진동자극이 중추신경계 질환 환자의 신체적 기능 회복에 미치는 효과: 무작위대조연구에 대한 메타분석
The Effect of Vibratory Stimulation on Physical Function Recovery in Individuals with Central Nervous System Disease: A Meta-analysis of Randomized Controlled Trials
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objectives: The central nervous system (CNS) diseases cause serious damage to motor and sensory functions. The individuals with CNS disease have great limitations in activities of daily living and social participation. This meta-analysis was conducted to investigate the effect of vibratory stimulation on physical function recovery in individuals with CNS disease. Methods: Data were collected through data search engines such as PubMed, CINAHL, MEDLINE from 2005 to 2017. The PEDro scale was used to assess the quality of study. The sample size, mean and standard deviation in the studies were analyzed by meta-analysis. Results: Ten studies were selected for analysis and all studies had PEDro score of 6 points or more. Three hundred fourteen participants were included. The outcome data were categorized as physical functions focused on community participation such as “balance function” and “upper & lower function and gait function.” The effect sizes of the selected studies were statistically insignificant in heterogeneity. The effect sizes of combined outcomes and “upper & lower function and gait function” were 0.356 and 0.421 as indicated by a “medium effect size” and the effect size of “balance function” was 0.223 as indicated by a “small effect size.” Conclusions: We found that vibratory stimulation has the advantage of enhancing physical function in CNS rehabilitation field. However, there was no superior effect than other types of intervention.
Abstract
Objectives: The central nervous system (CNS) diseases cause serious damage to motor and sensory functions. The individuals with CNS disease have great limitations in activities of daily living and social participation. This meta-analysis was conducted to investigate the effect of vibratory stimulation on physical function recovery in individuals with CNS disease. Methods: Data were collected through data search engines such as PubMed, CINAHL, MEDLINE from 2005 to 2017. The PEDro scale was used to assess the quality of study. The sample size, mean and standard deviation in the studies were analyzed by meta-analysis. Results: Ten studies were selected for analysis and all studies had PEDro score of 6 points or more. Three hundred fourteen participants were included. The outcome data were categorized as physical functions focused on community participation such as “balance function” and “upper & lower function and gait function.” The effect sizes of the selected studies were statistically insignificant in heterogeneity. The effect sizes of combined outcomes and “upper & lower function and gait function” were 0.356 and 0.421 as indicated by a “medium effect size” and the effect size of “balance function” was 0.223 as indicated by a “small effect size.” Conclusions: We found that vibratory stimulation has the advantage of enhancing physical function in CNS rehabilitation field. However, there was no superior effect than other types of intervention.
참고문헌 (33)
- Bohannon RW, "Muscle strength and muscle training after stroke", J Rehabil Med, 39(1), pp.14~20 (2007)
- Motl RW, "Physical activity and multiple sclerosis:a meta-analysis", Mult Scler, 11(4), pp.459~463 (2005)
- Tyson SF, "Sensory loss in hospital-admitted people with stroke: characteristics, associated factors, and relationship with function", Neurorehabil Neural Repair, 22(2), pp.166~172 (2008)
- Celnik P, "Somatosensory stimulation enhances the effects of training functional hand tasks in patients with chronic stroke", Arch Phys Med Rehabil, 88(11), pp.1369~1376 (2007)
- Noma T, "Antispastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients: a proof-ofprinciple study", J Rehabil Med, 44(4), pp.325~330 (2012)
- Steyvers M, "Frequency-dependent effects of muscle tendon vibration on corticospinal excitability: a TMS study", Exp Brain Res, 151(1), pp.9~14 (2003)
- Cardinale M, "Whole body vibration exercise: are vibrations good for you?", Br J Sports Med, 39(9), pp.585~589 (2005)
