The effect of whole body vibration on gait dynamics after chronic stroke in Pakistan; A Randomized Controlled Clinical Trial

Author(s):  
Hafiz Syed Ijaz Ahmed Burq ◽  
Hossein Karimi ◽  
Ashfaq Ahmad ◽  
Syed Amir Gilani ◽  
Asif Hanif

Objective: To determine the effect of whole body vibration (WBV) therapy on gait dynamics in chronic stroke patients in a tertiary care hospital. Methods: The present study was randomized, assessor-blinded, parallel-group, clinical trial conducted at Physiotherapy Department, Lahore General Hospital, Lahore, Pakistan, from November 2017 to April 2019. After taking written informed consent, 64 chronic stroke patients were randomly allocated (1:1) to routine physiotherapy (RP) group (n=32) and whole-body vibration (WBV) group (n=32) by computer random number generator method. Twelve sessions of vibration therapy were given to WBV group with an amplitude of 3 mm and frequency of 20Hz. Sessions comprises of 5 bouts of 120 seconds with 60 seconds rest intervals for 6 days/week x 2 weeks in erect standing position. The outcome measure was score of Timed Up and Go test (TUG test) and 10 Meter Walk test (10MWT) before and after intervention. Mann Whitney U Test and Wilcoxon Signed Rank test were used to analyze data. Results: After 2-week intervention, significant difference was seen in TUG, 10 Meter Walk test Slow Speed (10MWTSS), 10 Meter Walk test fast speed (10MWTFS) score for both treatment groups (p-value<0.05). However patients in WBV group had better improvement as compared to patients in the RP group. Conclusions: Initiation of walk and Walking Speed improved with Whole-body vibration therapy in chronic stroke survivors in Pakistan. Clinical Trial Number:  IRCT20190328043131N1 Key Words: Stroke, Whole body Vibration, Rehabilitation, Walk Initiation, Walking Speed, Continuous...

Author(s):  
Kwang-Yong Choi ◽  
Jung-Hee Kim ◽  
ByoungHee Lee

AbstractThe current study aimed to evaluate the effects of whole-body vibration combined with task-oriented training on muscle strength, balance, and gait in stroke patients with hemiplegia. In total, 24 stroke patients were included in this study. All participants were randomly assigned to either the whole-body vibration combined with task-oriented training group (n=12) or the whole-body vibration group (n=12). The WBVMT group underwent training (8 sets) for 30 min a day, 5 times per week for 4 weeks. Meanwhile, the WBV group underwent training (8 sets) for 30 min a day, 5 times per week for 4 weeks. Both groups received standard rehabilitation physical therapy for 60 min a day, 5 times a week for 4 weeks. In all participants, the scores for the hip extensor (HE) and knee extensor (KE) muscle strength, Five Times Sit-to-Stand (FTSTS) Test, limit of stability (LOS), Timed Up and Go (TUG) Test, Berg Balance Scale (BBS), 10-Meter Walk Test (10MWT), and 6-Min Walk Test (6MWT) were evaluated before and after the intervention. The WBVMT and WBV groups had a significant increase in the scores for HE and KE strength, FTSTS test, LOS, TUG test, BBS, 10MWT, and 6MWT (p<0.05). In particular, the WBVMT group had a significantly greater improvement than the WBV group in terms of KE muscle strength and TUG test, BBS, 10MWT, and 6MWT scores (p<0.05). WBVMT improved muscle strength, balance, and gait in stroke patients with hemiplegia.


2020 ◽  
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Heegoo Kim ◽  
Jinuk Kim ◽  
Dong-Sung Choi ◽  
Jae Hwan Jung ◽  
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2019 ◽  
Vol 18 (1) ◽  
pp. 73-80
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François Talles Medeiros Rodrigues ◽  
Lívia Shirahige ◽  
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