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http://dx.doi.org/10.5762/KAIS.2011.12.7.3109

Effects of Vibration Stimulation Method on Upper Limbs Spasticity in Patients with Brain Lesion  

Bae, Sea-Hyun (Dept. of Physical Therapy, Gwangju Heemang Hospital)
Kim, Kyung-Yoon (Dept. of Physical Therapy, Dongshin University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.12, no.7, 2011 , pp. 3109-3116 More about this Journal
Abstract
We studied the effects of vibration stimulation method on upper limbs spasticity in patients with brain lesion. 21 patients with spasticity of the upper limbs selected and divided randomly 3 groups. And then vibratory stimulation was applied to the triceps brachii muscle in group I(n=7), to biceps brachii muscle in group II (n=7), and to both muscles in group III (n=7). Using Neuro-EMG_Micro to investigate the changes in spinal neuronal excitability, F-waves were measured at before and directly after stimulation, and 10 minutes later and 20 minutes later after stimulation especially. MAS(Modified Ashworth Scale) test for muscle tone and MFT(Manual Function Test) for the upper extremity motor function were performed before stimulation and 20 minutes later after stimulation for the purpose of clinical evaluation. In our study, MAS was significant decreased in all groups, F wave and F/M ratio parameters were decreased in all groups and more decreased specially in group III. MFT was increased in group II and III, and more increased specially in group III. Vibration stimulation reduced the neuronal excitability of spinal cord and also muscle tone, and improved the motor function of the upper extremity. These results suggested that vibration stimulation giving to both muscles(triceps and biceps brachii muscle) at the same time was more efficiency in reducing the neuronal excitability of spinal cord and improving the motor function of the upper limbs.
Keywords
Brain Lesion; Spasticity; Vibration Stimulation; F-Waves; Motor Function;
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1 M. A. Lebedev and A. V. Poliakov. "Analysis of the interference electromyogram of human soleus muscle after exposure to vibration", Neirofiziologiia, Vol. 23(1), pp. 57-65, 1991.
2 T. Kasai, M. Kawanishi and S. Yahagi. "The effects of wrist muscle vibration on human voluntary elbow flexion-extension movements", Exp Brain Res, Vol. 90(1), pp. 217-220, 1992.
3 J. Rittweger, K. Just, K. Kautzsch, P. Reeg and D. Felsenberg. "Treatment of chronic lower back pain with lumbar extension and whole-body vibration exercise : a randomized controlled trial", Spine, Vol. 27(17), pp. 1829-1834, 2002.   DOI
4 S. A. Ageranoti and K. C. Hayes. "Effects of vibration on hypertonia and hyperreflexia in the wrist joint of patients with spastic hemiparesis", Physiotherapy Canada, Vol. 42(1), pp. 24-33, 1990.
5 I .Shirahashi, S. Matsumoto, M. Shimodozono, S. Etoh and K. Kawahira. "Functional vibratory stimulation on the hand facilitates voluntary movements of a hemiplegic upper limb in a patient with stroke", Int J Rehabil Res, Vol. 30(3), pp. 227-230, 2007.   DOI   ScienceOn
6 L. Ahlborg, C. Andersson and P. Julin. "Whole-body vibration training compared with resistance training: effect on spasticity, muscle strength and motor performance in adults with cerebral palsy", J Rehabil Med, Vol. 38(5), pp. 302-308, 2006.   DOI   ScienceOn
7 N. N. Ansari, S. Naghdi, T. K. Arab and S. Jalaie. "The interrater and intrarater reliability of the Modified Ashworth Scale in the assessment of muscle spasticity: limb and muscle group effect", NeuroRehabilitation, Vol. 23(3), pp. 231-237, 2008.
8 J. Rosche, K. Rub, B. Niemann-Delius, E. Mauch and H.H. Kornhuber. "Effects of physiotheraphy on F-wave-amplitudes in spasticity", Electromyogr Clin Neurophysiol, Vol. 36(8), pp. 509-511, 1996.
