Feasibility and efficacy of the Vojta therapy in subacromial impingement syndrome: a randomized controlled trial

Juárez-Albuixech, María Lidia; González, Olga Redondo; Tello-Díaz-Maroto, Inmaculada; Guía, Jorge Lucas Torres de la; Villafañe, Jorge Hugo; Jiménez‐Antona, Carmen

doi:10.12965/jer.2142328.164

Cited by 3 publications

(5 citation statements)

References 22 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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“…Different conventional treatment modalities such as transcutaneous electrical nerve stimulation (TENS), cryotherapy, ultrasound, and exercise are used in the standard treatment of SIS in clinics (Juárez-Albuixech et al, 2021). While…”

Section: Introductionmentioning

confidence: 99%

The Effect of Kinesiological Taping on Pain, Function, and Disability in Subacromial Impingement Syndrome - A Randomized Controlled Study

BÜYÜKTEPE

Şenocak

Özer

2022

International Journal of Disabilities Sports and Health Sciences

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Objective: Subacromial Impingement Syndrome (SIS) is one of the most common shoulder pathologies that cause a reduction in pain and functional ability. This study aimed to compare the effects of kinesiological taping and traditional treatment modalities on pain, functionality, and disability in SIS patients. Materials and Methods: The study was completed with 54 patients aged 18-60 years. By randomization, the participants were divided into two groups: the Intervention Group (IG) and the Control Group (CG). While the conventional physiotherapy program (CPP) was performed for ten sessions, kinesiological taping was repeated every three days for the IG. The CG was taken to only ten sessions of CPP. The CPP protocol was applied for 60x5x2 minutes/day/week. Pain severity, function, and disability were assessed before and after the treatment. Results: There was no difference between the groups in pain severity (p=0.074), function (p=0.565), and disability (p=0.315) scores. On the other hand, there were significant improvements in pain (p=0.001), function (p=0.001), and disability (p=0.005) scores of IG according to intra-group analysis. Similar results were obtained in the CG. However, when the effect sizes of these treatment methods were examined, they did not create a clinically significant superiority compared to each other. Conclusion: In recent years, kinesiological taping has been widely used in patients with orthopedic problems. According to our results, kinesiological taping, performed in early period of physiotherapy program, did not have a clinical effect in reducing pain and improving functional status and disability when applied in addition to conventional treatment compared to conventional techniques alone. In patients with SIS, kinesiological taping alone may not be sufficient as an alternative treatment to traditional methods in the early term. However, we think the effects of different treatment combinations should be evaluated.

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“…На початку Войта-терапія застосовувалась для реабілітації дітей з руховими змінами та немовлят із ризиком розвитку ДЦП. Багато років потому цей метод був успішно застосований до дорослих із неврологічними та руховими проблемами [19,19,21,22].…”

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“…Застосовувався тиск на певні зони тіла, коли пацієнт лежав на животі, на спині або на боці, щоб активувати глобальні та вроджені рухові моделі, а саме рефлекс повзання та рефлекс перевертання. Обидва комплекси провокують скоординовану, ритмічну активацію скелетної мускулатури по всьому тілу [21]. Застосування Войта-терапії дає змогу змінити патологічні патерни на альтернативні фізіологічні патерни, які є безболісними та функціональними, шляхом генерації значних глобальних ефектів, включаючи осьове розгинання хребта, правильне розташування плечового поясу та активацію мускулатури живота, все це було порушено при патології плеча.…”

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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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Feasibility and efficacy of the Vojta therapy in subacromial impingement syndrome: a randomized controlled trial

Cited by 3 publications

References 22 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

The Effect of Kinesiological Taping on Pain, Function, and Disability in Subacromial Impingement Syndrome - A Randomized Controlled Study

Modern Approaches to Voit Diagnostics and Vojt Therapy

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