Innate Muscle Patterns Reproduction During Afferent Somatosensory Input With Vojta Therapy in Healthy Adults. A Randomized Controlled Trial

Sanz-Esteban, Ismael; Cano‐de‐la‐Cuerda, Roberto; San-Martin-Gomez, Ana; Jiménez‐Antona, Carmen; Monge-Pereira, Esther; Estrada-Barranco, Cecilia; Garcia-Sanchez, Pablo Cesar; Serrano, J. Ignacio

doi:10.1109/tnsre.2021.3120369

Cited by 7 publications

(14 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, Sanz-Esteban et al, (2021) [11] demonstrated that there were responses at the cortical level to a specific tactile input induced with RLT. The same authors reported that RLT activates innate muscle responses using surface electromyography [12]. As noted by Laufens et al [13,14], RLT could be an effective therapy to improve the motor function in patients with MS.…”

Section: Of 12mentioning

confidence: 80%

See 1 more Smart Citation

Reflex Locomotion Therapy for Balance, Gait, and Fatigue Rehabilitation in Subjects with Multiple Sclerosis

Carratalá-Tejada

Cuesta-Gómez

Ortiz-Gutiérrez

et al. 2022

JCM

View full text Add to dashboard Cite

This study evaluates the effects of a rehabilitation program based on reflex locomotion therapy (RLT) on balance, gait, and fatigue in patients with multiple sclerosis (MS). Twenty-three patients diagnosed with MS participated in this study. Reversal design was carried out. The assessment tools included the Berg Balance Scale (BBS), the Performance Oriented Mobility Assessment (POMA), the Fatigue Severity Scale (FSS) and the instrumental analysis of the gait recorded by Vicon Motion System®. We analyzed spatio-temporal parameters and kinematic variables of the hip, knee, and ankle joints. Additionally, the Client Satisfaction Questionnaire (CSQ-8) was administrated. We did find a significant improvement in balance and gait tools after the RLT period. Regarding instrumental analysis, the statistical analysis of spatio-temporal parameters showed a significant improvement in stride length, double support, and velocity after the RLT period. Concerning kinematic parameters, the analysis showed improvements in hip and knee range of motion (ROM) after RLT period. RLT could improve gait and balance in patients with MS. The patients reported a high level of satisfaction with the therapy received.

show abstract

Section: Of 12mentioning

confidence: 80%

“…RLT has been applied in adults with neurological conditions during several decades. Belda et al [32] support the application of RLT as one of the most used European physiotherapy techniques in neurological patients, and several authors [12][13][14][15] use RLT specifically in patients with MS.…”

Section: Discussionmentioning

confidence: 99%

Reflex Locomotion Therapy for Balance, Gait, and Fatigue Rehabilitation in Subjects with Multiple Sclerosis

Carratalá-Tejada

Cuesta-Gómez

Ortiz-Gutiérrez

et al. 2022

JCM

View full text Add to dashboard Cite

show abstract

“…Gajewska et al [20] were the first to approximate the origin of the information during RLT and concluded that it was transmitted through the ascending and descending propriospinal tracts. Sanz et al [7,21] have shown how stimulation of the pectoral area activates subcortical areas such as the putamen, cerebellum, or basal ganglia. Finally, Hok et al [25] have pointed out the modulation of pontomedullary reticular formation as the structure responsible for the motor acts produced by RLT.…”

Section: Discussionmentioning

confidence: 99%

“…In the non-STI condition, the subjects were stimulated in areas not described by the Vojta methodology (distal third of the quadriceps and 8 cm cranial to the superior angle of the patellar bone). This area has already been used in previous studies as a "control stimulus" due to its low density of mechanoreceptors [7,8,21] and does not cause a proprioceptive stimulus. In the non-STI condition, the subjects were stimulated in areas not described by the Vojta methodology (distal third of the quadriceps and 8 cm cranial to the superior angle of the patellar bone).…”

