Universität zu Köln

Stark, C., Hoyer-Kuhn, H. -K., Semler, O., Hoebing, L., Duran, I., Cremer, R. and Schoenau, E. (2015). Neuromuscular training based on whole body vibration in children with spina bifida: a retrospective analysis of a new physiotherapy treatment program. Childs Nerv. Syst., 31 (2). S. 301 - 310. NEW YORK: SPRINGER. ISSN 1433-0350

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Abstract

Spina bifida is the most common congenital cause of spinal cord lesions resulting in paralysis and secondary conditions like osteoporosis due to immobilization. Physiotherapy is performed for optimizing muscle function and prevention of secondary conditions. Therefore, training of the musculoskeletal system is one of the major aims in the rehabilitation of children with spinal cord lesions. The neuromuscular physiotherapy treatment program Auf die Beine combines 6 months of home-based whole body vibration (WBV) with interval blocks at the rehabilitation center: 13 days of intensive therapy at the beginning and 6 days after 3 months. Measurements are taken at the beginning (M0), after 6 months of training (M6), and after a 6-month follow-up period (M12). Gait parameters are assessed by ground reaction force and motor function by the Gross Motor Function Measurement (GMFM-66). Sixty children (mean age 8.71 +/- 4.7 years) who participated in the program until February 2014 were retrospectively analyzed. Walking velocity improved significantly by 0.11 m/s (p = 0.0026) and mobility (GMFM-66) by 2.54 points (p = 0.001) after the training. All changes at follow-up were not significant, but significant changes were observed after the training period. Decreased contractures were observed with increased muscle function. Significant improvements in motor function were observed after the active training period of the new neuromuscular training concept. This first analysis of the new neuromuscular rehabilitation concept Auf die Beine showed encouraging results for a safe and efficient physiotherapy treatment program which increases motor function in children with spina bifida.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stark, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoyer-Kuhn, H. -K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Semler, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoebing, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Duran, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cremer, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schoenau, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-413585
DOI:	10.1007/s00381-014-2577-2
Journal or Publication Title:	Childs Nerv. Syst.
Volume:	31
Number:	2
Page Range:	S. 301 - 310
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0350
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PHYSICAL-FITNESS; CORD; ADOLESCENTS; MYELOMENINGOCELE; INDIVIDUALS; AMBULATION; MOBILITY Multiple languages Clinical Neurology; Pediatrics; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41358