Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effects of Whole Body Vibration Exercise on Balance and Gait Ability in Stroke Patients: A meta-analysis

전신진동운동이 뇌졸중 환자의 균형 및 보행 능력에 미치는 효과: 메타분석

  • Cho, Woon-Su (Department of Physical Therapy, Nambu University) ;
  • Park, Se-Ju (Department of Physical Therapy, Nambu University) ;
  • Hyun, Ji-Woong (Department of Physical Therapy, Nambu University)
  • 조운수 (남부대학교 물리치료학과) ;
  • 박세주 (남부대학교 물리치료학과) ;
  • 현지웅 (남부대학교 물리치료학과)
  • Received : 2021.01.26
  • Accepted : 2021.05.07
  • Published : 2021.05.31
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Abstract

This study was a meta-analysis of previous studies that subjected stroke patients to the whole-body vibration exercise, in an attempt to evaluate the effectiveness of such exercise in improving their balance and walking ability. The electronic databases used for literature search were the National Assembly Library, Korean Educational Academic Information (RISS), Korean Academic Information (KISS), and Nuri Media (DBPIA). We also investigated a prior study of the whole-body vibration exercise applied to stroke patients from January 2010 to August 2020. In assessing the quality of the study, the RCT (randomized controls trials) study used the risk of bias 2 (RoB2) tool developed by the Cochrane group. Meta-analysis was performed using R software for statistical computing version 4.0.3. The results of the study confirmed that the overall effect size was 0.40, and the whole-body vibration exercise used had a moderate effect on the balance and gait of stroke patients, the effect size of balance was 0.44, and the effect size of gait was 0.36, showing a positive effect. These results indicated that the whole-body vibration exercise is an effective intervention for stroke patients, and further research is needed.

본 연구는 뇌졸중 환자에게 전신진동운동을 시행한 선행 연구들을 종합하고 분석하여 전신진동운동이 뇌졸중 환자의 균형 및 보행 능력에 얼마나 효과적인지를 메타분석을 통해 알아보고자 하였다. 문헌 검색을 위한 전자 데이터베이스는 국회도서관, 한국교육학술정보(RISS), 한국학술정보(KISS) 및 누리미디어(DBPIA)를 사용하였다. 2010년 1월 - 2020년 8월까지 뇌졸중 환자에게 적용한 전신진동운동 선행연구를 조사하였다. 연구의 질 평가는 RCT(Randomized Controls Trials) 연구는 Cochrane group이 개발한 Risk of bias 2(RoB2) 도구를 사용하였다. 개별 연구들의 효과크기를 산출하기 위해 R version 4.0.3 프로그램을 이용하였다. 연구 결과는 전체 효과크기는 0.40으로 나타났으며 전신진동운동이 뇌졸중 환자의 균형 및 보행에 중간 정도의 효과가 있다는 것을 확인하였고, 균형의 효과크기는 0.44, 보행의 효과크기는 0.36으로 나타나 긍정적인 영향을 주는 것으로 확인되었다. 이와 같은 결과를 통해 뇌졸중 환자에게 전신진동운동이 효과적인 중재임을 알 수 있었으며, 더욱 다양한 연구가 필요할 것으로 생각한다.

