Monzón-Tobalina Iñigo, Ortiz-Gutiérrez Rosa María, Álvarez-Melcón Ángela Concepción, Pérez-Somarriba Álvaro, Martín-Casas Patricia, Díaz-Arribas María José
Doctoral Program in Healthcare, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Physical Therapy and Rehabilitation Unit, Hospital Infantil Universitario Niño Jesús, 28007 Madrid, Spain.
Medicina (Kaunas). 2025 May 9;61(5):873. doi: 10.3390/medicina61050873.
Whole-body vibration (WBV) therapy presents controversial evidence regarding its effectiveness in improving lower limb functional capacity in children with cerebral palsy (CP), particularly when applied continuously as an adjunct to a physiotherapy program with demonstrated efficacy. This study aimed to evaluate the effectiveness of adding WBV to an intensive therapeutic exercise and functional training program in improving lower limb functional capacity in children with spastic CP. Thirty children with spastic CP were randomly assigned to a control or experimental group. Both groups completed a 4-week intensive therapeutic exercise and functional training program (4 sessions/week). The experimental group additionally received daily WBV. Both groups showed significant improvements in all analysed variables at 1, 2, and 6 months post-treatment ( < 0.001). However, no significant between-group differences were found for primary (GMFM-88 D: = 0.80; GMFM-88 E: = 0.91) or secondary outcomes in relation to muscle tone and strength, and balance. A trend toward greater improvement was observed in the experimental group but without statistical significance. The addition of WBV to an intensive program of therapeutic exercise and functional training does not yield additional benefits in motor function, spasticity, gait capacity, lower limb muscle strength, or balance compared to intensive physiotherapy and functional training alone in children with spastic CP. The significant within-group improvements can be attributed to the intensive physiotherapy intervention, comprising therapeutic exercises and functional training.
全身振动（WBV）疗法在改善脑瘫（CP）儿童下肢功能能力方面的有效性存在争议，尤其是在作为已证明有效的物理治疗计划的辅助手段持续应用时。本研究旨在评估在强化治疗性运动和功能训练计划中加入WBV对改善痉挛型CP儿童下肢功能能力的有效性。30名痉挛型CP儿童被随机分配到对照组或实验组。两组均完成了为期4周的强化治疗性运动和功能训练计划（每周4次）。实验组还额外接受了每日WBV治疗。两组在治疗后1个月、2个月和6个月时，所有分析变量均有显著改善（<0.001）。然而，在主要（GMFM - 88 D：= 0.80；GMFM - 88 E：= 0.91）或与肌张力、力量和平衡相关的次要结局方面，未发现组间有显著差异。实验组观察到有更大改善的趋势，但无统计学意义。与仅进行强化物理治疗和功能训练相比，在痉挛型CP儿童的强化治疗性运动和功能训练计划中加入WBV，在运动功能、痉挛、步态能力、下肢肌肉力量或平衡方面并未产生额外益处。组内的显著改善可归因于强化物理治疗干预，包括治疗性运动和功能训练。
