Vojta Therapy Affects Trunk Control and Postural Sway in Children with Central Hypotonia: A Randomized Controlled Trial

Ha, Sun-Young; Sung, Yun‐Hee

doi:10.3390/children9101470

Cited by 9 publications

(7 citation statements)

References 45 publications

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“…Interventional studies included five randomized controlled trials and four non-randomized clinical trials. These studies were conducted in Turkey ( 54 ), South Korea ( 52 , 53 , 58 ), Thailand ( 57 , 59 ), China ( 55 ), Romania ( 60 ), and Spain ( 56 ). A total of 267 participants were included, both men and women.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 267 participants were included, both men and women. The main measurement variables related to motor function, postural control, balance, functionality, degree of satisfaction, and quality of life of VT were: gross motor function measure with GMFM ( 52 , 53 , 55 , 56 , 59 ), and Alberta Infant Motor Scale (AIMS) ( 54 ), trunk control ( 53 ), balance ( 60 ), weight-bearing distribution ( 58 , 60 ), range of motion ( 59 ), gait analysis ( 58 , 60 ), Timed Up and Go (TUG) six-minute walking test (6MWT) ( 57 ), parents emotional status ( 54 ), parents quality of life ( 54 ) and parents satisfaction ( 59 ).…”

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: 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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“…Among them, the TrA plays the most important role in trunk stability and postural control ( Hides et al, 1996 ). Poor abdominal muscle activation is evident in children with spasticity and hypotonia and is, often accompanied by excessive lumbar lordosis and anterior pelvic tilt ( Ha and Sung, 2022 ; Kim and Seo, 2015 ). In previous studies, the abdominal muscles in children with spasticity at rest were thicker than those of their TD peers ( Adjenti et al, 2018 ; Ohata et al, 2008 ).…”

Section: Discussionmentioning

confidence: 99%

Abdominal and lower extremity muscles activity and thickness in typically developing children and children with developmental delay

Ha¹,

Sung²

2022

J Exerc Rehabil

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We investigated abdominal and lower extremity muscle activity and thickness in typically developing children and children with developmental delays. A total of 35 children participated: typically developing peers (n = 13), children with hypotonia (n = 10), and children with spasticity (n = 12). Muscle activity and thickness were measured at rest and during activity. Electromyography was used to measure abdominal and lower extremity muscle activities, and abdominal muscle thickness was measured using ultrasonography. There was a significant difference between the groups in the activity of the rectus abdominis and quadriceps muscles at rest and during activity (P < 0.05). There was a significant difference between the groups in the thickness of the external oblique and transversus abdominis muscles during activity (P < 0.05). There was a significant difference between the groups in the thickness of the external oblique and internal oblique muscles in the sitting position (P < 0.05). Therefore, the characteristics of muscle tone should be considered when applying interventions to children with developmental delay.

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“…Таким чином, Войта-терапія як втручання у дітей з центральною гіпотонією в клінічній практиці може мати значний вплив на покращення рухової функції [17]. Також підхід Войта дозволяє підняти тіло та контролювати поставу за допомогою тонічного скорочення м'язів шиї, тулуба та кінцівок та впливає на покращення постави шляхом активації глибоких м'язів хребта [18].…”

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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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Vojta Therapy Affects Trunk Control and Postural Sway in Children with Central Hypotonia: A Randomized Controlled Trial

Cited by 9 publications

References 45 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

Abdominal and lower extremity muscles activity and thickness in typically developing children and children with developmental delay

Modern Approaches to Voit Diagnostics and Vojt Therapy

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