The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

被引:2
|
作者
Pulay, Mark Agoston [1 ,2 ,3 ]
Nagy, Rita [1 ,4 ,5 ]
Koi, Tamas [1 ,6 ]
Harnos, Andrea [1 ,7 ]
Zimonyi, Nora [1 ,2 ]
Garami, Miklos [8 ]
Gasparics, Akos [9 ,10 ]
Hegyi, Peter [1 ,5 ,11 ]
Turi, Ibolya [2 ]
Szabo, Eva Feketene [2 ]
机构
[1] Semmelweis Univ, Dept Translat Med, H-1089 Budapest, Hungary
[2] Semmelweis Univ, Andras Peto Fac, H-1125 Budapest, Hungary
[3] Budapest Univ Technol & Econ, Fac Econ & Social Sci, Dept Ergon & Psychol, H-1111 Budapest, Hungary
[4] Heim Pal Natl Pediat Inst, H-1089 Budapest, Hungary
[5] Univ Pecs, Inst Translat Med, Med Sch, H-7622 Pecs, Hungary
[6] Budapest Univ Technol & Econ, Inst Math, Dept Stochast, H-1111 Budapest, Hungary
[7] Univ Vet Med, Dept Biostat, H-1078 Budapest, Hungary
[8] Semmelweis Univ, Pediat Ctr, H-1085 Budapest, Hungary
[9] Semmelweis Univ, Dept Obstet & Gynecol, H-1088 Budapest, Hungary
[10] Semmelweis Univ, Dept Pediat, Div Neonatol, H-1083 Budapest, Hungary
[11] Semmelweis Univ, Inst Pancreat Dis, H-1085 Budapest, Hungary
关键词
cerebral palsy; vibration therapy; intervention; motor development; mobility; musculoskeletal system; MOTOR-PERFORMANCE; MUSCLE STRENGTH; SPASTICITY; BALANCE; GAIT; INTERVENTION; MOBILITY; SCALE;
D O I
10.3390/jcm12216759
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects of WBV on the musculoskeletal system in children with CP. Randomized controlled trials (RCTs) were sought in the most frequent databases. The intervention studied was WBV combined with conventional physiotherapy (PT) compared with conventional PT as the control; the main outcomes were changes in the musculoskeletal system. Weighted mean differences with 95%CIs were calculated. A random-effects model was applied, and the publication bias was checked using funnel plots. On the basis of the inclusion and exclusion criteria, 16 articles, including 414 patients, were considered in the final analysis. The improvement in walking performance (speed and step length) was statistically significant (p < 0.05), and although there were no significant differences in the further outcomes, a clear positive tendency was visible in the case of improved muscle strength, decreased spasticity, enhanced gross motor functions, and overall stability. Based on the findings, a clear assessment of the usefulness of this intervention cannot be made; nonetheless, due to the promising results, it would be worthwhile to conduct additional RCTs to enhance the available evidence in this field. Due to the wide range of vibration configurations, including varying durations and intensities, it is suggested to establish guidelines and a strategy for the incorporation of this additional treatment.
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页数:14
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