9 H. Morita, C. Crone, D. Christenhuis, N. T. Petersen and J. B. Nielsen. "Modulation of presynaptic inhibition and disynaptic reciprocal Ia inhibition during voluntary movement in spasticity", Brain, Vol. 124(4), pp. 826-837, 2001.   DOI
10 S. Miyamoto, T. Kondo, Y. Suzukamo, A. Michimata and S. Izumi. "Reliability and validity of the Manual Function Test in patients with stroke", Am J Phys Med Rehabil, Vol. 88(3), pp. 247-255, 2009.   DOI
11 E. Pierrot-Deseilligny and D. Burke. "Presynaptic inhibition of Ia Terminals", The Circuitry of the Human Spinal Cord, Cambridge University Press, pp. 337-378, 2005.
12 W. Ann-Karin, A. Magnus, W. H. Lotta and K. S. Disa. "Spasticity and its association with functioning and health-related quality of life 18 months after stroke", Cerebrovasc Dis, Vol. 21(4), pp. 247-253, 2006.   DOI
13 N. H. Mayer. "Clinicophysiologic concepts of spasticity and motor dysfunction in adults with an upper motoneuron lesion", Muscle Nerve Suppl, Vol. 6, pp. 1-13, 1997.
14 W. Z. Rymer and R. T. Katz. "Mechanism of spastic hypertonia", Phys Med Rehabil, Vol. 18, pp. 441-454, 1994.
15 L. Erik, S. Anja, B. Jorgen and T. Andreas. "Four-fold increase in direct costs of stroke survivors with spasticity compared with stroke survivors without spasticity", Stroke, Vol. 41(2), pp. 319-324, 2010.   DOI
16 M. M. Adams and A. I. Hicks. "Spasticity after spinal cord injury", Spinal Cord, Vol. 43(10), pp. 577-586, 2005.   DOI
17 W. B. Greene, F. R. Dietz, M. J. Goldberg, R. H. Gross, F. Miller and M. D. Sussman. "Rapid progression of hip subluxation in cerebral palsy after selective posterior rhizotomy", J Pediatr Orthop, Vol. 11(4), pp. 494-497, 1991.   DOI
18 S. Matsumoto, K. Kawahira, S. Etoh, S. Ikeda and N. Tanaka.. "Short-term effects of thermotherapy for spasticity on tibial nerve F-waves in post-stroke patients", Int J Biometeorol, Vol. 50(4), pp. 243-250, 2006.   DOI
19 Q. Aziz, D. G. Thompson, V. W. Ng, S. Hamdy, S. Sarkar, M. J. Brammer, E. T. Bullmore, A. Hobson, I. Tracey, L. Gregory, A. Simmons and S. C. Williams. "Cortical processing of human somatic and visceral sensation", J Neurosci, Vol. 20(7), pp. 2657-2663, 2000.   DOI
20 M. Roelants, S. M. Verschueren, C. Delecluse, O. Levin and V. Stijnen. "Whole-bidy-vibration-induced increase in leg muscle activity during different squat exercises", J Strength Cond Res, Vol. 20(1), pp. 124-129, 2006.
21 K. H. Tasi, C. Y. Yeh, H. Y. Chang and J. J. Chen. "Effects if a single session of prolonged muscle stretch on spastic muscle of stroke patients", Proc Natl Sci Counc Repub China B, Vol. 25(2), pp. 76-81, 2001.
22 T. I. King. "The effect of neuromuscular electrical stimulation in reducing tone", Am J Occup Ther, Vol. 50(1), pp. 62-64, 1996.   DOI   ScienceOn
23 H. Nishimaru, T. Koqanezawa, M. Kakizaki, T. Ebihara and Y. Yanaqawa. "Inhibitory synaptic modulation of renshaw cell activity in the lumbar spinal cord of neonatal mice", J Neurophysiol, Vol. 103(6), pp. 3437-3447, 2010.   DOI
24 T. Noma, S. Matsumoto, S. Etoh, M. Shimodozono and K. Kawahira. "Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients", Brain inj, Vol. 23(7), pp. 623-631, 2009.   DOI   ScienceOn
25 M. Cardinale and J. Wakeling. "Whole body vibration exercise: are vibrations good for you?", Br J Sports Med, Vol. 39(9), pp. 585-589, 2005.   DOI