Keywords

Acknowledgement

본 논문은 2020년도 남부대학교 학술연구비의 지원을 받아 연구되었음

References

  1. American Heart Association. Heart disease and strokestatistics 2004 update. Dallas, TX: American Heart Association. 2003. DOI: https://doi.org/10.1093/europace/eus275
  2. S. H. Cho, T. H. Kim, Effect of Respiration Rehabilitation Program on Pulmonary Function in the Chronic Stroke Patients : Meta-Analysis, Journal of the Society of Rehabilitation and Welfare Engineering, Vol.12, No.4, pp.300-311, Nov. 2018. DOI: https://doi.org/10.21288/resko.2018.12.4.300
  3. H. N. Kong, W. S. Shin, Effects of balance training on different support surface on balance and gait in patients with chronic stroke, Journal of the Korean Society of Physical Medicine, Vol.10, No.3, pp.275-283, Oct. 2015. DOI: https://doi.org/10.13066/kspm.2015.10.3.57
  4. D. M. Haar, A. C. Greurts, S. C. Huidekoper et al, Recovery of standing balance in postacute stroke patients: A rehabilitation cohort study, Arch Phys Med Rehabil, Vol.285, No.6, pp.886-95, Jun. 2004. DOI: https://doi.org/10.1016/j.apmr.2003.05.012
  5. S B Jeong, The effect of 8 weeks of exercise to strengthen lower extremity muscle strength on balance and gait in stroke patients, Master's Thesis, Yongin University, Yong in, 2013.
  6. Michal Katz-Leurer, S. Mara, Early cycling test as apredictor of walking performance in stroke patients, Physiotherapy Research International, Vol.10, No.1, pp. 1-9, Jan. 2006. DOI: https://doi.org/10.1002/pri.19
  7. G. Koch, S. Bonni, E. P. Casula, M. Iosa, M. Paolucc et al, Effect of cerebellar stimulation on gait and balance recovery in patients with hemiparetic stroke: a randomized clinical trial, JAMA neurology, Vol.76, No.2, pp.170-178, Nov. 2019. DOI: https://doi.org/10.1001/jamaneurol.2018.3639
  8. V. Sharma, J. Kaur, Effect of core strengthening with pelvic proprioceptive neuromuscular facilitation on trunk, balance, gait, and function in chronic stroke, Journal of exercise rehabilitation, Vol.13, No.2, pp.200, Apr. 2017. DOI: https://doi.org/10.12965/jer.1734892.446
  9. R. W. Bohannon, Muscle strength and muscle training after stroke. J Rehabil Med, Vol.39, No.1, pp.14-20, Nov. 2007. DOI: https://doi.org/10.2340/16501977-0018
  10. S. M. Waller, J. Whitall, T. Jenkins, L. Magder, D. F. Hanley, A. Goldberg et al, Sequencing bilateral and unilateral task-oriented training versus task oriented training alone to improve arm function in individuals with chronic stroke. BMC neurol, 14(1), 1. 2014. DOI: https://doi.org/10.1186/s12883-014-0236-6
  11. J. H. Park, Y. Chung, The effects of providing visual feedback and auditory stimulation using a robotic device on balance and gait abilities in persons with stroke: a pilot study, Physical Therapy Rehabilitation Science, Vol.5, No.3, pp.125-131. Sept. 2016. DOI: https://doi.org/10.14474/ptrs.2016.5.3.125
  12. D. Kumar, S. Verma, S. Bhattacharya, U. Lahiri, Audio-visual stimulation in conjunction with functional electrical stimulation to address upper limb and lower limb movement disorder, Eur J Translational Myol, Vol.26, No.2. pp.140-144, Jun. 2016. DOI: https://doi.org/10.4081/ejtm.2016.6030
  13. E. Tankisheva, A. Bogaerts, S. Boonen, H. Feys, S. Verschueren, Effects of intensive whole-body vibration training on muscle strength and balance in adults with chronic stroke: a randomized controlled pilot study, Arch Phys Med Rehabil, Vol.95, No.3, pp.439-446, Mar. 2014. DOI: https://doi.org/10.1016/j.apmr.2013.09.009
  14. D. J Yang, J. H. Kim, S. H. Oh, J. I. Kang, S. K. Park, et al, Influence of Bridge Exercise Combined with Whole Body Vibration on Muscle Activity and Balance of Stroke Patient Korean, Journal of Integrative Medicine, Vol.7, No.4, pp.291-300, Dec. 2019. DOI: https://doi.org/10.15268/ksim.2019.7.4.291
