Effects of the Whole-Body Vibration Exercise on Sleep Disorders, Body Temperature, Body Composition, Tone, and Clinical Parameters in a Child with Down Syndrome Who Underwent Total Atrioventricular Septal Defect Surgery: A Case-Report

Abstract

Background: The health and developmental issues of people with Down syndrome (DS) are complex and are associated with many medical, psychological, and social problems from childhood through into adulthood. DS children have an increased risk of multiorgan comorbidities, including congenital heart disease. Atrioventricular septal defect (AVSD) is a congenital heart malformation that often occurs in DS people. Aim: Physical activity and exercise are recommended for patients with cardiovascular disease and are considered to be the gold standard of cardiac rehabilitation. Whole-body vibration exercise (WBVE) is considered a form of exercises. The aim of this case report is to show the effects of WBVE on sleep disturbances, body temperature, body composition, tone, and clinical parameters in a child with DS with corrected total AVSD. The subject is a 10-year-old girl, with free-type DS, who underwent surgery to correct a total AVSD at 6 months. She underwent periodic cardiological monitoring and was released to perform any type of physical exercise, including WBVE. WBVE improved sleep quality and body composition. Conclusion: WBVE leads to physiological effects that benefit the DS child.

Effects of a Single Session of Systemic Vibratory Therapy on Flexibility, Perception of Exertion and Handgrip Strength in Chronic Obstructive Pulmonary Disease Individuals: A Quasi-Experimental Clinical Trial

“…Although it is understood that sarcopenia may be present in most of the individuals analyzed, there were no reports of falls or unpleasant symptoms that may have arisen during SVT. The sitting posture proposed in this study and evaluated in other studies involving populations with chronic disorders [42,57] reinforce the relevance of the SVT and it would be recommended that an exercise modality be included in PR.…”

Effects of therapeutic exercise on the motor function of adults with Down syndrome: a systematic review and meta-analysis

“…Walking across 10-cm-wide balance beam Finally, 5-min recovery period Frequency: 3 times per week, Duration: 30–35 min/sesion Peak torque of knee extension and flexion: Cybex II isokinetic dynamometer Isokinetic muscle endurance of quadriceps muscles: after 25 repeated maximum efforts at an angular velocity of 180° , and it was defined by the percentage of decline from the peak torque Dynamic balance ability: balance deck. Number of seconds the subject could remain standing on the platform of the stabilometer in durations of 30-, 45-, and 60-s intervals Isokinetic peak torque of anterior (300, 180, 120° p < 0.001, 60° p < 0.01) and posterior (300, 180, 120° p < 0.01, 60° p < 0.01) femoral muscles significantly improved for the experiment group The isokinetic endurance: it showed a significant improvement ( p < 0.01) after participation in the training program Dynamic balance ability : was significantly improved for the experiment group (30 s p < 0.01, 45 s and 60 s p < 0.001, No significant differences were found in any of the measurements for the control group For the initial and final measurements, no statistically significant differences were found between the 2 groups Aguiar et al (2008) 27 Brazil Quasi-experimental IG: 21 men Age: 23.3 ± 2.1 Monitored aerobic exercise of adapted judo training for 16 weeks Mode: Adapted Judo Intensity : Lactate threshold Frequency : 3 times/week Duration : 50 min/session Gross motor skills: GMFM-88 The judo training program significantly ( P < 0.05) improved the GMFM-88 index of young adults with DS Shields et al (2008) 8 Australia Experimental 20 adults. Age: 26.8 ± 7.8 years 13 men, 7 women IG : 9 participants CG : 11 participants 8 of the 20 participants worked at least 1 day/week in manual-type jobs (packing confectionery boxes, sorting and cutting clothes, and assembling car parts) IG: Group progressive resistance training in a supervised community gym.…”

“…Muscular strength – Sit-to-stand test (monitoring range 6–12 weeks; assessed with Number of repetitions) 2 RCT 1 , 5 not serious a not serious not serious serious b none 26 29 – SMD 0.15 higher (− 0.48;1.27) ⨁⨁⨁◯ Moderate Combined exercise. Muscular strength—1 RM Leg press (monitoring range 10–12 weeks; assessed with Weight Lifted) 2 RCT 8 , 16 Serious c not serious not serious serious b none 39 33 – SMD 0.56 higher (0.08;1.04) ⨁⨁◯◯ Low Combined exercise. Muscular strength—1 RM chest press (monitoring range 10–12 weeks; assessed with Weight lifted) 2 RCT 8 , 16 Serious c not serious not serious serious b none 39 33 – SMD 0.73 higher (0.25;1.22) ⨁⨁◯◯ Low Balance 4 RCT 1 , 10 , 29 , 32 Serious a not serious not serious serious b …”

“…Muscular strength—1 RM Leg press (monitoring range 10–12 weeks; assessed with Weight Lifted) 2 RCT 8 , 16 Serious c not serious not serious serious b none 39 33 – SMD 0.56 higher (0.08;1.04) ⨁⨁◯◯ Low Combined exercise. Muscular strength—1 RM chest press (monitoring range 10–12 weeks; assessed with Weight lifted) 2 RCT 8 , 16 Serious c not serious not serious serious b none 39 33 – SMD 0.73 higher (0.25;1.22) ⨁⨁◯◯ Low Balance 4 RCT 1 , 10 , 29 , 32 Serious a not serious not serious serious b none 54 47 Carmeli et al 10 with aerobic exercise reported significant improvements in dynamic balance between groups p < 0.05. Cai et al 29 with a combined exercise plan showed significant increase of dynamic and static balance ⨁⨁◯◯ Low Aerobic exercise.…”

Effect of Whole-body Vibration on Muscle Tone, Function, and Quality of Life in Children with Spastic Cerebral Palsy: A Systematic Review with Meta-analysis

“…Empirical investigations have yielded promising outcomes concerning the utilization of WBV as a therapeutic modality across various medical conditions. Noteworthy studies have been conducted in diverse clinical contexts, including cerebrovascular accidents (Park et al, 2018), Parkinsonism (Arenales Arauz et al, 2022), Down syndrome (Torres-Nunes et al, 2023), and CP (Hegazy et al, 2021;Peungsuwan et al, 2023), with a particular focus on its efficacy in mitigating spasticity among pediatric patients diagnosed with CP.…”