Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury

Taesung In; Kyoungsim Jung; Min Goo Lee; Hwi Young Cho

doi:10.3233/NRE-172333

Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury

Taesung In, Kyoungsim Jung, Min Goo Lee, Hwi Young Cho

Research output: Contribution to journal › Article › peer-review

21 Citations (Scopus)

Abstract

OBJECTIVES: This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level. METHODS: Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-Treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability. RESULTS: Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4). CONCLUSIONS: WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.

Original language	English
Pages (from-to)	491-497
Number of pages	7
Journal	NeuroRehabilitation
Volume	42
Issue number	4
DOIs	https://doi.org/10.3233/NRE-172333
Publication status	Published - 2018

Bibliographical note

Funding Information:
We also found strong correlations between spasticity, postural balance, and walking ability. A recent observational study by Scivoletto et al. (2008) determined a negative effect of spasticity on walking performance. They evaluated the effects of neurologic and non-neurologic factors on walking level and performance in patients with chronic SCI, and noted that strength, balance, and spasticity were strongly correlated with walking performance. Their results concur This work was supported by the 2016 Gimcheon university Research Grant.

Publisher Copyright:
© 2018 - IOS Press and the authors.

Keywords

Balance
Incomplete spinal cord injury
Whole body vibration

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation
Clinical Neurology

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10.3233/NRE-172333

Cite this

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title = "Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury",

abstract = "OBJECTIVES: This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level. METHODS: Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-Treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability. RESULTS: Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4). CONCLUSIONS: WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.",

keywords = "Balance, Incomplete spinal cord injury, Whole body vibration",

author = "Taesung In and Kyoungsim Jung and Lee, {Min Goo} and Cho, {Hwi Young}",

note = "Funding Information: We also found strong correlations between spasticity, postural balance, and walking ability. A recent observational study by Scivoletto et al. (2008) determined a negative effect of spasticity on walking performance. They evaluated the effects of neurologic and non-neurologic factors on walking level and performance in patients with chronic SCI, and noted that strength, balance, and spasticity were strongly correlated with walking performance. Their results concur This work was supported by the 2016 Gimcheon university Research Grant. Publisher Copyright: {\textcopyright} 2018 - IOS Press and the authors.",

year = "2018",

doi = "10.3233/NRE-172333",

language = "English",

volume = "42",

pages = "491--497",

journal = "NeuroRehabilitation",

issn = "1053-8135",

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TY - JOUR

T1 - Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury

AU - In, Taesung

AU - Jung, Kyoungsim

AU - Lee, Min Goo

AU - Cho, Hwi Young

N1 - Funding Information: We also found strong correlations between spasticity, postural balance, and walking ability. A recent observational study by Scivoletto et al. (2008) determined a negative effect of spasticity on walking performance. They evaluated the effects of neurologic and non-neurologic factors on walking level and performance in patients with chronic SCI, and noted that strength, balance, and spasticity were strongly correlated with walking performance. Their results concur This work was supported by the 2016 Gimcheon university Research Grant. Publisher Copyright: © 2018 - IOS Press and the authors.

PY - 2018

Y1 - 2018

N2 - OBJECTIVES: This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level. METHODS: Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-Treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability. RESULTS: Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4). CONCLUSIONS: WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.

AB - OBJECTIVES: This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level. METHODS: Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-Treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability. RESULTS: Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4). CONCLUSIONS: WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.

KW - Balance

KW - Incomplete spinal cord injury

KW - Whole body vibration

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DO - 10.3233/NRE-172333

M3 - Article

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AN - SCOPUS:85049509374

SN - 1053-8135

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JO - NeuroRehabilitation

JF - NeuroRehabilitation

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ER -

Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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