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全身振动对痉挛型双侧瘫脑瘫患儿肌张力及感觉运动功能的影响

The Impact of Whole Body Vibration on Muscle Tone, and Sensory Motor Function in Children with Spastic Diplegic Cerebral Palsy.

作者信息

Hussein Hisham Mohamed, Dakheel Norah, Alshammari Hand Zamel M, Alshammari Amsha Alhumaidi, Gabr Ahmed M, El-Shamy Shamekh Mohamed, Sd Shahanawaz, A Rehab Hussien, Dewir Ibrahim Metwally, Mohamed Amany Raafat, Ibrahim Ahmed Abdelmoniem

机构信息

Department of Physical Therapy, College of Applied Medical Sciences, University of Ha'il, Ha'il, Saudi Arabia.

Department of Basic Sciences for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

出版信息

J Multidiscip Healthc. 2025 Jul 29;18:4353-4363. doi: 10.2147/JMDH.S538583. eCollection 2025.

Abstract

PURPOSE

Children with diplegic cerebral palsy (CP) have limited muscle tone, function, and sensorimotor function. Whole-body vibration (WBV) has been suggested to enhance muscle tone and function in diplegic CP. However, there were limited studies involving the effect of WBV on the tone and function of diplegic CP; we aimed to investigate the effect of WBV on muscle tone, function, and sensorimotor function in children with CP.

PATIENTS AND METHODS

This is a single-blind randomized controlled clinical trial involving 54 spastic diplegic CP child recruited from local rehabilitation centers in the Ha'il region of Saudi Arabia, they were randomly divided into the WBV group (n = 28 with mean age of 9.47±1.92), which received standard physical therapy and WBV therapy, and the control group (n = 26 with mean age of 9.73±1.62) they received standard physical therapy three time per week for four weeks; Muscle tone, function, strength and Sensory motor integration were evaluated pre and post interventions.

RESULTS

At baseline, the two groups had no significant differences. After treatment, the measured outcomes (function, muscle strength, and sensory motor integration) showed statistically significant differences (p < 0.05). However, muscle tone was not substantially improved (p = 0.10). In addition, within-group comparisons demonstrated substantial effects (p < 0.05) except Spasticity, Function, and trace assessment of the control group, where the p-values were(0.33, 0.06, and 0.54, respectively).

CONCLUSIONS

According to the findings in this study, both conventional physical therapy and WBV are beneficial in treating spastic diplegia.

摘要

目的

双侧瘫脑瘫患儿的肌张力、功能及感觉运动功能受限。全身振动(WBV)被认为可增强双侧瘫脑瘫患儿的肌张力和功能。然而,关于WBV对双侧瘫脑瘫患儿肌张力和功能影响的研究有限;我们旨在探讨WBV对脑瘫患儿肌张力、功能及感觉运动功能的影响。

患者与方法

这是一项单盲随机对照临床试验,纳入了从沙特阿拉伯哈伊勒地区当地康复中心招募的54例痉挛型双侧瘫脑瘫患儿,他们被随机分为WBV组(n = 28,平均年龄9.47±1.92岁),接受标准物理治疗和WBV治疗,以及对照组(n = 26,平均年龄9.73±1.62岁),他们每周接受3次标准物理治疗,共4周;在干预前后评估肌张力、功能、力量和感觉运动整合。

结果

基线时,两组无显著差异。治疗后,测量结果(功能、肌肉力量和感觉运动整合)显示出统计学显著差异(p < 0.05)。然而,肌张力没有显著改善(p = 0.10)。此外,组内比较显示出显著效果(p < 0.05),但对照组的痉挛、功能和微量评估除外,其p值分别为(0.33、0.06和0.54)。

结论

根据本研究结果,传统物理治疗和WBV对治疗痉挛型双侧瘫均有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b81/12317725/17b9ee9ba795/JMDH-18-4353-g0001.jpg

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