Szopa Andrzej, Domagalska-Szopa Małgorzata, Siwiec Andrzej, Kwiecień-Czerwieniec Ilona
Department of Physiotherapy, Medical University of Silesia in Katowice, Katowice, Poland.
Department of Medical Rehabilitation, Medical University of Silesia in Katowice, Sosnowiec, Poland.
Front Bioeng Biotechnol. 2021 Feb 10;9:601747. doi: 10.3389/fbioe.2021.601747. eCollection 2021.
This study investigated the effectiveness of whole-body vibration (WBV) training incorporated into a conventional physiotherapy (PT) program (WBV-assisted training) in improving blood flow in the lower limbs and range of motion in the lower limb joints of children with myelomeningocele (MMC). A total of 31 children with MMC (7-15 years old) underwent a 6 weeks treatment program consisting of 2 weeks of conventional PT followed by 4 weeks of WBV-assisted training. The assessment comprised two parts: evaluation of lower limb joint range of motion and Doppler ultrasonography of the superficial femoral, popliteal, and anterior tibial arteries and was performed three times for each of the participants (at baseline, after 10 sessions of PT but before WBV-assisted training, and after 20 sessions of WBV-assisted training). Our results showed that WBV-assisted training significantly improved lower limb circulation in patients with MMC, increasing velocity and reducing resistivity in all tested arteries. Moreover, WBV-assisted training alleviated lower-extremity contractures, especially of the knee. Thus, WBV-assisted training is effective as an adjunctive rehabilitation program for improving functional mobility in children with MMC.
本研究调查了将全身振动（WBV）训练纳入传统物理治疗（PT）方案（WBV辅助训练）对改善脊髓脊膜膨出（MMC）患儿下肢血流及下肢关节活动范围的效果。共有31名MMC患儿（7至15岁）接受了为期6周的治疗方案，包括2周的传统PT，随后是4周的WBV辅助训练。评估包括两部分：下肢关节活动范围评估以及股浅动脉、腘动脉和胫前动脉的多普勒超声检查，对每位参与者进行了三次评估（基线时、PT治疗10次后但在WBV辅助训练前、WBV辅助训练20次后）。我们的结果表明，WBV辅助训练显著改善了MMC患者的下肢循环，提高了所有测试动脉的血流速度并降低了阻力。此外，WBV辅助训练减轻了下肢挛缩，尤其是膝关节挛缩。因此，WBV辅助训练作为一种辅助康复方案，对于改善MMC患儿的功能活动能力是有效的。
