Ali Mostafa S, Awad Ahmed S, Elassal Mohamed I
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt.
J Taibah Univ Med Sci. 2019 Jul 26;14(4):350-356. doi: 10.1016/j.jtumed.2019.05.005. eCollection 2019 Aug.
Postural control involves controlling the position of the body in space to achieve stability and orientation. Core stability is needed to improve balance and postural control. Whole-body vibration is a unique strategy for muscle strengthening in various clinical situations. This study compared the effects of whole-body vibration and a core stability program on balance in children with spastic cerebral palsy, with an intervention period of 12 weeks.
A total of 72 children with spastic cerebral palsy (hemiplegic and diplegic), of both sexes (age, 5-8 years), were selected from the outpatient clinic of the Faculty of Physical Therapy, Cairo University. The children were randomly assigned to 2 groups. Group A underwent a core stability program for 30 min and group B underwent whole-body vibration training for 10 min, at 3 times a week for 12 weeks for both groups. Balance was assessed using the Biodex Balance System.
A significant improvement in all variables (p < 0.05) was observed in each group, with greater improvement of all stability indices (anteroposterior, mediolateral, and overall) in group B. There were non-significant differences in all stability indices between hemiplegic and diplegic children (p > 0.05).
Whole-body vibration and core stability exercises are recommended for the treatment of children with spastic cerebral palsy. Whole-body vibration was more effective than the core stability program in improving balance in children with spastic cerebral palsy.
姿势控制涉及控制身体在空间中的位置以实现稳定性和定向。核心稳定性对于改善平衡和姿势控制是必要的。全身振动是在各种临床情况下增强肌肉力量的独特策略。本研究比较了全身振动和核心稳定性训练方案对痉挛型脑瘫儿童平衡能力的影响，干预期为12周。
从开罗大学物理治疗学院门诊部选取72名痉挛型脑瘫儿童（偏瘫和双瘫），男女不限（年龄5 - 8岁）。这些儿童被随机分为两组。A组进行30分钟的核心稳定性训练，B组进行10分钟的全身振动训练，两组均每周训练3次，共12周。使用Biodex平衡系统评估平衡能力。
每组的所有变量均有显著改善（p < 0.05），B组的所有稳定性指标（前后向、内外侧和整体）改善更大。偏瘫和双瘫儿童的所有稳定性指标之间无显著差异（p > 0.05）。
推荐对痉挛型脑瘫儿童进行全身振动和核心稳定性训练。在改善痉挛型脑瘫儿童平衡能力方面，全身振动比核心稳定性训练方案更有效。
