TY - JOUR
T1 - Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury
AU - In, Taesung
AU - Jung, Kyoungsim
AU - Lee, Min Goo
AU - Cho, Hwi Young
N1 - Funding Information:
We also found strong correlations between spasticity, postural balance, and walking ability. A recent observational study by Scivoletto et al. (2008) determined a negative effect of spasticity on walking performance. They evaluated the effects of neurologic and non-neurologic factors on walking level and performance in patients with chronic SCI, and noted that strength, balance, and spasticity were strongly correlated with walking performance. Their results concur This work was supported by the 2016 Gimcheon university Research Grant.
Publisher Copyright:
© 2018 - IOS Press and the authors.
PY - 2018
Y1 - 2018
N2 - OBJECTIVES: This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level. METHODS: Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-Treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability. RESULTS: Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4). CONCLUSIONS: WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.
AB - OBJECTIVES: This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level. METHODS: Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-Treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability. RESULTS: Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4). CONCLUSIONS: WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.
KW - Balance
KW - Incomplete spinal cord injury
KW - Whole body vibration
UR - http://www.scopus.com/inward/record.url?scp=85049509374&partnerID=8YFLogxK
U2 - 10.3233/NRE-172333
DO - 10.3233/NRE-172333
M3 - Article
C2 - 29660953
AN - SCOPUS:85049509374
VL - 42
SP - 491
EP - 497
JO - NeuroRehabilitation
JF - NeuroRehabilitation
SN - 1053-8135
IS - 4
ER -