Jung-Sun Lee1, Chang-Yong Kim, Hyeong-Dong Kim. 1. From the Department of Epidemiology and Health Informatics, The Graduate School of Public Health, Korea University, Seoul, Republic of Korea (J-SL); Department of Health Science, The Graduate School, Korea University, Seoul, Republic of Korea (C-YK); and Department of Physical Therapy, College of Health Science, Korea University, Seoul, Republic of Korea (H-DK).
Abstract
OBJECTIVE: The aim of this study was to determine the effect of whole-body vibration training combined with task-related training on arm function, spasticity, and grip strength in subjects with poststroke hemiplegia. DESIGN:Forty-five subjects with poststroke were randomly allocated to 3 groups, each with 15 subjects as follows: control group, whole-body vibration group, and whole-body vibration plus task-related training group. Outcome was evaluated by clinical evaluation and measurements of the grip strength before and 4 weeks after intervention. RESULTS: Our results show that there was a significantly greater increase in the Fugl-Meyer scale, maximal grip strength of the affected hand, and grip strength normalized to the less affected hand in subjects undergoing the whole-body vibration training compared with the control group after the test. Furthermore, there was a significantly greater increase in the Wolf motor function test and a decrease in the modified Ashworth spasticity total scores in subjects who underwent whole-body vibration plus task-related training compared with those in the other 2 groups after the test. CONCLUSIONS: The findings indicate that the use of whole-body vibration training combined with task-related training has more benefits on the improvement of arm function, spasticity, and maximal grip strength than conventional upper limb training alone or with whole-body vibration in people with poststroke hemiplegia.
RCT Entities:
OBJECTIVE: The aim of this study was to determine the effect of whole-body vibration training combined with task-related training on arm function, spasticity, and grip strength in subjects with poststroke hemiplegia. DESIGN: Forty-five subjects with poststroke were randomly allocated to 3 groups, each with 15 subjects as follows: control group, whole-body vibration group, and whole-body vibration plus task-related training group. Outcome was evaluated by clinical evaluation and measurements of the grip strength before and 4 weeks after intervention. RESULTS: Our results show that there was a significantly greater increase in the Fugl-Meyer scale, maximal grip strength of the affected hand, and grip strength normalized to the less affected hand in subjects undergoing the whole-body vibration training compared with the control group after the test. Furthermore, there was a significantly greater increase in the Wolf motor function test and a decrease in the modified Ashworth spasticity total scores in subjects who underwent whole-body vibration plus task-related training compared with those in the other 2 groups after the test. CONCLUSIONS: The findings indicate that the use of whole-body vibration training combined with task-related training has more benefits on the improvement of arm function, spasticity, and maximal grip strength than conventional upper limb training alone or with whole-body vibration in people with poststroke hemiplegia.
Authors: Mary E Stoykov; Courtney Heidle; Shamshir Kang; Lisa Lodesky; Lindsay E Maccary; Sangeetha Madhavan Journal: OTJR (Thorofare N J) Date: 2021-07-26
Authors: Alev Alp; Bilge Efe; Mihriban Adalı; Adnan Bilgiç; Sevda Demir Türe; Şeyma Coşkun; Merve Karabulut; Uğur Ertem; Selim Mahmut Günay Journal: Rehabil Res Pract Date: 2018-05-02