Ayvat Ender, Kılınç Muhammed, Ayvat Fatma, Onursal Kılınç Özge, Aksu Yıldırım Sibel
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, 06100, Ankara, Turkey.
Cerebellum. 2021 Aug;20(4):533-541. doi: 10.1007/s12311-021-01233-y. Epub 2021 Jan 21.
Whole body vibration (WBV) applications have been used in recent years to increase muscle strength, power, and postural control in healthy and various disease populations. This study aims to investigate the effects of WBV on postural control in patients with ataxia. Twenty-four patients were randomly allocated to two groups. In the first group, whole body vibration and exercise therapy (WBV + E) were applied together for the first 8 weeks; after 1 week washout, only exercise program (OE) was applied for the second 8 weeks. In the second group, the OE program was applied first followed by the WBV + E program. Outcome measures were Sensory Organization Test (SOT), Adaptation Test (ADT), Limits of Stability Test (LOS), International Classification Ataxia Ratio Scale (ICARS), Berg Balance Scale (BBS), and Timed Up and Go Test with cognitive task (TUG-C). Twenty patients (mean age ± SD, 34.00 ± 9.16 years) completed the study. The scores of SOT, ICARS, and BBS improved significantly after both OE and WBV + E program (p < 0.05). Improvements in the WBV + E program were higher (p < 0.05). The scores of ADT, TUG-C, and three parameters of LOS improved significantly after WBV + E (p < 0.05), while there was no significant change after OE (p > 0.05). This study demonstrated that exercise programs supported by WBV can play an important role in the improvement of all components of postural control in patients with ataxia. ClinicalTrial.gov Identifier: NCT02977377.
近年来，全身振动（WBV）已被应用于增强健康人群和各种疾病患者的肌肉力量、功率及姿势控制能力。本研究旨在探讨WBV对共济失调患者姿势控制的影响。24例患者被随机分为两组。第一组在前8周同时进行全身振动和运动疗法（WBV + E）；经过1周的洗脱期后，后8周仅进行运动方案（OE）。第二组先进行OE方案，随后进行WBV + E方案。结果测量指标包括感觉统合测试（SOT）、适应性测试（ADT）、稳定性极限测试（LOS）、国际共济失调分类比例量表（ICARS）、伯格平衡量表（BBS）以及带认知任务的计时起立行走测试（TUG-C）。20例患者（平均年龄±标准差，34.00±9.16岁）完成了该研究。OE和WBV + E方案后，SOT、ICARS和BBS的评分均显著改善（p < 0.05）。WBV + E方案后的改善程度更高（p < 0.05）。WBV + E后，ADT、TUG-C和LOS的三个参数评分显著改善（p < 0.05），而OE后无显著变化（p > 0.05）。本研究表明，WBV支持的运动方案对改善共济失调患者姿势控制的所有组成部分可发挥重要作用。ClinicalTrial.gov标识符：NCT02977377。
