Electromyographic Response of the Abdominal Muscles and Stabilizers of the Trunk to Reflex Locomotion Therapy (RLT). A Preliminary Study

Pérez-Robledo, Fátima; Sánchez-González, Juan Luis; Bermejo‐Gil, Beatriz María; Llamas-Ramos, Rocío; Llamas-Ramos, Inés; Fuente, Antonio de la; Martín-Nogueras, A.M.

doi:10.3390/jcm11133866

Cited by 9 publications

(9 citation statements)

References 18 publications

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“…In addition, these findings were supported by significant changes in the mechanisms underlying motor control. Neurophysiological changes after VT application on muscle activity, as well as cortical (specifically motor cortex) activation, were significant when compared with the control group ( 24 , 30 , 33 , 34 ). The equivalent results observed in other therapies will require individual investigation to understand if changes are plasticity-related and limited to the transmission of signals to muscles resulting in improved motoneuronal recruitment and rate coding as well as muscle fiber hypertrophy (motor behavior) rather than to changes in motor control ( 1 ) processes as expected in neurophysiotherapy techniques.…”

Section: Discussionmentioning

confidence: 81%

“…All studies were intervention studies: 11 randomized controlled trials and five non-randomized clinical trials. These studies were conducted in Spain ( 24 , 26–28 , 33 , 37 , 38 ), Poland ( 25 , 31 , 35 , 36 ) and the Czech Republic ( 29 , 30 , 32 , 34 , 39 , 40 ). A total of 534 participants were included, including both men and women.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 534 participants were included, including both men and women. The main measurement variables related to the neurophysiological evidence of VT were: muscle activity ( 24 , 31 , 33 , 37 ), cortical activity ( 26 , 27 , 33 , 39 ), subcortical activity ( 28–30 , 34 ), concentration of free cortisol ( 25 ), cardiac autonomic control and respiratory rate ( 32 ), microcirculation properties of muscles ( 36 ), and frequency stiffness, elasticity, relaxation, and creep of the erector spinae ( 35 ).…”

Section: Resultsmentioning

confidence: 99%

“…Changes in diaphragm thickness, as well as in diaphragmatic area and increased excursion during inspiration, have been related to improvements in respiratory function ( 47 , 52 ), and re-expansion of collapsed airways; this was not the case in the control group ( 71 ). It has also been related to changes in the thickness of the transversus abdominis muscle ( 47 ) and other abdominal muscles ( 24 , 52 , 53 ) that play a role in improving ventilatory function. These changes in active inspiratory capacity in premature infants caused by VT are maintained over time, unlike other respiratory physiotherapy interventions ( 70 ).…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 81%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

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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“…Застосовувались для оцінювання дані поверхневої електроміографії м'язової активності м'язів, що стабілізують тулуб (прямий м'яз живота, зовнішній косий м'яз, внутрішній косий м'яз та передній зубчатий мʼяз) до, під час і після застосування РЛT. Результати дослідження довели, що специфічна ділянка грудної стимуляції в міжребер'ї, на середньоключичній лінії між сьомим і восьмим ребрами під час Войта-терапії, активують вроджену м'язову відповідь у косих м'язах живота порівняно з фіктивною стимуляцією [12].…”

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Modern Approaches to Voit Diagnostics and Vojt Therapy

Бакалюк

Vitcentovych

Stelmakh

et al. 2023

Scientific and practical journal

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The article evaluates the use of Vojt diagnostics and Vojt therapy during rehabilitation in modern conditions for adults and children. Reflex-locomotor therapy was developed by Vaclav Vojta as a diagnostic and therapeutic tool. At the very beginning of the study, V. Vojta described two different motor complexes, reflex crawling and reflex turning, which are triggered by adequate location and stimulation of the corresponding trigger zones. Due to this activation, a global reflex response is triggered, which contains innate motor programs associated with locomotion patterns in human ontogeny (rolling, crawling, walking). To date, neurokinesiology according to Vaclav Vojta allows to diagnose impaired motor development in children from the newborn period, even before the absence of clear neurological symptoms during a classic examination, and to prescribe early therapy. The essence of Vojt diagnostics is not only passive observation of the child, but also an active examination method using appropriate functional tests (loads, provocations). And Vojta therapy is a neurophysiological method used to obtain reflex responses in muscles after stimulation of certain activation zones. Such therapy stimulates the brain through selected areas of the body, activating stored innate motor programs that are exported as coordinated movement and contraction of trunk and limb muscles. The novelty of V. Vojt contribution in this field lies in the strict focus on genetically determined, species-specific movement development programs. The existence of ideal patterns of movements as a basic characteristic of human motor behavior to date is practically not reflected in the problems of motor rehabilitation in general, that is, the standard given "by nature" or determined by evolution still remains largely unknown, therefore the purpose of this study is to assess the impact the approach of Vojt diagnostics and Vojt therapy in the rehabilitation of children and adults in modern conditions. Vojta described 10 different zones that are available for stimulation of movement patterns of reflex locomotion. Light pressure on a specific stimulation zone (muscle or bone) and resistance to the current movement is used to induce an involuntary motor response from the patient and to perform certain movement patterns. The best results of Vojt therapy are achieved when the patient has not yet developed and established any so-called replacement movement patterns. In patients with established "substitute motor activity", the goal of treatment is to activate and maintain physiological movement patterns, as well as to reduce unestablished abnormal movement patterns and integrate them into normal movement processes, until the mastery of conscious movement activity is completed. In the beginning, Vojta therapy was used to rehabilitate children with movement disorders and infants at risk of developing cerebral palsy. Years later, this method was successfully applied to adults with neurological and movement problems. Today, Vojta therapy is used for various pathologies and in different age groups, from infants to adults, and is a safe and effective conservative alternative method of rehabilitation.

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Stimulus zones of Vojta method and trunk control in children with spastic-type cerebral palsy: A quasi-experimental pilot study

Ha,

Sung

2024

Journal of Bodywork and Movement Therapies

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Electromyographic Response of the Abdominal Muscles and Stabilizers of the Trunk to Reflex Locomotion Therapy (RLT). A Preliminary Study

Cited by 9 publications

References 18 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

Modern Approaches to Voit Diagnostics and Vojt Therapy

Stimulus zones of Vojta method and trunk control in children with spastic-type cerebral palsy: A quasi-experimental pilot study

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