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Effects of Wole Body Vibration Training on Transverse Abdominis Muscle Thickness and Sitting Balance in Spastic Cerebral Palsy

전신진동 자극 훈련이 경직형 뇌성마비 아동의 배가로근 두께 및 앉은 자세 균형에 미치는 영향

  • Hye-Lyeong Yun (Dept. of Physical Therapy, Graduated school of Kyungsung University) ;
  • Eun-Ju Lee (Dept. of Physical Therapy, Kyungsung University)
  • 윤혜령 (경성대학교 대학원 물리치료학과) ;
  • 이은주 (경성대학교 물리치료학과)
  • Received : 2022.07.11
  • Accepted : 2022.09.14
  • Published : 2023.03.31

Abstract

Background: The purpose of this study was to investigate the effect of whole-body vibration stimulation training on the thickness of the transversus abdominis muscle and the balance of sitting posture in children with spastic cerebral palsy. Design: Single-subject design(A-B-A-B). Methods: The subjects of this study were 9 children with spastic cerebral palsy. The study period was 12 weeks in total, and the baseline period and the intervention period were each assigned 3 weeks. Intervention was conducted twice a week for 30 minutes. During the baseline period, trunk stabilization exercise was performed, and during the intervention period, trunk stabilization exercise and whole-body vibration stimulation training were performed. Measurements were carried out at before the experiment, baseline 1, intervention 1, baseline 2, intervention 2 and the total number of measurements was 5 times. Repeated ANOVA was performed to compare the effects of exercise according to the intervention method. Results: The thickness of the transversus abdominis muscle and the balance of the sitting posture were statistically significantly increased compared to the baseline during whole-body vibration stimulation training (p<.05). Conclusion: Therefore, it was confirmed that whole-body vibration stimulation training improved the thickness of the transversus abdominis muscle in children with spastic cerebral palsy and was an effective intervention method for improving sitting posture balance.

