Short-term effects of whole-body vibration on postural control in unilateral chronic stroke patients: preliminary evidence.
van Nes IJ, Geurts AC, Hendricks HT, Duysens J.
Source: Sint Maartenskliniek Research, Nijmegen, the Netherlands.
Purpose: The short-term effects of whole-body vibration as a novel method of somatosensory stimulation on postural control were investigated in 23 chronic stroke patients.
Method: While standing on a commercial platform, patients received 30-Hz oscillations at 3 mm of amplitude in the frontal plane. Balance was assessed four times at 45-min intervals with a dual-plate force platform, while quietly standing with the eyes opened and closed and while performing a voluntary weight-shifting task with visual feedback of center-of-pressure movements. Between the second and third assessments, four repetitions of 45-sec whole-body vibrations were given.
Results: The results indicated a stable baseline performance from the first to the second assessment for all tasks. After the whole-body vibration, the third assessment demonstrated a reduction in the root mean square (RMS) center-of-pressure velocity in the anteroposterior direction when standing with the eyes closed (P < 0.01), which persisted during the fourth assessment. Furthermore, patients showed an increase in their weight-shifting speed at the third balance assessment (P < 0.05) while their precision remained constant. No adverse effects of whole-body vibration were observed.
Conclusion: It is concluded that whole-body vibration may be a promising candidate to improve proprioceptive control of posture in stroke patients.