Universität zu Köln

Ritzmann, Ramona, Stark, Christina ORCID: 0000-0003-4247-0679 and Krause, Anne (2018). Vibration therapy in patients with cerebral palsy: a systematic review. Neuropsychiatr. Dis. Treat., 14. S. 1607 - 1626. ALBANY: DOVE MEDICAL PRESS LTD. ISSN 1178-2021

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Abstract

The neurological disorder cerebral palsy (CP) is caused by unprogressive lesions of the immature brain and affects movement, posture, and the musculoskeletal system. Vibration therapy (VT) is increasingly used to reduce the signs and symptoms associated with this developmental disability. The purpose of this narrative review was systematically to appraise published research regarding acute and long-term effects of VT on functional, neuromuscular, and structural parameters. Systematic searches of three electronic databases identified 28 studies that fulfilled the inclusion criteria. Studies were analyzed to determine participant characteristics, VT-treatment protocols, effect on gross motor function (GMF), strength, gait, posture, mobility, spasticity, reflex excitability, muscle tone, mass, and bone strength within this population, and outcome measures used to evaluate effects. The results revealed that one acute session of VT reduces reflex excitability, spasticity, and coordination deficits. Subsequently, VT has a positive effect on the ability to move, manifested for GMF, strength, gait, and mobility in patients with CP. Effects persist up to 30 minutes after VT. Long-term effects of VT manifest as reduced muscle tone and spasticity occurring concomitantly with improved movement ability in regard to GMF, strength, gait, and mobility, as well as increased muscle mass and bone-mineral density. Posture control remained unaffected by VT. In conclusion, the acute and chronic application of VT as a nonpharmacological approach has the potential to ameliorate CP symptoms, achieving functional and structural adaptations associated with significant improvements in daily living. Even though further studies including adult populations validating the neuromuscular mechanisms underlying the aforementioned adaptations should be fostered, growing scientific evidence supports the effectiveness of VT in regard to supplementing conventional treatments (physiotherapy and drugs). Therefore, VT could reduce CP-associated physical disability and sensorimotor handicaps. Goals for patients and their caregivers referring to greater independence and improved safety may be achieved more easily and time efficiently.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ritzmann, Ramona UNSPECIFIED UNSPECIFIED UNSPECIFIED Stark, Christina UNSPECIFIED orcid.org/0000-0003-4247-0679 UNSPECIFIED Krause, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-202684
DOI:	10.2147/NDT.S152543
Journal or Publication Title:	Neuropsychiatr. Dis. Treat.
Volume:	14
Page Range:	S. 1607 - 1626
Date:	2018
Publisher:	DOVE MEDICAL PRESS LTD
Place of Publication:	ALBANY
ISSN:	1178-2021
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language WHOLE-BODY VIBRATION; LOW-MAGNITUDE VIBRATION; GROSS MOTOR FUNCTION; MUSCLE STRENGTH; HIGH-FREQUENCY; CHILDREN; BALANCE; BONE; GAIT; SPASTICITY Multiple languages Clinical Neurology; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20268