Keywords

References

  1. 김정현. (2021). 뇌성마비 아동의 운동학습 효과: 체계적 고찰. 대한물리치료과학회지,2021;28(1):33-45.
  2. 박재철, 이동규. (2022). 혈류제한이 뇌성마비 아동의 큰볼기근 두께와 밀도 및 백색영역지수에 미치는 영향. 대한물리치료과학회지, 2022;29(2):48-56.
  3. 서혜정, 김중휘. 중립 선 자세에서의 전신진동 주파수에 따른 자세 안정근의 근활성 분석. 대한물리치료학회지. 2013;25(5):316-321.
  4. 신지원. 목과 몸통 안정화 운동이 뇌성마비 아동의 운동기능과 균형 및 시지각에 미치는 영향[박사학위논문]. 대구대학교 재활과학대학원, 2016.
  5. 윤창교, 김원복. 다른 앉은 자세가 뇌성마비 환자의 복횡근 두께와 앉기 균형에 미치는 영향. 대한물리치료학회지. 2014;21(3):11-19.
  6. 인태성, 송창호. 전신 진동 운동이 만성 뇌졸중 환자의 슬관절 신전근력, 균형 및 보행능력에 미치는 영향. 대한물리의학회지. 2010;5(4):675-683.
  7. 정지문, 최성진, 신원섭. 전신진동자극훈련이 경직성 뇌성마비 아동의 균형능력과 체간 근력에 미치는 영향. 자연과학. 2014:1-15.
  8. 정지혜, 김수경. 상호작용식 메트로놈(Interactive Metrome; IM)훈련이 편마비 뇌성마비 아동의 신체 양측 협응과 균형능력, 상지기능에 미치는 효과; 개별 실험 연구. 대한작업치료학회. 2013;21(2):37-46
  9. Acar E, Cankaya T, Oner S. The relationship between trunk muscle thickness and static postural balance in older adults. J Aging Phys Act. 2019;28(2):269-275. https://doi.org/10.1123/japa.2019-0127
  10. Ahlborg L, Andersson C, Julin P. Whole-body vibration training compared with resistance training: Effect on spasticity, muscle strength and motor performance in adults with cerebral palsy. J Rehabil Med. 2006;38(5):302-308. https://doi.org/10.1080/16501970600680262
  11. Ali MS, Abd El-Aziz HG. Effect of whole-body vibration on abdominal thickness and sitting ability in children with spastic diplegia. J Taibah Univ Sci. 2021;16(3):379-386. https://doi.org/10.1016/j.jtumed.2020.11.006
  12. Ali MS, Awad AS, Elassal MI. The effect of two therapeutic interventions on balance in children with spastic cerebral palsy: A comparative study. J Taibah Univ Sci. 2019;14(4):350-356. https://doi.org/10.1016/j.jtumed.2019.05.005
  13. Bax M, Goldstein M, Rosenbaum P, et al. Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification of cerebral palsy, Dev Med Child Neurol. 2005;47:571-576 https://doi.org/10.1017/S001216220500112X
  14. Brogren E, Forssberg H, Hadders-Algra M. Influence of two different sitting positions on postural adjustments in children with spastic diplegia. Dev Med Child Neurol. 2001;43(8):534-546. https://doi.org/10.1017/S0012162201000974
  15. Bruyere O, Wuidart M, Di Palma E, et al. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Arch Phys Med Rehabil. 2005;86(2):303-307. https://doi.org/10.1016/j.apmr.2004.05.019
  16. Cardinale M. Bosco C. The use of vibration as an exercise intervention. Exerc Sport Sci Rev. 2003;31(1):3-7 https://doi.org/10.1097/00003677-200301000-00002
  17. Cardinale M, Soiza RL, Leiper JB, et al. Hormonal responses to a single session of wholebody vibration exercise in older individuals. Br J Sports Med. 2010;44(4):284-288. https://doi.org/10.1136/bjsm.2007.043232
  18. Cawthon PM, Fox KM, Gandra SR, et al. Clustering of strength, physical function, muscle, and adiposity characteristics and risk of disability in older adults. J Am Geriatr Soc. 2011;59(5):781-787. https://doi.org/10.1111/j.1532-5415.2011.03389.x
  19. Cressey EM, West CA, Tiberio DP, et al. The effects of ten weeks of lower-body unstable surface training on markers of athletic performance. J Strength Cond Res. 2007;21(2):561-567.
  20. Cresswell A, Oddsson L, Thorstensson A. The influence of sudden perturbations on trunk muscle activity and intra-abdominal pressure while standing. Exp Brain Res. 1994;98(2):336-341. https://doi.org/10.1007/BF00228421
  21. Donker SF, Ledebt A, Roerdink M, et al. Children with cerebral palsy exhibit greater and more regular postural sway than typically developing children. Exp Brain Res. 2008;184(3):363-370. https://doi.org/10.1007/s00221-007-1105-y
  22. El-Shamy SM. Effect of whole-body vibration on muscle strength and balance in diplegic cerebral palsy: A randomized controlled trial. Am J Phys Med Rehabil. 2014;93(2):114-121. https://doi.org/10.1097/PHM.0b013e3182a541a4
  23. Guizzardi A, Artuso P, Bianconi T, et al. Development and validation of the sitting balance assessment for spinal cord injury(SitBASCI). Spinal Cord. 2022:1-5.
  24. Hodges PW, Pengel LHM, Herbert RD, et al. Measurement of muscle contraction with ultrasound imaging. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine. 2003;27(6):682-692.
