Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial

Cipolla, Costantino; Galuppo, Laura; Romiti, Davide

doi:10.23736/s1973-9087.16.04211-8

Cited by 62 publications

(31 citation statements)

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“…However, post-stroke pain is commonly underestimated by patients and physicians who more focus on hemiplegia and deficient motor functions. One RCT by Costantino et al ( 31 ) including 32 patients with stroke found that the subjects who underwent voluntary isometric muscle contraction in upper extremities with and without vibrations for 4 weeks reported decreased pain (Level of evidence II). According to another RCT ( 32 ) on 12 post-stroke patients, the participants who did joint motion and strengthening training via a specific exercise tool experienced less pain than the participants without intervention at 4, 8, and 12 weeks (Level of evidence II).…”

Section: Resultsmentioning

confidence: 99%

Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus

Zhang

Xiong³

et al. 2021

Front. Med.

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Background: Neuropathic pain (NP), a severe and disruptive symptom following many diseases, normally restricts patients' physical functions and leads to anxiety and depression. As an economical and effective therapy, exercise may be helpful in NP management. However, few guidelines and reviews focused on exercise therapy for NP associated with specific diseases. The study aimed to summarize the effectiveness and efficacy of exercise for various diseases with NP supported by evidence, describe expert recommendations for NP from different causes, and inform policymakers of the guidelines.Design: A systematic review and expert consensus.Methods: A systematic search was conducted in PubMed. We included systematic review and meta-analysis, randomized controlled trials (RCTs), which assessed patients with NP. Studies involved exercise intervention and outcome included pain intensity at least. Physiotherapy Evidence Database and the Assessment of Multiple Systematic reviews tool were used to grade the quality assessment of the included RCTs and systematic reviews, respectively. The final grades of recommendation were based on strength of evidence and a consensus discussion of results of Delphi rounds by the Delphi consensus panel including 21 experts from the Chinese Association of Rehabilitation Medicine.Results: Eight systematic reviews and 21 RCTs fulfilled all of the inclusion criteria and were included, which were used to create the 10 evidence-based consensus statements. The 10 expert recommendations regarding exercise for NP symptoms were relevant to the following 10 different diseases: spinal cord injury, stroke, multiple sclerosis, Parkinson's disease, cervical radiculopathy, sciatica, diabetic neuropathy, chemotherapy-induced peripheral neuropathy, HIV/AIDS, and surgery, respectively. The exercise recommended in the expert consensus involved but was not limited to muscle stretching, strengthening/resistance exercise, aerobic exercise, motor control/stabilization training and mind-body exercise (Tai Chi and yoga).Conclusions: Based on the available evidence, exercise is helpful to alleviate NP intensity. Therefore, these expert consensuses recommend that proper exercise programs can be considered as an effective alternative treatment or complementary therapy for most patients with NP. The expert consensus provided medical staff and policymakers with applicable recommendations for the formulation of exercise prescription for NP. This consensus statement will require regular updates after five–ten years.

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Section: Resultsmentioning

confidence: 99%

Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus

Zhang

Xiong³

et al. 2021

Front. Med.

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“…Este estudo expôs evidências sobre o efeito do FV na espasticidade de pacientes com lesões neurológicas. Estudos têm demonstrado melhoras significativas no tônus muscular [1,3,12], o que leva à redução da espasticidade desses pacientes. Essa redução pode estar relacionada à diminuição do volume do mapa cortical do músculo tratado, juntamente com o aumento do volume do mapa cortical do músculo antagonista, o que pode garantir que o tratamento dos músculos espásticos tenha mais resultados na aplicação a vibração aos músculos antagonistas, que gera uma inibição recíproca, sendo essas respostas induzidas pela excitabilidade do córtex motor primário por meio do reflexo vibratório tônico [1,3,13,14].…”

Section: Discussionunclassified

“…O equilíbrio dinâmico, parâmetros espaço-temporais, marcha e aspectos cinemáticos das articulações dos membros envolvidas apresentaram-se com melhoras estatisticamente positivas ao uso da vibração [1,3,[10][11][12] que se associam aos efeitos advindos desta intervenção no qual permite alterações no desempenho motor, isso porque estimula o sistema proprioceptivo e motor a obter um controle motor eficiente [13].…”

Section: Discussionunclassified

“…As patologias neurológicas modificam a qualidade de vida desses pacientes por limitar suas atividades de vida diária e reduzir o convívio social, tendo em vista as dificuldades de locomoção. Estudos verificaram que o uso da vibração focal melhorou a pontuação dos scores de escala de qualidade de vida [3,11] o que pode indicar que os benefícios provenientes da redução da espasticidade e da melhora do desempenho motor garante um bem estar global desses pacientes [3,11,15].…”

Section: Discussionunclassified

“…As injúrias neurológicas são uma das principais causas de incapacidade funcional no mundo, isso devido as alterações decorrentes de danos cerebrais que afetam principalmente a área motora, ocasionando déficits importantes que prejudicam a independência e funcionalidade destes pacientes. Distúrbios de movimentos espasticidade, fraqueza, déficits de equilíbrio, marcha e sensibilidade são comuns nestas lesões [1][2][3].…”

Section: Introductionunclassified

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A vibração focal na espasticidade de pacientes com patologias neurológicas: revisão

Pereira

Nunes²,

Nascimento³

et al. 2021

Fisioter Bras

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Introdução: As injúrias neurológicas apresentam distúrbios de movimentos que prejudicam a funcionalidade e independência desses pacientes. A espasticidade é um dos distúrbios mais frequentes e acarreta complicações secundárias com interferência negativa nas funções físicas e motoras desempenhadas na vida cotidiana. O objetivo do presente estudo foi revisar na literatura evidências que expõem o efeito da vibração focal na espasticidade de pacientes com injúrias neurológicas. Metodologia: Realizou-se uma busca nas bases e banco de dados Pubmed, PEDro, Scopus e Web of Science utilizando os descritores "focal vibration" AND "spasticity" estipulando critérios de inclusão e de qualidades metodológicas. No total cinco artigos foram incluídos e compuseram a revisão. Resultados: Os resultados evidenciaram melhoras significativas na redução da espasticidade e em parâmetros funcionais que influenciam na qualidade de vida destes pacientes. Conclusão: Conclui-se então que a vibração focal é uma intervenção eficaz na redução da espasticidade de pacientes com injúrias neurológicas. Palavras-chave: vibração focal, espasticidade, funcionalidade, fisioterapia.

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Neurovibration in Neurorehabilitation

Paoloni

2018

Biosystems &Amp; Biorobotics

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Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial

Cited by 62 publications

References 0 publications

Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus

Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus

A vibração focal na espasticidade de pacientes com patologias neurológicas: revisão

Neurovibration in Neurorehabilitation

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