Modulation of the human sensorimotor system by afferent somatosensory input: evidence from experimental pressure stimulation and physiotherapy

Hok, Pavel; Hluštı́k, Petr

doi:10.5507/bp.2020.052

Cited by 3 publications

(1 citation statement)

References 84 publications

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“…Vojta therapy has been clinically applied in many countries for decades, and its effectiveness has been confirmed [14][15][16][17][18][19][20]. Recently, attempts have been made to elucidate the mechanism of Vojta therapy using magnetic resonance imaging (MRI), diffusion tensor imaging (DTI), and electromyography [7,12,15,21,22]. However, studies on this mechanism have not been systematically established, despite continuous research [13,21].…”

Section: Introductionmentioning

confidence: 99%

The impact of reflex creeping in Vojta therapy on locomotion and postural control

Ha¹,

Kiebzak²,

Sung³

2023

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Vojta therapy is an intervention method mainly applied to infants at risk of cerebral palsy, and many studies have demonstrated the effectiveness of Vojta therapy. This review describes the concept and method of reflex creeping in Vojta therapy. Additionally, this focuses on the mechanisms through which brainstem activation via reflex creeping affects locomotion and postural control. Proprioception stimulus input during reflex creeping in Vojta therapy affects the pontomedullary reticular formation of the brainstem and eventually affects the activation of the central pattern generator and propriospinal neurons through the reticulospinal tract. It can also induce antigravity movements through the lateral vestibulospinal tract. Reflex creeping in Vojta therapy is an intervention that unconsciously improves locomotion and postural control. The proprioception through the reflex creeping in Vojta therapy can improve posture and locomotion by activating the pontomedullary reticular formation of the brainstem. StreszczenieTerapia Vojty jest metodą interwencyjną stosowaną głównie u niemowląt zagrożonych mózgowym porażeniem dziecięcym. Wiele badań wykazało skuteczność terapii metodą Vojty. Niniejsza praca poglądowa opisuje koncepcję i metodę odruchowego pełzania w terapii metodą Vojty. Szczególnie koncentruje się na opisie mechanizmów, poprzez które aktywacja pnia mózgu w odruchowym pełzaniu wpływa na ruch i kontrolę postawy. Stymulacja proprioceptywna podczas odruchowego pełzania w terapii Vojty wpływa na tworzenie mostowo-rdzeniowej struktury siatkowej pnia mózgu i ostatecznie skutkuje aktywacją ośrodkowego generatora wzorców i neuronów rdzeniowych przez drogę siatkowo-rdzeniową. Odruchowe pełzanie wywołuje również ruchy antygrawitacyjne przez boczną drogę przedsionkowo-rdzeniową. Odruchowe pełzanie w terapii Vojty to interwencja, która bez udziału świadomości poprawia kontrolę lokomocji i postawy ciała. Stymulacja proprioceptywna w odruchu pełzania metody Vojty może poprawić postawę i lokomocję, aktywując mostowo-rdzeniową strukturę siatkową pnia mózgu.

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Section: Introductionmentioning

confidence: 99%

The impact of reflex creeping in Vojta therapy on locomotion and postural control

Ha¹,

Kiebzak²,

Sung³

2023

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

Sanz-Esteban

Cano‐de‐la‐Cuerda

San-Martin-Gomez

et al. 2021

IEEE Trans. Neural Syst. Rehabil. Eng.

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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

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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).

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Modulation of the human sensorimotor system by afferent somatosensory input: evidence from experimental pressure stimulation and physiotherapy

Cited by 3 publications

References 84 publications

The impact of reflex creeping in Vojta therapy on locomotion and postural control

The impact of reflex creeping in Vojta therapy on locomotion and postural control

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

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

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