Whole-body vibration improves ankle spasticity, balance, and walking ability in individuals with incomplete cervical spinal cord injury.

Author: In T1, Jung K2, Lee MG3, Cho HY4
Affiliation: <sup>1</sup>Department of Physical Therapy, Gimcheon University, Gimcheon, Republic of Korea. <sup>2</sup>Department of Occupational Therapy, Semyung University, Jecheon, Republic of Korea. <sup>3</sup>Department of Physiology, Korea University College of Medicine, Seoul, Republic of Korea. <sup>4</sup>Department of Physical Therapy, College of Health Science, Gachon University, Incheon, Republic of Korea.
Conference/Journal: NeuroRehabilitation.
Date published: 2018
Other: Volume ID: 42 , Issue ID: 4 , Pages: 491-497 , Special Notes: doi: 10.3233/NRE-172333. , Word Count: 201

OBJECTIVES: This study aimed to investigate the effects of whole-body vibration (WBV) training on ankle spasticity, balance, and walking ability in patients with incomplete spinal cord injury (iSCI) at cervical level.

METHODS: Twenty-eight patients with cervical iSCI were randomly assigned to WBV (n = 14) or control group (n = 14). WBV group received WBV training, while control group was treated with placebo-treatment. All interventions were given for 20-min, twice a day, 5-days a week for 8-weeks. The spasticity of ankle plantar-flexors was assessed by estimating passive resistive force using a hand-held dynamometer. Balance was analyzed based on postural sway length (PSL) using a force plate. Timed-Up and Go test (TUG) and 10 m-Walk Test (10MWT) were used to assess walking ability.

RESULTS: Both groups showed significant improvements in spasticity, balance and walking ability. Also, the significant differences between two groups were demonstrated in the outcomes of spasticity (3.0±1.7 vs 0.9±1.2), PSL (6.4±1.2 vs 3.2±0.9 with eyes-open, and 15.1±10.9 vs 7.4±4.3 with eyes-closed), TUG (2.3±1.3 vs 1.0±1.0), and 10MWT (3.5±2.3 vs 1.3±1.4).

CONCLUSIONS: WBV may be a safe and effective intervention to improve spasticity, balance and walking ability in individuals with cervical iSCI. Thus, WBV may be used to improve these symptoms in clinics.

KEYWORDS: Balance; incomplete spinal cord injury; whole body vibration

PMID: 29660953 DOI: 10.3233/NRE-172333