Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients

Noma, Tomokazu; Matsumoto, Shûji; Etoh, Seiji; Shimodozono, Megumi; Kawahira, Kazumi

doi:10.1080/02699050902997896

Cited by 81 publications

(59 citation statements)

References 24 publications

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“…Vibratory stimulation applied to the antagonist of a spastic muscle has been shown to decrease spasticity of a hemiplegic limb in previous studies 2. In addition, a recent study has shown that the application of vibratory stimulation directly to the spastic muscles decreases the spasticity in stroke patients in the subacute stages 3. Here we demonstrated that direct application of vibratory stimulation to the plantar fascia is more effective than direct application to the spastic muscles in the chronic neurological case.…”

Section: Discussionsupporting

confidence: 60%

Vibration therapy of the plantar fascia improves spasticity of the lower limbs of a patient with fetal-type Minamata disease in the chronic stage

Usuki

Tohyama²

2011

Case Reports

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Section: Discussionsupporting

confidence: 60%

Vibration therapy of the plantar fascia improves spasticity of the lower limbs of a patient with fetal-type Minamata disease in the chronic stage

Usuki

Tohyama²

2011

Case Reports

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“…550 Vibration applied to spastic muscle groups might be considered to reduce spasticity transiently, but it is not effective for long-term reduction of spastic hypertonia. [551][552][553] Injection of botulinum toxin is used commonly to treat upper limb spasticity in patients with stroke and is recommended in several recent review articles and previously published guidelines as an important tool in the comprehensive management of poststroke spastic hypertonia. 149,[554][555][556][557] Injections of botulinum toxin A can reduce spasticity significantly as measured by the Ashworth scale.…”

Section: Spasticitymentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,179

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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“…Manganotti and Amelio explained this was due to the effects of mechanical vibratory stimulation and spinal cord excitability 21) . Noma et al suggested that decreasing spasticity was caused by a decrease in F-wave amplitude 19) . Therefore, a probable explanation for the spasticity decrease seen in our study is that the vibratory stimulation decreased the excitability of the α-motor neurons through the activation of presynaptic inhibition.…”

Section: Discussionmentioning

confidence: 99%

“…Murillo et al reported that spasticity decreased after vibratory stimulation of rectus femoris muscles that had 18) . Two studies report a mitigation of spasticity using clinical or neurophysiological evaluations 18,19) . However, the development of Myotonometer has enabled a new approach that allows quantitative measurement of the mechanical elements in the soft tissues of spastic muscles 9,20) .…”

Section: Discussionmentioning

confidence: 99%

The Effect of Vibratory Stimulation on Tissue Compliance and Muscle Activity in Elbow Flexor Spasticity

Bae¹,

Kim

2012

J Phys Ther Sci

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Abstract. [Purpose] This study investigated the effect of vibratory stimulation on tissue compliance and muscle activity in stroke patients with elbow flexor spasticity. [Subjects and Methods] Twenty patients who were grade 2 on the Modified Ashworth Scale (MAS) were evaluated before and after vibratory stimulation. This evaluation was done using MAS (change of clinical characteristic), a myotonometer (change in muscle tissue compliance), and surface electromyography (sEMG) (change in muscle activity).[Results] MAS results showed significant decreases immediately and three weeks after the start of vibratory stimulation. Tissue compliance significantly increased immediately (0.75, 1, and 1.25 kg) and three weeks (0.5, 0.75, 1, 1.25, and 1.5 kg) after the start of vibratory stimulation, and muscle tone decreased. Muscle activity significantly increased immediately (1 and 1.25 kg) and three weeks (0.75, 1, 1.25, and 1.5 kg) after the start of vibratory stimulation.[Conclusion] Using a myotonometer and sEMG, we demonstrated that vibratory stimulation was an effective form of therapeutic stimulation. Vibratory stimulation can be used as a non-pharmacological therapy for the neurorehabilitation of patients with spasticity.

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Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients

Cited by 81 publications

References 24 publications

Vibration therapy of the plantar fascia improves spasticity of the lower limbs of a patient with fetal-type Minamata disease in the chronic stage

Vibration therapy of the plantar fascia improves spasticity of the lower limbs of a patient with fetal-type Minamata disease in the chronic stage

Guidelines for Adult Stroke Rehabilitation and Recovery

The Effect of Vibratory Stimulation on Tissue Compliance and Muscle Activity in Elbow Flexor Spasticity

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