Changes in kinematic parameters during walking in adults with low back pain subjected to Vojta therapy. A pilot study

Łozińska, Patrycja; Wójtowicz, Dorota; Wdowiak, Przemysław; Dziuba-Słonina, Alicja

doi:10.5114/pq.2019.84273

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…These studies were conducted in South Korea ( 47 ), Spain ( 48 , 49 ), Poland ( 50 ), and Romania ( 51 ).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 180 participants included both men and women. The main measurement variables related to improvements in postural control, functionally, disability, and pain of VT were: the thickness of the abdominal muscles, the area of the diaphragm during inspiration and expiration ( 47 ), pain intensity ( 48 , 49 , 51 ), range of motion and strength, quality of life ( 48 , 51 ), disability, flexibility, and radiculopathy ( 49 ), and gait parameters ( 50 ).…”

Section: Resultsmentioning

confidence: 99%

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Critical review of the evidence for Vojta Therapy: a systematic review and meta-analysis

Sánchez-González,

Sanz-Esteban,

Menéndez-Pardiñas

et al. 2024

Front. Neurol.

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IntroductionIt is essential to link the theoretical framework of any neurophysiotherapy approach with a detailed analysis of the central motor control mechanisms that influence motor behavior. Vojta therapy (VT) falls within interventions aiming to modify neuronal activity. Although it is often mistakenly perceived as exclusively pediatric, its utility spans various functional disorders by acting on central pattern modulation. This study aims to review the existing evidence on the effectiveness of VT across a wide range of conditions, both in the adult population and in pediatrics, and analyze common therapeutic mechanisms, focusing on motor control modulation.AimThe goals of this systematic review are to delineate the existing body of evidence concerning the efficacy of Vojta therapy (VT) in treating a broad range of conditions, as well as understand the common therapeutic mechanisms underlying VT with a specific focus on the neuromodulation of motor control parameters.MethodsPubMed, Cochrane Library, SCOPUS, Web of Science, and Embase databases were searched for eligible studies. The methodological quality of the studies was assessed using the PEDro list and the Risk-Of-Bias Tool to assess the risk of bias in randomized trials. Methodological quality was evaluated using the Risk-Of-Bias Tool for randomized trials. Random-effects meta-analyses with 95% CI were used to quantify the change scores between the VT and control groups. The certainty of our findings (the closeness of the estimated effect to the true effect) was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE).ResultsFifty-five studies were included in the qualitative analysis and 18 in the meta-analysis. Significant differences in cortical activity (p = 0.0001) and muscle activity (p = 0.001) were observed in adults undergoing VT compared to the control, as well as in balance in those living with multiple sclerosis (p < 0.03). Non-significant differences were found in the meta-analysis when evaluating gross motor function, oxygen saturation, respiratory rate, height, and head circumference in pediatrics.ConclusionAlthough current evidence supporting VT is limited in quality, there are indications suggesting its potential usefulness for the treatment of respiratory, neurological, and orthopedic pathology. This systematic review and meta-analysis show the robustness of the neurophysiological mechanisms of VT, and that it could be an effective tool for the treatment of balance in adult neurological pathology. Neuromodulation of motor control areas has been confirmed by research focusing on the neurophysiological mechanisms underlying the therapeutic efficacy of VT.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=476848, CRD42023476848.

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“…These studies were conducted in South Korea ( 47 ), Spain ( 48 , 49 ), Poland ( 50 ), and Romania ( 51 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Critical review of the evidence for Vojta Therapy: a systematic review and meta-analysis

Sánchez-González,

Sanz-Esteban,

Menéndez-Pardiñas

et al. 2024

Front. Neurol.

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“…Exercises are among the main methods of treatment of chronic LBP. it has been shown that they reduce the duration and frequency of LBP [42,43]. Specific exercises that activate abdominal and/or back extensor muscles are advocated to reduce pain and disability [44,45].…”

Section: Discussionmentioning

confidence: 99%

Effect of core stabilization exercises on lumbar lordotic angle in patients with lumbar disc degeneration

Ahmed¹,

Saleh²,

Abdelaraouf³

et al. 2022

Physiother Quart.

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Introduction.Although core stabilization exercises (CSEs) prove to be effective in patients with various musculoskeletal disorders, their impact in lumbar disc degeneration (Ldd) has not been fully investigated. This study aimed to examine the effects of CSEs on lumbar lordotic angle (LLA), pain intensity, and functional disability in patients with Ldd. Methods. overall, 97 adult patients of both genders with Ldd were randomly assigned to the study or control group. The study group (n = 48) received CSEs in addition to traditional physical therapy; the control group (n = 49) received only traditional physical therapy, 3 sessions per week for 12 weeks. LLA, pain intensity, and functional disability were determined before and after the treatment program. LLA was measured with the Surgimap Spine software on marked lateral view X-ray films (omnidiagnost Eleva); pain intensity was evaluated with visual analogue scale (VAS); functional disability was assessed with oswestry disability index (odi). Results. There was no significant pre-treatment difference between the groups in LLA (p = 0.84), VAS (p = 0.49), or odi (p = 0.12). Significant post-treatment differences were observed in both groups in all variables (p = 0.001). However, there was a significant decrease in the mean post-treatment values of all variables (p = 0.001) in the study group compared with the control group. Conclusions. CSEs could provide an additional effect of improving LLA, pain intensity, and functional abilities in patients with Ldd.

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“…After a thalamic stroke, conservative treatment methods such as exercise therapy and pharmacotherapy are used. Those techniques increase mobilization and reduce pain, as well as improve functional status and mental state [16]. Thalamic syndrome recovery interventions keep concentrating on motor dysfunction, disregarding somatosensory impairment [17].…”

Section: Discussionmentioning

confidence: 99%

Influence of sensory integration training on sensory motor functions in patients with thalamic syndrome

Wadee¹,

Battesha²

2022

Physiother Quart.

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IntroductionThalamic stroke causes impairment in sensory motor functions; these changes in perception lead to pain and deteriorate postural stability. The goal of this study was to investigate the influence of sensory integration training on pain and posture stability in patients with thalamic syndrome.MethodsOverall, 30 patients of both sexes, aged 45–65 years, diagnosed with a thalamic stroke were randomly allocated into 2 groups. The control group received selected sensory training of the conventional physical therapy program and the study group received sensory integration training with the Biodex Balance System beside the conventional physical therapy program.ResultsThe intra-group comparisons with MANOVA revealed statistically insignificant differences in pain, as well as overall, anteroposterior (forward and backward), and mediolateral (right and left) limits of stability after the treatment in the control group (p-value of 0.180, 0.301, 0.792, 0.247, 0.381, and 0.847, respectively). In the study group, there was a statistically significant decrease in pain and improvement in overall, anteroposterior (forward and backward), and mediolateral (right and left) limits of stability after the treatment (p-value of 0.01 for pain and 0.000 for each of the 5 limit of stability variables, respectively). The inter-group comparisons showed statistically significant differences in favour of the study group (p = 0.000).ConclusionsAdding the sensory integration training program was effective to decrease pain and improve posture stability in patients with thalamic syndrome.

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Changes in kinematic parameters during walking in adults with low back pain subjected to Vojta therapy. A pilot study

Cited by 7 publications

References 17 publications

Critical review of the evidence for Vojta Therapy: a systematic review and meta-analysis

Critical review of the evidence for Vojta Therapy: a systematic review and meta-analysis

Effect of core stabilization exercises on lumbar lordotic angle in patients with lumbar disc degeneration

Influence of sensory integration training on sensory motor functions in patients with thalamic syndrome

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