Author/Authors :
Costantino , Cosimo Department of Medicine and Surgery - University of Parma, Italy , Petraglia, Federica Physical Medicine and Rehabilitation Residency Program - University of Parma, Italy , Giumelli, Riccardo Physical Medicine and Rehabilitation Residency Program - University of Parma, Italy , Sabetta, Laura Luigia Pre-Med Student - University of Parma, Italy
Abstract :
Recently new technologies and new techniques, such as Whole Body Vibration (WBV), have been
introduced by the health and fitness industry to pursue therapeutic or physical performance goals. The aim of this systematic
review is to investigate the effectiveness of single or multiple WBV sessions alone or in association with traditional rehabilitation,
compared to traditional rehabilitation therapy or with sham therapy in poststroke patients. Methods. Randomized Control Trials
and controlled clinical trials written in English between January 1st, 2003, and December 31st, 2017, were selected from PubMed,
Cochrane-Central-Register-of-Controlled-Trials, and Physiotherapy-Evidence-Database (PEDro). The single WBV session and
multiple sessions’ effects were assessed. Study characteristics, study population, intervention protocols, effects of WBV sessions, and
adverse events were investigated with a descriptive analysis. Results. The search reported 365 articles and after screening and removal
of duplicates, 11 manuscripts with PEDro score≥6/10 were selected (391 poststroke patients). Study characteristics, study population,
intervention protocols (frequencies, amplitude of vibration, and peak acceleration), effects of a single or multiple WBV sessions,
and adverse events were analyzed. They have been investigated with particular attention to bone turnover, structure and muscle
functions, spasticity, postural control and risk of falls, functional mobility, somatosensory threshold, and activity and participation.
Comparing WBV group with control group no significant benefits emerged. Discussion. This systematic review included studies
involving participants with non homogeneous characteristics, just considering the incorporation of studies on individuals with
chronic and postacute stroke. Despite these limits, WBV treatment has no significant risks for patients and shows interesting effects
of WBV treatment in Structure and muscle functions, Spasticity and Postural control. Conclusions. Even though treatment with
WBV appears safe and feasible, there is insufficient evidence to support its clinical use in poststroke rehabilitation at this point.
More studies assessing other functional tests and with more specific treatment protocols are needed.
Keywords :
Effects of Single , Multiple Sessions , Whole Body Vibration in Stroke , Evidence , Support , Clinical , Rehabilitation , WBV