  15. I. J. van Nes, A. C. Geurts, H. T. Hendricks, J. Duysens, Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients: preliminary evidence, American journal of physical medicine & rehabilitation, Vol.83, No.11, pp.867-873. Nov. 2004. DOI: https://doi.org/10.1097/01.phm.0000140801.23135.09
  16. M. Cardinale, R. L. Soiza, J. B. Leiper, A. Gibson, W. R. Primrose, Hormonal responses to a single session of whole body vibration exercise in older individuals, Br J Sports Med, Vol.44, No.4, pp.284-288, Apr. 2010. DOI: https://doi.org/10.1136/bjsm.2007.043232
  17. M. S. Rabert, D. R. Comas, A. F. Vanmeerhaeghe, C. S., Medina, M. R. Figuls et al, Whole-body vibration training for patients with neurodegenerative disease. Cochrane Database of Systematic Reviews, (2). 2012. DOI: https://doi.org/10.1002/14651858.CD009097.pub2
  18. Yang, F., Lees, J., Simpkins, C., & Butler, A. (2021). Interventions for preventing falls in people post-stroke: a meta-analysis of randomized controlled trials. Gait & Posture, Vol.84, pp377-388. Feb. 2021. DOI: https://doi.org/10.1016/j.gaitpost.2020.12.034
  19. Yang, Z., Miller, T., Xiang, Z., & Pang, M. Y. (2021). Effects of different vibration frequencies on muscle strength, bone turnover and walking endurance in chronic stroke. Scientific Reports, Vol.11 No.1. pp. 1-10. Jan. 2021. DOI: https://doi.org/10.1038/s41598-020-80526-4
  20. J. Y. Lee, Meta-analysis, Endocrinology and metabolism, Vol.23, No.6, pp.361-378. Nov. 2008. DOI: https://doi.org/10.3803/jkes.2008.23.6.361
  21. K. O. McGraw, S. P. Wong, A common language effect size statistic, Psychological bulletin, Vol.111, No.2, p.361-365. Jul. 1992. DOI: https://doi.org/10.1037/0033-2909.111.2.361
  22. A. Rubin, Practitioner's guide to using research for evidence-based practice, p.1-360, John Wiley & Sons, 2008.
  23. I. J. van Nes, H. Latour, F. Schils, R. Meijer, A. van Kuijk, Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke: a randomized, controlled trial, Stroke, Vol.37, No.9, pp.2331-2335. Aug. 2006. DOI: https://doi.org/10.1161/01.STR.0000236494.62957.f3
  24. M. Mikhael, R. Orr, M. A. F. Singh, The effect of wholebody vibration exposure on muscle or bone morphology and function in older adults: A systematic review of the literature, Maturitas, Vol.66, No.2, pp.150-157, Jun. 2010. DOI: https://doi.org/10.1016/j.maturitas.2010.01.013
  25. T. K. Tihanyi, M. Horvath, G. Fazekas, I. T. Hortobagy J. Tihanyi, One session of whole body vibration increases voluntary muscle strength transiently in patients with stroke. Clinical rehabilitation, Vol.21, No.9, pp.782-793. Sep. 2007. DOI: https://doi.org/10.1177/0269215507077814
  26. J. Cohen, Statistical power analysis for the behavioral sciences, p.1-378, NJ : Erlbaum.
  27. B. K. Song, Effect of somatosensory stimulation on upper limb in sensory, hand function, postural control and ADLs within sensorimotor deficits after stroke, Journal of Korean Physical Therapy, Vol.24, No.5, pp.291-299. Oct. 2012.
  28. T. G. Jeong, J. S. Park, J. D. Choi, J. Y. Lee, J. S. Kim, The effects of sensorimotor training on balance and muscle activation during gait in older adults, The Journal of Korean Physical Therapy, Vol.23, No.4, pp.29-36. Aug. 2011.
  29. S. H. Shin, Unilateral whole body vibration training to improve muscle strength and dynamic balance in patients with chronic post-stroke hemiplegia, Ph.D dissertation, Samyu university, Seoul. 2015.
  30. K. S. Chan, C. W. Liu, T. W. Chen, M. C. Weng, C. Huang et al, Effects of a single session of whole body vibration on ankle plantarflexion spasticity and gait performance in patients with chronic stroke: a randomized controlled trial, Clinical rehabilitation, Vol.26, No.12, pp.1087-1095. Oct. 2012. DOI: https://doi.org/10.1177/0269215512446314
  31. A. A. Priplata, B. L. Patritti, J. B. Niemi, R. Hughes, D. C. Gravelle et al, Noise-enhanced balance control in patients with diabetes and patients with stroke, Annals of neurology, Vol.59, No.1, p.4-12. Dec. 2006. DOI: https://doi.org/10.1002/ana.20670