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Short-Term Effects of Whole-Body Vibration Combined with Task-Related Training on Upper Extremity Function, Spasticity, and Grip Strength in Subjects with Poststroke Hemiplegia

LEE JS; KIM CY; KIM HD
AM J PHYS MED REHABIL , 2016, vol. 95, n° 8, p. 608-617
Doc n°: 179508
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0000000000000454
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, AD32 - SPASTICITE, DD15 - PATHOLOGIE - MEMBRE SUPERIEUR

The aim of this study was to determine the effect of whole-body
vibration training combined with task-related training on arm function,
spasticity, and grip strength in subjects with poststroke hemiplegia. DESIGN:
Forty-five subjects with poststroke were randomly allocated to 3 groups, each
with 15 subjects as follows: control group, whole-body vibration group, and
whole-body vibration plus task-related training group. Outcome was evaluated by
clinical evaluation and measurements of the grip strength before and 4 weeks
after intervention. RESULTS: Our results show that there was a significantly
greater increase in the Fugl-Meyer scale, maximal grip strength of the affected
hand, and grip strength normalized to the less affected hand in subjects
undergoing the whole-body vibration training compared with the control group
after the test. Furthermore, there was a significantly greater increase in the
Wolf motor function test and a decrease in the modified Ashworth spasticity total
scores in subjects who underwent whole-body vibration plus task-related training
compared with those in the other 2 groups after the test. CONCLUSIONS: The
findings indicate that the use of whole-body vibration training combined with
task-related training has more benefits on the improvement of arm function,
spasticity, and maximal grip strength than conventional upper limb training alone
or with whole-body vibration in people with poststroke hemiplegia.

Langue : ANGLAIS

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