Vibration therapy in patients with cerebral palsy: a systematic review

Ramona Ritzmann,1 Christina Stark,2,3 Anne Krause4 1Department of Sport Science, University of Freiburg, Freiburg, Germany; 2Children’s and Adolescent’s Hospital, University of Cologne, Cologne, Germany; 3Cologne Centre for Musculoskeletal Biomechanics (CCMB), University of Colo...

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Autores principales:	Ritzmann R, Stark C, Krause A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	spasticity muscle gait posture reflex neuromuscular Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ca23251206d54c4d98ab2064233df583
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spelling	oai:doaj.org-article:ca23251206d54c4d98ab2064233df5832021-12-02T03:53:08ZVibration therapy in patients with cerebral palsy: a systematic review1178-2021https://doaj.org/article/ca23251206d54c4d98ab2064233df5832018-06-01T00:00:00Zhttps://www.dovepress.com/vibration-therapy-in-patients-with-cerebral-palsy-a-systematic-review-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ramona Ritzmann,1 Christina Stark,2,3 Anne Krause4 1Department of Sport Science, University of Freiburg, Freiburg, Germany; 2Children’s and Adolescent’s Hospital, University of Cologne, Cologne, Germany; 3Cologne Centre for Musculoskeletal Biomechanics (CCMB), University of Cologne, Cologne, Germany; 4Institute of Training and Computer Science in Sport, German Sport University Cologne, Cologne, Germany Abstract: The neurological disorder cerebral palsy (CP) is caused by unprogressive lesions of the immature brain and affects movement, posture, and the musculoskeletal system. Vibration therapy (VT) is increasingly used to reduce the signs and symptoms associated with this developmental disability. The purpose of this narrative review was systematically to appraise published research regarding acute and long-term effects of VT on functional, neuromuscular, and structural parameters. Systematic searches of three electronic databases identified 28 studies that fulfilled the inclusion criteria. Studies were analyzed to determine participant characteristics, VT-treatment protocols, effect on gross motor function (GMF), strength, gait, posture, mobility, spasticity, reflex excitability, muscle tone, mass, and bone strength within this population, and outcome measures used to evaluate effects. The results revealed that one acute session of VT reduces reflex excitability, spasticity, and coordination deficits. Subsequently, VT has a positive effect on the ability to move, manifested for GMF, strength, gait, and mobility in patients with CP. Effects persist up to 30 minutes after VT. Long-term effects of VT manifest as reduced muscle tone and spasticity occurring concomitantly with improved movement ability in regard to GMF, strength, gait, and mobility, as well as increased muscle mass and bone-mineral density. Posture control remained unaffected by VT. In conclusion, the acute and chronic application of VT as a nonpharmacological approach has the potential to ameliorate CP symptoms, achieving functional and structural adaptations associated with significant improvements in daily living. Even though further studies including adult populations validating the neuromuscular mechanisms underlying the aforementioned adaptations should be fostered, growing scientific evidence supports the effectiveness of VT in regard to supplementing conventional treatments (physiotherapy and drugs). Therefore, VT could reduce CP-associated physical disability and sensorimotor handicaps. Goals for patients and their caregivers referring to greater independence and improved safety may be achieved more easily and time efficiently. Keywords: spasticity, muscle, gait, posture, reflex, neuromuscularRitzmann RStark CKrause ADove Medical PressarticlespasticitymusclegaitposturereflexneuromuscularNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1607-1625 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	spasticity muscle gait posture reflex neuromuscular Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	spasticity muscle gait posture reflex neuromuscular Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ritzmann R Stark C Krause A Vibration therapy in patients with cerebral palsy: a systematic review
description	Ramona Ritzmann,1 Christina Stark,2,3 Anne Krause4 1Department of Sport Science, University of Freiburg, Freiburg, Germany; 2Children’s and Adolescent’s Hospital, University of Cologne, Cologne, Germany; 3Cologne Centre for Musculoskeletal Biomechanics (CCMB), University of Cologne, Cologne, Germany; 4Institute of Training and Computer Science in Sport, German Sport University Cologne, Cologne, Germany Abstract: The neurological disorder cerebral palsy (CP) is caused by unprogressive lesions of the immature brain and affects movement, posture, and the musculoskeletal system. Vibration therapy (VT) is increasingly used to reduce the signs and symptoms associated with this developmental disability. The purpose of this narrative review was systematically to appraise published research regarding acute and long-term effects of VT on functional, neuromuscular, and structural parameters. Systematic searches of three electronic databases identified 28 studies that fulfilled the inclusion criteria. Studies were analyzed to determine participant characteristics, VT-treatment protocols, effect on gross motor function (GMF), strength, gait, posture, mobility, spasticity, reflex excitability, muscle tone, mass, and bone strength within this population, and outcome measures used to evaluate effects. The results revealed that one acute session of VT reduces reflex excitability, spasticity, and coordination deficits. Subsequently, VT has a positive effect on the ability to move, manifested for GMF, strength, gait, and mobility in patients with CP. Effects persist up to 30 minutes after VT. Long-term effects of VT manifest as reduced muscle tone and spasticity occurring concomitantly with improved movement ability in regard to GMF, strength, gait, and mobility, as well as increased muscle mass and bone-mineral density. Posture control remained unaffected by VT. In conclusion, the acute and chronic application of VT as a nonpharmacological approach has the potential to ameliorate CP symptoms, achieving functional and structural adaptations associated with significant improvements in daily living. Even though further studies including adult populations validating the neuromuscular mechanisms underlying the aforementioned adaptations should be fostered, growing scientific evidence supports the effectiveness of VT in regard to supplementing conventional treatments (physiotherapy and drugs). Therefore, VT could reduce CP-associated physical disability and sensorimotor handicaps. Goals for patients and their caregivers referring to greater independence and improved safety may be achieved more easily and time efficiently. Keywords: spasticity, muscle, gait, posture, reflex, neuromuscular
format	article
author	Ritzmann R Stark C Krause A
author_facet	Ritzmann R Stark C Krause A
author_sort	Ritzmann R
title	Vibration therapy in patients with cerebral palsy: a systematic review
title_short	Vibration therapy in patients with cerebral palsy: a systematic review
title_full	Vibration therapy in patients with cerebral palsy: a systematic review
title_fullStr	Vibration therapy in patients with cerebral palsy: a systematic review
title_full_unstemmed	Vibration therapy in patients with cerebral palsy: a systematic review
title_sort	vibration therapy in patients with cerebral palsy: a systematic review
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/ca23251206d54c4d98ab2064233df583
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_version_	1718401580518080512

Vibration therapy in patients with cerebral palsy: a systematic review

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