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Titre : | Effect of plantar vibration on static and dynamic balance in stroke patients: a randomised controlled study (2022) |
Auteurs : | Birol Önal ; Meral Sertel ; Gülten Karaca |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 116, 2022) |
Article en page(s) : | p. 1-8 |
Note générale : | https://doi.org/10.1016/j.physio.2022.02.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Équilibre postural ; Pied ; Réadaptation ; Vibration |
Mots-clés: | Vibration plantaire ; Région plantaire |
Résumé : |
Objective : To investigate the effects of local vibration applied to the plantar region of the foot on static and dynamic balance in stroke patients.
Design : Randomised, controlled trial. Setting : Inpatient. Participants : Thirty patients with stroke were randomised equally to the vibration and control groups. Intervention : The control group underwent conventional physical therapy (CPT) for 4 weeks. The vibration group underwent local vibration therapy at a frequency of 80 Hz and CPT for 4 weeks. Outcome measures : The primary outcome measure was the Overall Stability Index (OSI). The secondary outcome measures were: the Anteroposterior Stability Index, Mediolateral Stability Index, fall risk, Berg Balance Scale, Functional Reach Test (FRT), and Timed Up and Go Test (TUG) to assess balance; the Trunk Impairment Scale to measure trunk function; and the 10-m Walk Test (10MWT) to measure walking speed. Results : Participants receiving plantar vibration experienced greater improvements in static and dynamic balance assessments compared with participants in the control group. The mean change in OSI score between baseline and 4 weeks was 0.8 [standard deviation (SD) 0.8] for the vibration group and 0.02 (SD 0.6) for the control group [mean difference 0.4, 95% confidence interval (CI) 0.1 to 0.7]. The median change in fall risk score was 0.7 [interquartile range (IQR) 0.4 to 1.4] for the vibration group and 0.1 (IQR -0.1 to 0.6) for the control group (median difference 0.5, 95% CI 0.2 to 0.7). The median change in TUG time was 4 (IQR 1 to 7) seconds for the vibration group and 4 (IQR 0 to 2) seconds for the control group (median difference 2.5, 95% CI 1.5 to 3.5). Conclusion : These findings suggest that plantar vibration is useful in stroke patients. Plantar vibration can be applied to support CPT. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940622000256 |