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| Anti-spastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients: a proof-of-principle study |
| Noma T, Matsumoto S, Shimodozono M, Etoh S, Kawahira K |
| Journal of Rehabilitation Medicine 2012 Apr;44(4):325-330 |
| clinical trial |
| 7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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OBJECTIVE: To investigate whether the direct application of vibratory stimuli inhibits spasticity in the hemiplegic upper limbs of post-stroke patients. DESIGN: A randomized controlled study. SUBJECTS: Thirty-six post-stroke patients. METHODS: Patients were randomly allocated to the "rest group", "stretch group", or "direct application of vibratory stimuli group". After relaxing in a supine posture for 30 min, subjects received the interventions for 5 min. The Modified Ashworth Scale scores and F-wave parameters were recorded before, immediately after and 30 min after each intervention. RESULTS: The rest group showed no significant changes in F-wave parameters and Modified Ashworth Scale scores. The stretch group showed a tendency to decrease in F-wave amplitude and F/M ratio immediately after the intervention, but not 30 min later. The direct application of vibratory stimuli group showed significant improvements in F-wave parameters and Modified Ashworth Scale scores immediately after the intervention, which remained 30 minutes later. The changes in F-wave parameters and Modified Ashworth Scale scores observed in the Direct application of vibratory stimuli group significantly differed from those in the rest group and the stretch group. CONCLUSION: The direct application of vibratory stimuli has anti-spastic effects in the hemiplegic upper limbs of post-stroke patients.
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