Article

The objective of this systematic review was to evaluate how whole-body vibration
(WBV) or focal vibration (FV) would change spasticity in individuals with spinal
cord injury (SCI). A search was conducted of MEDLINE, EMBASE, CINAHL, and
PsycINFO electronic databases.
A hand search was conducted of the bibliographies
of articles and journals relevant to the research question. The inclusion
criteria were three or more individuals, 17 yrs or older, with SCI who experience
spasticity, and WBV or FV application. The evidence level of all ten identified
studies (195 SCI subjects) was low on the basis of Centre for Evidence Based
Medicine level of evidence. WBV (n = 1) and FV (n = 9) were applied to assess the
effects of vibration on different measures of spasticity in individuals with SCI.
FV application resulted in a short-term spasticity reduction lasting for a
maximum of 24 hrs. Neurophysiologic measures showed H-reflex inhibition in
individuals with SCI after FV application. WBV resulted in a decrease in
spasticity lasting for 6-8 days after the last vibration session. WBV and FV
might decrease spasticity for a short period, but no evidence-based
recommendation can be drawn from the literature to guide rehabilitation medicine
clinicians to manage spasticity with vibration application.

Langue : ANGLAIS