was to evaluate the effect of an eight-week whole body vibration (WBV) on lower extremity spasticity and ambulatory function in children with cerebral palsy with a complete crossover design. Sixteen participants aged 9.2 (2.1) years participated in this study. Half of the participants received a 10-min WBV, 3 times a week for 8 weeks. Then a 4-week washout period followed, after which they received a sham WBV 3 times a week for 8 weeks. The other half received the intervention in a reversed order. The participants were evaluated via variables measuring range-of-motion, muscle tone, and ambulatory function before, immediately after, 1 day after, and 3 days after each intervention. Repeated-measures analyses revealed significant beneficial effects on most variables expect the passive range-of-motion measurement. Significant correlations were found between timed up-and-go and relaxation index, and between timed up-and-go and six-minute walk test. The results suggested that an 8-week WBV intervention normalized muscle tone, improved active joint range and enhanced ambulatory performance in children with cerebral palsy for at least 3 days. These indicated that regular WBV can serve as an alternative, safe, and efficient treatment for these children in both clinical and home settings.
本研究旨在采用完全交叉设计评估为期八周的全身振动(WBV)对脑瘫患儿下肢痉挛和步行功能的影响。16名年龄为9.2(2.1)岁的参与者参与了本研究。一半参与者接受每周3次、每次10分钟的WBV治疗,持续8周。随后是4周的洗脱期,之后他们接受每周3次、每次8周的假WBV治疗。另一半以相反顺序接受干预。在每次干预前、干预后即刻、干预后1天和干预后3天,通过测量运动范围、肌张力和步行功能的变量对参与者进行评估。重复测量分析显示,除被动运动范围测量外,对大多数变量均有显著有益影响。定时起立行走测试与放松指数之间,以及定时起立行走测试与六分钟步行测试之间存在显著相关性。结果表明,为期8周的WBV干预可使脑瘫患儿的肌张力正常化,改善主动关节活动范围,并提高步行能力至少3天。这些表明,在临床和家庭环境中,定期进行WBV可为这些儿童提供一种替代的、安全且有效的治疗方法。