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Effects of Whole Body Vibration Exercise on Lower Extremity Muscle Activity and Gait Ability in Stroke Patients  

Kim, Je-ho (Dept. of Physical Therapy, Sehan University)
Publication Information
The Journal of Korean Academy of Orthopedic Manual Physical Therapy / v.26, no.2, 2020 , pp. 29-36 More about this Journal
Abstract
Background: The purpose of this study was to determine the effects of whole body vibration (WBV) exercise on lower extremity muscle activity and gait ability in stroke patients. Methods: For this study, 30 stroke patients participated in this study and they were divided into WBV exercise group and sham-WBV exercise group, each group in which consisted of 15 patients. WBV group and sham-WBV group was performed by the patients for five times a week, for six weeks. sEMG was used to measure lower extremity muscle activity. Changes in the activities of the muscles, such as the vatus lateralis (VL), vastus medialis (VM), bicep femoris (BF), gastrocnemius (GCM) muscle, were analysis. Motion analysis system was used to measure gait ability. Gait ability measured the stride length (SL) and walking velocity (WV). Results: According to the results of the comparisons between the groups, after intervention, lower extremity muscle activity of VL (p<.01), VM (p<.01), GCM (p<.01). SL, WV was significant between the group (p<.01). Conclusion: This study showed the WBV exercise is effective for improving increase of muscle activity and gait ability in stroke patients.
Keywords
Stroke; Whole Body Vibration; Lower Extremity Muscle Activity; Gait Ability;
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1 Lam FM, Liao LR, Kwok TC, et al. The effect of vertical whole-body vibration on lower limb muscle activation in elderly adults: Influence of vibration frequency, amplitude and exercise. Maturitas. 2016;88:59-64. https://doi.org/10.1016/j.maturitas.2016.03.011   DOI
2 Lee DK, Kim JS, Kim TH, et al. Comparison of the electromyographic activity of the tibialis anterior and gastrocnemius in stroke patients and healthy subjects during squat exercise. J Phys Ther Sci. 2015;27(1):247-249. https://doi.org/10.1589/jpts.27.247   DOI
3 Liao LR, Ng GY, Jones AY, et al. Effects of vibration intensity, exercise, and motor impairment on leg muscle activity induced by whole-body vibration in people with stroke. Phys Ther. 2015;95(12):1617-1627. https://doi.org/10.2522/ptj.20140507   DOI
4 Marciniak C. Post stroke hypertonicity: Upper limb assessment and treatment. Top Stroke Rehabil. 2011;18(3):179-194. https://doi.org/10.1310/tsr1803-179   DOI
5 Schoenfeld BJ. Squatting kinematic and kinetic and their application to exercise performance. J Strength Cond Res. 2010;24(12):3497-3506. DOI: 10.1519/JSC.0b013e3181bac2d7   DOI
6 Severinsen K, Jakobsen JK, Overgaard K, et al. Normalized muscle strength, aerobic capacity, and walking performance in chronic stroke: A population-based study on the potential for endurance and resistance training. Arch Phys Med Rehabil. 2011;92(10):1663-1668. https://doi.org/10.1016/j.apmr.2011.04.022   DOI
7 Slater LV, Hart JM. Muscle Activation Patterns During Different Squat Techniques. J Strength Cond Res. 2017;31(3):667-676. DOI: 10.1519/JSC.0000000000001323   DOI
8 Snow LM, Low WC, Thompson LV. Skeletal muscle plasticity after hemorrhagic stroke in rats: Influence of spontaneous physical activity. Am J Phy Med Rehabil. 2012;91(11):965-976. DOI: 10.1097/PHM.0b013e31825f18e1   DOI
