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Acute Effects of Whole-Body Vibration on the Motor Function of Patients with Stroke: A Randomized Clinical Trial

Silva, Adriana Teresa MSc; Dias, Miqueline Pivoto Faria PT; Calixto, Ruanito Jr PT; Carone, Antonio Luis MSc; Martinez, Beatriz Bertolaccini PhD; Silva, Andreia Maria PhD; Honorato, Donizeti Cesar PhD

American Journal of Physical Medicine & Rehabilitation: April 2014 - Volume 93 - Issue 4 - p 310–319
doi: 10.1097/PHM.0000000000000042
Original Research Articles

Objective The aim of this study was to investigate the acute effects of whole-body vibration on the motor function of patients with stroke.

Design The present investigation was a randomized clinical trial studying 43 individuals with hemiparesis after stroke, with 33 subjects allocated to the intervention group and 10 subjects allocated to the control group. The intervention group was subjected to one session of vibration therapy (frequency of 50 Hz and amplitude of 2 mm) comprising four 1-min series with 1-min rest intervals between series in three body positions: bipedal stances with the knees flexed to 30 degrees and 90 degrees and a unipedal stance on the paretic limb. The analytical tests were as follows: simultaneous electromyography of the affected and unaffected tibialis anterior and rectus femoris muscles bilaterally in voluntary isometric contraction; the Six-Minute Walk Test; the Stair-Climb Test; and the Timed Get-Up-and-Go Test. The data were analyzed by independent and paired t tests and by analysis of covariance.

Results There was no evidence of effects on the group and time interaction relative to variables affected side rectus femoris, unaffected side rectus femoris, affected side tibialis anterior, unaffected side tibialis anterior, and the Stair-Climb Test (P > 0.05). There was evidence of effects on the group interaction relative to variables Six-Minute Walk Test and Timed Get-Up-and-Go Test (P < 0.05).

Conclusions Whole-body vibration contributed little to improve the functional levels of stroke patients.

From the Department of Neurology, Medical Sciences College, State University of Campinas (UNICAMP), Campinas, Sao Paulo, Brazil (ATS, DCH); Departments of Physical Therapy (MPFD, RCJ) and Medicine (ALC, BBM), Vale do Sapucaí University (UNIVÁS), Pouso Alegre, Minas Gerais, Brazil; and Department of Physical Therapy, Federal University of Alfenas (UNIFAL), Alfenas, Minas Gerais, Brazil (AMS).

All correspondence and requests for reprints should be addressed to Adriana Teresa Silva, MSc, Rua Irene de Souza Totti, 160, Bairro: Jardim Aeroporto, Alfenas – MG, CEP: 37130-000 Brazil.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

© 2014 by Lippincott Williams & Wilkins