Section: Tactile Stimuli Locationmentioning

confidence: 99%

Section: Tactile Stimuli Locationmentioning

confidence: 99%

See 1 more Smart Citation

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

Pérez-Robledo

Sánchez-González

Bermejo‐Gil

et al. 2022

JCM

View full text Add to dashboard Cite

Reflex locomotion therapy (RLT) was developed by Vaclav Vojta in 1954 as a diagnostic and treatment tool. This therapy is mainly used to rehabilitate children with motor disorders and risk of cerebral palsy. It is also used for adults with neurological and motor impairment. RLT is based on specific postures and regular stimulation points through which a series of reflex responses are triggered. The neurophysiological mechanisms of this therapy have recently been discovered. This study aims to objectively evaluate muscular responses at the abdominal level after stimulation in the first phase of reflex rolling by showing, with surface electromyography analysis (sEMG), the muscular activity in trunk stabilizing muscles (rectus abdominis, external oblique, internal oblique, and serratus anterior) before, during, and after the application of RLT. A total sample of 27 healthy subjects over 18 years of age was recruited. An experimental study on a cohort was conducted. Two experimental conditions were considered: stimuli according to the Vojta protocol, and a control non-STI condition. Regarding muscular electrical activity, statistically significant differences were determined in all muscles during right-sided stimulation in the VSTI condition (p < 0.001), but not in the non-STI condition. The mean increase in muscle activity in the VSTI condition during the first stimulation ranged from 7% to 20% in the different abdominal muscles. In conclusion, an sEMG response was observed in the abdominal muscles during stimulation of the pectoral area as described in RLT, compared to stimulation of non-described areas.

show abstract

Automatic gait evoking in healthy adults through Vojta’s peripheric somatosensory stimulation: a double-blind randomized controlled trial

Perales-López,

Sanz-Esteban,

Jiménez-Antona

et al. 2024

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

Background To study the effects of different interventions on automatic gait processing in contrast with voluntary gait processing in healthy subjects. Methods A double-blind randomised controlled trial was designed (120 able-body persons between 18 and 65 years old entered and completed the study), with pre-intervention and post-intervention assessments using the 6-Minute Walk Test (6MWT). The participants were randomly distributed into four groups. Prior to intervention, all participants performed voluntary gait on the ground (VoG) in a calibrated circuit following the 6MWT. The presence of automatic gait (AG) was explored post-intervention without a voluntary demand in the same circuit following the 6MWT. Each group received a different intervention for 30 min: Vojta stimulation, MOTOMED® at no less than 60 revolutions/minute, treadmill walking at 3 km/h, and resting in a chair (control). The main assessment, conducted by a blinded rater, was the difference in distance covered (in meters) during the 6MWT between pre- and post-intervention. Surface electromyography (sEMG) average root mean square (RMS) signals in the right tibialis anterior, right soleus, right rectus femoris, and right biceps femoris were also considered outcome measures. Results The Vojta group was the only one that initiated AG after the intervention (476.4 m ± 57.1 in VoG versus 9.0 m ± 8.9 in AG, p < 0.001) with comparable kinematics and EMG parameters during voluntary gait, except for ankle dorsal flexion. Within the Vojta group, high variability in kinematics, sEMG activity, and distance covered was observed. Conclusions AG isolation is approachable through Vojta at only one session measurable with the 6MWT without any voluntary gait demand. No automatic gait effects were observed post-intervention in the other groups. Trial registration NCT04689841 (ClinicalTrials.gov).

show abstract

Innate Muscle Patterns Reproduction During Afferent Somatosensory Input With Vojta Therapy in Healthy Adults. A Randomized Controlled Trial

Cited by 7 publications

References 30 publications

Reflex Locomotion Therapy for Balance, Gait, and Fatigue Rehabilitation in Subjects with Multiple Sclerosis

Reflex Locomotion Therapy for Balance, Gait, and Fatigue Rehabilitation in Subjects with Multiple Sclerosis

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

Automatic gait evoking in healthy adults through Vojta’s peripheric somatosensory stimulation: a double-blind randomized controlled trial

Contact Info

Product

Resources

About