9 Song S, Lee K, Jung S, et al. Effect of horizontal whole-body vibration training on trunk and lower-extremity muscle tone and activation, balance, and gait in a child with cerebral palsy. Am J Case Rep. 2018;31(19):1292-1300. DOI: 10.12659/AJCR.910468   DOI
10 Wist S, Clivaz J, Sattelmayer M. Muscle strengthening for hemiparesis after stroke: A meta-analysis. Ann Phys Rehabil Med. 2016;59(2):114-124. https://doi.org/10.1016/j.rehab.2016.02.001   DOI
11 Wonsetler EC, Bowden MG. A systematic review of mechanisms of gait speed change post-stroke. Part 2: Exercise capacity, muscle activation, kinetics, and kinematics. Top Stroke Rehabil. 2017;24(5):394-403. https://doi.org/10.1080/10749357.2017.1282413   DOI
12 Zago M, Capodaglio P, Ferrario C, et al. Whole-body vibration training in obese subjects: A systematic review. PLoS One. 2018;13(9):e0202866. https://doi.org/10.1371/journal.pone.0202866   DOI
13 Fabrica G, Jerez-Mayorga D, Silva-Pereyra V. Pendular energy transduction in the different phases of gait cycle in post-stroke subjects. Hum Mov Sci. 2019;66:521-528. https://doi.org/10.1016/j.humov.2019.06.006   DOI
14 Choi W, Han D, Kim J, et al. Whole-body vibration combined with treadmill training improves walking performance in post-stroke patients: A randomized controlled trial. Med Sci Monit. 2017;23:4918-4925. DOI: 10.12659/MSM.904474   DOI
15 Coorper A, Alghamdi GA, Alghamdi MA, et al. The relationship of lower limb muscle strength and knee joint hyperextension during the stance phase of gait in hemiparetic stroke patients. Physiother Res Int. 2012;17(3):150-156. https://doi.org/10.1002/pri.528   DOI
16 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. DOI: 10.1097/PHM.0b013e3182a541a4   DOI
17 Gray VL, Ivanova TD, Garland SJ. Reliability of center of pressure measures within and between sessions in individuals post-stroke and healthy controls. Gait Posture. 2014;40(1):198-203. https://doi.org/10.1016/j.gaitpost.2014.03.191   DOI
18 Barbat-Artigas S, Pinheiro Carvalho L, Rolland Y, el al. Muscle strength and body weight mediate the relationship between physical activity and usual gait speed. J Am Med Dir Assoc. 2016;17(11):1031-1036. https://doi.org/10.1016/j.jamda.2016.06.026   DOI
19 Barrera-Curiel A, Colquhoun RJ, Hernandez-Sarabia JA, et al. The effects of vibration-induced altered stretch reflex sensitivity on maximal motor unit firing properties. J Neurophysiol. 2019;121(6):2215-2221. https://doi.org/10.1152/jn.00326.2018   DOI
20 Gross R, Delporte L, Arsenault L, et al. Does the rectus femoris nerve block improve knee recurvatum in adult stroke patients? A kinematic and electromyographic study. Gait Posture. 2014;39(2):761-766. https://doi.org/10.1016/j.gaitpost.2013.10.008   DOI
21 Han P, Zhang W, Kang L, et al. Clinical evidence of exercise benefits for stroke. Adv Exp Med Biol. 2017;1000:131-151. https://doi.org/10.1007/978-981-10-4304-8   DOI
22 In TS, Jung KS, Lee MG, et al. Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury. NeuroRehabilitation. 2018;42(4):491-497. DOI: 10.3233/NRE-172333   DOI
23 Jepsen DB, Thomsen K, Hansen S, et al. Effect of whole-body vibration exercise in preventing falls and fractures: A systematic review and meta-analysis. BMJ Open. 2017;7(12):e018342. http://dx.doi.org/10.1136/bmjopen-2017-018342   DOI
24 Ki KI, Choi JD, Cho HS. The effect of ground tilt on the lower extremity muscle activity of stroke patients performing squat exercises. J Phys Ther Sci. 2014;26(7):965-968. https://doi.org/10.1589/jpts.26.965   DOI
25 Lam FM, Chan PF, Liao LR, et al. Effects of whole-body vibration on balance and mobility in institutionalized older adults: A randomized controlled trial. Clin Rehabil. 2018;32(4):462-472. https://doi.org/10.1177/0269215517733525   DOI