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Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients : Preliminary evidence

VAN NES IJW; GEURTS AC; HENDRICKS HT
AM J PHYS MED REHABIL , 2004, vol. 83, n° 11, p. 867-873
Doc n°: 115772
Localisation : Documentation IRR
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, DF11 - POSTURE. STATION DEBOUT

The short-term effects of whole-body vibration as a novel method of somatosensory stimulation on postural control were investigated in 23 chronic stroke patients. While standing on a commercial platform, patients received 30-Hz oscillations at 3 mm of amplitude in the frontal plane. Balance was assessed four times at 45-min intervals with a dual-plate force platform, while quietly standing with the eyes opened and closed and while performing a voluntary weight-shifting task with visual feedback of center-of-pressure movements. Between the second and third assessments, four repetitions of 45-sec whole-body vibrations were given. The results indicated a stable baseline performance from the first to the second assessment for all tasks. After the whole-body vibration, the third assessment demonstrated a reduction in the root mean square (RIMS) center-of-pressure velocity in the anteroposterior direction when standing with the eyes closed
(P < 0.01), which persisted during the fourth assessment. Furthermore, patients showed an increase in their weight-shifting speed at the third balance assessment (P < 0.05) while their precision remained constant. No adverse effects of whole-body vibration were observed. It is concluded that whole-body vibration may be a promising candidate to improve proprioceptive control of posture in stroke patients.

Langue : ANGLAIS

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