  25. Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb. Phys Ther. 1997;77(2):132-142.
  26. Katusic A, Alimovic S, Mejaski-Bosnjak V. The effect of vibration therapy on spasticity and motor function in children with cerebral palsy: A randomized controlled trial. NeuroRehabilitation. 2013;32(1):1-8. https://doi.org/10.3233/NRE-130817
  27. Kawanabe K, Kawashima A, Sashimoto I, et al. Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly. Keio J Med. 2007;56(1):28-33. https://doi.org/10.2302/kjm.56.28
  28. Kisner C, Colby LA, Borstad J. Therapeutic exercise; foundations and techniques. 7th edition. Philadeplhia; FA Davis; 2018.p.264-287
  29. Ko M, Doo J, Kim J, et al. Effect of whole body vibration training on gait function and activities of daily living in children with cerebral palsy. Int J Ther Rehabil 2015;22(7):321-328. https://doi.org/10.12968/ijtr.2015.22.7.321
  30. Lehman GJ, Hoda W, Oliver S. Trunk muscle activity during bridging exercises on and off a swiss ball. Chiropr Osteopat 2005;13(1):14.
  31. Murillo N, Valls-Sole J, Vidal J, et al. Focal vibration in neuro rehabilitation. Eur J Phy Rehabil Med 2014;50(2):231-242
  32. Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: Incidence, impairments and risk factors. Disabil Rehabil. 2006;28(4):183-191. https://doi.org/10.1080/09638280500158422
  33. Olama KA, Thabit NS. Effect of vibration versus suspension therapy on balance in children with hemiparetic cerebral palsy. The Egyptian journal of medical human genetics. 2012;13(2):219-226. https://doi.org/10.1016/j.ejmhg.2011.11.001
  34. Pin TW, Butler PB, Purves S. Use of whole body vibration therapy in individuals with moderate severity of cerebral palsy-a feasibility study. BMC Neurol. 2019;19(1):1-7. https://doi.org/10.1186/s12883-018-1232-z
  35. Richards SB. Single subject research: Applications in educational settings. 3th edition. Boston: Cengage learning; 2018.p.129-133
  36. Ritzmann R, Gollhofer A, Kramer A. The influence of vibration type, frequency, body position and additional load on the neuromuscular activity during whole body vibration. Eur J Appl Physiol. 2013;113(1):1-11. https://doi.org/10.1007/s00421-012-2402-0
  37. Saggini R, Vecchiet J, Iezzi S, et al. Submaximal aerobic exercise with mechanical vibrations improves the functional status of patients with chronic fatigue syndrome. Eura Medicophys. 2006;42(2):97.
  38. Sanger TD, Delgado MR, Gaebler-Spira D, et al. Classification and definition of disorders causing hypertonia in childhood. Pediatrics. 2003;111(1):e89-e97. https://doi.org/10.1542/peds.111.1.e89
  39. Taube W, Gruber M, Beck S et al. Cortical and spinal adaptations induced by balance training: correlation between stance stability and corticospinal activation. Acta Physiologica. 2007;189(4):347-358. https://doi.org/10.1111/j.1748-1716.2007.01665.x
  40. Tihanyi TK, Horvath M, Fazekas G, et al. One session of whole body vibration increases voluntary muscle strength transiently in patients with stroke. Clin Rehabil. 2007;21(9):782-793. https://doi.org/10.1177/0269215507077814
  41. Unger M, Jelsma J, Stark C. Effect of a trunk-targeted intervention using vibration on posture and gait in children with spastic type cerebral palsy: A randomized control trial. Dev Neurorehabil. 2013;16(2):79-88. https://doi.org/10.3109/17518423.2012.715313
  42. Verheyden G, Nieuwboer A, Mertin J, et al. The trunk impairment scale: A new tool to measure motor impairment of the trunk after stroke. Clin Rehabil. 2004;18(3):326-334. https://doi.org/10.1191/0269215504cr733oa
  43. Woollacott M, Burtner P. Neural and musculoskeletal contributions to the development of stance balance control in typical children and in children with cerebral palsy. Acta Paediatrica. 1996;85:58-62. https://doi.org/10.1111/j.1651-2227.1996.tb14279.x
  44. Yabumoto T, Shin S, Watanabe T, et al. Whole-body vibrat ion training improves the walking ability of a moderately impaired child with cerebral palsy: A case study. J phys Ther Sci. 2015;27(9):3023-3025. https://doi.org/10.1589/jpts.27.3023