Celletti C, Sinibaldi E, Pierelli F, Monari G, Camerota F
Physical Medicine and Rehabilitation Unit, Department of Orthopedics, University of Rome "Sapienza".
Unit, Department of Neurology and Psichiatry, University of Rome "Sapienza".
Clin Ter. 2017 Jan-Feb;168(1):e33-e36. doi: 10.7417/CT.2017.1979.
Stroke is one of the leading causes for disability worldwide. Exercise therapy is a key element of stroke rehabilitation but no evidence are present in literature. Moreover recently focal muscle vibrationis described as a useful therapeutic approach in the post stroke recovery. In this study the efficacy of the vibration therapy in association to progressive modular re balancing rehabilitative approach has been evaluated and compared to the conventional therapy alone and associated to the muscle vibration.
A pilot randomized controlled trial, using a pragmatic triple-blind, parallel-group study design in chronic stroke patients upper limb function.
Functional outcomes resulted increased in the group treated with vibration therapy and in particular in the group associated to progressive modular rebalancing approach.
The combining neurophysiologically-based rehabilitative technique and vibration therapy may improve functional recovery in chronic stroke patients.
中风是全球致残的主要原因之一。运动疗法是中风康复的关键要素，但文献中尚无相关证据。此外，最近有研究表明，局部肌肉振动是中风后恢复的一种有效治疗方法。在本研究中，评估了振动疗法联合渐进性模块化再平衡康复方法的疗效，并与单独的传统疗法以及与肌肉振动相结合的传统疗法进行了比较。
采用实用的三盲、平行组研究设计，对慢性中风患者的上肢功能进行了一项初步随机对照试验。
接受振动疗法治疗的组，尤其是联合渐进性模块化再平衡方法的组，功能结果有所改善。
将基于神经生理学的康复技术与振动疗法相结合，可能会改善慢性中风患者的功能恢复。