- Ness LL, "Effect of whole-body vibration on quadriceps spasticity in individuals with spastic hypertonia due to spinal cord injury", Restor Neurol Neurosci, 27(6), pp.623~633 (2009)
- Conrad MO, "Effect of tendon vibration on hemiparetic arm stability in unstable workspaces", PLoS One, 10(12), pp.e0144377~ (2015)[DOI]
- Pietrangelo T, "Effects of local vibrations on skeletal muscle trophism in elderly people: mechanical, cellular, and molecular events", Int J Mol Med, 24(4), pp.503~512 (2009)
- Delecluse C, "Strength increase after whole-body vibration compared with resistance training", Med Sci Sports Exerc, 35(6), pp.1033~1041 (2003)
- Kawanabe K, "Effect of whole-body vibration exercise and muscle strengthening, balance, and walking exercises on walking ability in the elderly", Keio J Med, 56(1), pp.28~33 (2007)
- Katusic A, "The effect of vibration therapy on spasticity and motor function in children with cerebral palsy: a randomized controlled trial", NeuroRehabilitation, 32(1), pp.1~8 (2013)[DOI]
- Ness LL, "Whole-body vibration improves walking function in individuals with spinal cord injury: a pilot study", Gait Posture, 30(4), pp.436~440 (2009)
- Jackson KJ, "Acute effects of whole-body vibration on lower extremity muscle performance in persons with multiple sclerosis", J Neurol Phys Ther, 32(4), pp.171~176 (2008)
- Paoloni M, "Segmental muscle vibration improves walking in chronic stroke patients with foot drop: a randomized controlled trial", Neurorehabil Neural Repair, 24(3), pp.254~262 (2010)
- Ahlborg L, "Whole-body vibration training compared with resistance training: effect on spasticity, muscle strength and motor performance in adults with cerebral palsy", J Rehabil Med, 38(5), pp.302~308 (2006)
- World Health Organization, "International classification of functioning, disability and health", World Health Organization, ~ (2010)
- Moseley AM, "Evidence for physiotherapy practice: a survey of the Physiotherapy Evidence Database (PEDro)", Aust J Physiother, 48(1), pp.43~49 (2002)
- Rosenthal R, "Comparing effect sizes of independent studies", Psychol Bull, 92(2), pp.500~ (1982)
- Borenstein M, "Introduction to meta-analysis" (2011), Wiley
- Cohen J., "Statistical power for the social sciences", pp.98~101 (1988), Laurence Erlbaum and Associates
- Rosenthal R, "Combining probabilities and the file drawer problem", Evaluation in Education, 4, pp.18~21 (1980)
- Chan KS, "Effects of a single session of whole body vibration on ankle plantarflexion spasticity and gait performance in patients with chronic stroke: a randomized controlled trial", Clin Rehabil, 26(12), pp.1087~1095 (2012)[DOI]
- Costantino C, "Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial", Eur J Phys Rehabil Med, 53(1), pp.32~40 (2017)[DOI]
- Guo C, "Whole body vibration training improves walking performance of stroke patients with knee hyperextension: a Randomized Controlled Pilot Study", CNS Neurol Disord Drug Targets, 14(9), pp.1110~1115 (2015)
- Spina E, "The effects of mechanical focal vibration on walking impairment in multiple sclerosis patients: a randomized, double-blinded vs placebo study", Restor Neurol Neurosci, 34(5), pp.869~876 (2016)[DOI]
- Volpe D, "A wearable proprioceptive stabilizer (Equistasi®) for rehabilitation of postural instability in Parkinson’s disease:a phase II randomized double-blind, double-dummy, controlled study", PLoS One, 9(11), pp.e112065~e112065 (2014)[DOI]
- Bosveld R, "Single-dose effects of whole body vibration on quadriceps strength in individuals with motor-incomplete spinal cord injury", J Spinal Cord Med, 38(6), pp.784~791 (2015)[DOI]
- Brogardh C, "No specific effect of whole-body vibration training in chronic stroke: a double-blind randomized controlled study", Arch Phys Med Rehabil, 93(2), pp.253~258 (2012)[DOI]
- van Nes IJ, "Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke: a randomized, controlled trial", Stroke, 37(9), pp.2331~2335 (2006)[DOI]
- Wolfsegger T, "3-week whole body vibration does not improve gait function in mildly affected multiple sclerosis patientsa randomized controlled trial", J Neurol Sci, 347(1-2), pp.119~123 (2014)[DOI]
- Claerbout M, "Effects of 3 weeks’ whole body vibration training on muscle strength and functional mobility in hospitalized persons with multiple sclerosis", Mult Scler, 18(4), pp.498~505 (2012)[DOI]