DOI QR코드

DOI QR Code

Effects of Applying a Vibration Stimulation to Paretic Side and Non-Paretic Side on Balance and Gait in Stroke Patients: a Pilot Study

  • Received : 2022.09.23
  • Accepted : 2022.10.24
  • Published : 2022.10.31

Abstract

Purpose: The purpose of this pilot study was to assess the feasibility of a proposed study "To investigate the effects of applying a vibration stimulation to the paretic and non-paretic sides on balance and gait in stroke patients" before proceeding with the main study. Methods: A total of 30 patients who had suffered a stroke and who met the selection criteria participated in this study. However, only 14 patients completed the study. The study subjects were randomly assigned to vibration stimulation on either both sides (B group) or the paralyzed side (P group). The interventions were applied for six weeks. The patients were assessed using the Berg balance scale (BBS), Timed up and go (TUG), 10-meter walk (10 MW), and 6-minute walk (6 MW) tests. Results: There was a significant difference before and after the application of vibration stimulation in the BBS, TUG, 10MW, and 6 MW tests in the B group (p<0.05). Similarly, there was also a significant difference observed in the 10 MW and 6 MW tests in the P group (p<0.05). The difference between the two groups was not significant in the BBS, TUG, 10 MW, and 6 MW tests (p>0.05). Conclusion: This pilot study suggests that it would be feasible to conduct a large-scale randomized controlled trial (RCT) to examine the effects of applying a vibration stimulation to the paretic and non-paretic sides, on the balance and gait in stroke patients.

Keywords

References

  1. Doria JW, Forgacs PB. Incidence, implications, and management of seizures following ischemic and hemorrhagic stroke. Curr Neurol Neurosci Rep. 2019;19(7):37. https://doi.org/10.1007/s11910-019-0957-4
  2. Mansfield A, Inness EL, Mcilroy WE. Stroke. Handb Clin Neurol. 2018;159:205-28. https://doi.org/10.1016/B978-0-444-63916-5.00013-6
  3. Thilmann AF, Fellows SJ, Garms E. Pathological stretch reflexes on the "good" side of hemiparetic patients. J Neurol Neurosurg Psychiatry. 1990;53(3):208-14. https://doi.org/10.1136/jnnp.53.3.208
  4. Laufer Y, Dickstein R, Resnik S et al. Weight-bearing shifts of hemiparetic and healthy adults upon stepping on stairs of various heights. Clin Rehabil. 2000;14(2):125-9. https://doi.org/10.1191/026921500674231381
  5. Geiger RA, Allen JB, O'Keefe J et al. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005. https://doi.org/10.1093/ptj/81.4.995
  6. Docherty CL, Arnold BL, Zinder SM et al. Relationship between two proprioceptive measures and stiffness at the ankle. J Electromyogr Kinesiol. 2004;14(3):317-24. https://doi.org/10.1016/S1050-6411(03)00035-X
  7. Kim JW, Lee JH. Effect of whole-body vibration therapy on lower extremity function in subacute stroke patients. J Exerc Rehabil. 2021;17(3):158-63. https://doi.org/10.12965/jer.2142246.123
  8. Xie L, Yi SX, Peng QF et al. Retrospective study of effect of whole-body vibration training on balance and walking function in stroke patients. World J Clin Cases. 2021;9(22):6268-77. https://doi.org/10.12998/wjcc.v9.i22.6268
  9. Liao LR, Pang MYC. Effect of whole-body vibration on neuromuscular activation of leg muscles during dynamic exercises in individuals with stroke. J Strength Cond Res. 2017;31(7):1954-62. https://doi.org/10.1519/JSC.0000000000001761
  10. Choi WJ, Han DH, Kim JS et al. Whole-body vibration combined with treadmill training improves walking performance in post-stroke patients: a randomized controlled trial. Med Sci Monit. 2017;23:4918-25. https://doi.org/10.12659/MSM.904474
  11. Hwang KJ, Ryu YU. Whole body vibration may have immediate adverse effects on the postural sway of stroke patients. J Phys Ther Sci. 2016;28(2):473-7. https://doi.org/10.1589/jpts.28.473
  12. Park SJ, Lee SI, Jeong HJ et al. Effect of vibration foam rolling on the range of motion in healthy adults: a systematic review and meta-analysis. J Exerc Rehabil. 2021;17(4):226-33. https://doi.org/10.12965/jer.2142322.161
  13. Wang F, Zhang Z, Li C et al. Acute effects of vibration foam rolling and local vibration during warm-up on athletic performance in tennis players. PLoS One. 2022;17(5):e0268515. https://doi.org/10.1371/journal.pone.0268515
  14. Park SJ, Jeong HJ, Kim BG. Effects of vibration rolling on ankle range of motion and ankle muscle stiffness in stroke patients: a randomized crossover study. J Int Acad Phys Ther Res. 2021;12(1):2272-8. https://doi.org/10.20540/JIAPTR.2021.12.1.2272
  15. Lim JH, Park CB, Kim BG. The effects of vibration foam roller applied to hamstring on the quadriceps electromyography activity and hamstring flexibility. J Exerc Rehabil. 2019;15(4):560-5. https://doi.org/10.12965/jer.1938238.119
  16. Johanson GA, Brooks GP. Initial scale development: sample size for pilot studies. Educ Psychol Meas. 2010;70(3):394-400. https://doi.org/10.1177/0013164409355692
  17. Sade I, Cekmece C, Cnanir M et al. The effect of whole body vibration treatment on balance and gait in patients with stroke. Noro Psikiyatr Ars. 2019;57(4):308-11.
  18. Park SW, Son SM, Lee NK. Exercise-induced muscle fatigue in the unaffected knee joint and its influence on postural control and lower limb kinematics in stroke patients. Neural Regen Res. 2017;12(5):765-9. https://doi.org/10.4103/1673-5374.206647
  19. de Benito AM, Valldecabres R, Ceca D et al. Effect of vibration vs nonvibration foam rolling techniques on flexibility, dynamic balance and perceived joint stability after fatigue. Peer J. 2019;7:e8000. https://doi.org/10.7717/peerj.8000
  20. Park GO, Park KN, Kim SJ et al. Effects of trunk exercise using less-affected extremities on gait and balance in stroke patients. PNF Mov. 2019;17(3):353-68.
  21. Fini NA, Bernhardt J, Holland AE. Low gait speed is associated with low physical activity and high sedentary time following stroke. Disabil Rehabil. 2021;43(14):2001-8. https://doi.org/10.1080/09638288.2019.1691273
  22. Catapani LB, Dos Santos TP, Toffano GC et al. Aerobic exercise after leftsided stroke improves gait speed and endurance: a prospective cohort study. Am J Phys Med Rehabil. 2021;100(6):576-83. https://doi.org/10.1097/PHM.0000000000001596
  23. An M, Shaughnessy M. The effects of exercise-based rehabilitation on balance and gait for stroke patients: a systematic review. J Neurisci Nurs. 2011;43(6):298-307. https://doi.org/10.1097/JNN.0b013e318234ea24
  24. In JY. Introduction of a pilot study. Korean J Anesthesiol. 2017;70(6):601-5. https://doi.org/10.4097/kjae.2017.70.6.601