ObjectiveTo construct a
research framework for
systematic review of
health and functional outcomes of whole body
vibration training in
children and
adolescents with
cerebral palsy based on the theory and
method of
World Health Organization Family of
International Health Classifications (
WHO-FICs), and to systematically
review the major
health conditions and physical functions, intervention programs of whole body
vibration training, and
health and functional outcomes of
vibration intervention in
children and
adolescents with
cerebral palsy. MethodsBased on the
WHO-FICs
method, the PICO
architecture of systematic reviews was constructed, and the databases of CNKI, Wanfang Data,
PubMed, Web of
Science, EBSCO, and Embase were searched to collect randomized controlled trials about the
health and functional effects of whole body
vibration training on
children and
adolescents with
cerebral palsy from the establishment to September 30th, 2022, and a
systematic review was conducted. ResultsEight articles, seven in English and one in
Chinese, from five countries, were included, mainly from journals in clinical
rehabilitation,
neurorehabilitation,
physical medicine and rehabilitation, etc., published mainly after 2010, involving 227 participants (three to 12.3 years old). The quality of the articles was evaluated using the
Physical Therapy Evidence Database scale with a mean score of six. The
ICD-11 codes included 08
diseases of the
nervous system, 8D20
spastic cerebral palsy, 8D20.1
spastic bilateral
cerebral palsy, 8D20.10
spastic quadriplegia cerebral palsy and 8D2Z unspecified
cerebral palsy. The primary functioning of
cerebral palsy was characterized as
muscle spasticity, abnormal skeletal development,
joint deformities and
muscle weakness, decrease of selective motor control and
gait abnormalities; for the activity and participation, the functioning included
walking difficulties, decrease of mobility and weight loading, and low levels of
physical activities. The main intervention was whole body
vibration, in
postures of
lying, squatting or standing, mainly standing, in the mode of vertical
vibration. The frequency was 5 to 30 Hz, and the amplitude was below 9 mm, three to five times a week for eight weeks to six months. The intervention settings include medical institutions,
schools and
families; mainly for
therapeutics and recovery. The
health and
health-related outcomes were mainly involved s7 structures related to
movement, b710 mobility of
joint functions, b730
muscle power functions, b735
muscle tone functions, b760 control of voluntary
movement functions, d410 changing basic body position, d415 maintaining a body position, d450
walking, d455 moving around, and d420
transferring oneself; such as improvements of neuromusculoskeletal and
joint functions,
muscle spasm, static balance,
muscle strength, and control of
movement, the control of body
posture and
walking, range of activities and
self-care. ConclusionWhole body
vibration training is effective on
cerebral palsy, mainly in
standing position, 5 to 30 Hz, and amplitude below 9 mm; three to five times a week for eight weeks to six months. The outcomes of whole body
vibration training are mainly reflected in the improvement of body-motor functions, and activity and participation.