ABSTRACT
PURPOSE: To assess the effects of vibration therapy (VT) on quality of life and hormone response in severely disabled patients compared with placebo. DESIGN: A longitudinal prospective, double-blind, randomized placebo-controlled trial, with pre and postintervention assessments. METHODS: A total of 20 severely disabled individuals were recruited from a National Reference Centre in Spain: 13 (65%) men and 7 (35%) women, 45.5 ± 9.32 years of age (range 41: 22-63). We evaluated their physical stress and state anxiety. RESULTS: No statistically significant changes were found in the socio-psychological variables studied, while in the experimental group state anxiety decreased significantly with p < 0.01 (Z = 2.38; one-tailed p = .009) and, among the biological variables, the level of cortisol fell (p = 0.03). CONCLUSION: Short periods of exposure to low-frequency and low-amplitude local vibration are a safe and effective mechanical stimulus that can have a positive effect in terms of hormone response. CLINICAL RELEVANCE: VT can be considered to have an anti-stress effect.
Subject(s)
Disabled Persons/rehabilitation , Hormones/metabolism , Nervous System Diseases/metabolism , Nervous System Diseases/therapy , Rehabilitation Nursing/methods , Vibration/therapeutic use , Adult , Double-Blind Method , Female , Humans , Male , Middle Aged , Nervous System Diseases/nursing , Prospective Studies , Quality of Life , Spain , Young AdultABSTRACT
El objetivo fue revisar la efectividad del empleo de los sistemas de realidad virtual (RV) en la mejora de la funcionalidad del miembro superior en niños con parálisis cerebral, mediante una revisión de la literatura científica. Se realizó una búsqueda bibliográfica en las principales bases de datos desde 2005 a 2011. Se evaluó el nivel de evidencia científica y el grado de recomendación mediante la Escala Modificada de Marzo y Viana. Los resultados sugieren mejoras en la funcionalidad de la extremidad superior, la cinemática de alcance, la calidad de movimiento, la movilidad activa, la motricidad fina, así como en determinadas actividades básicas de la vida diaria. Sin embargo, las limitaciones metodológicas de los estudios incluidos justifican una lectura cuidadosa de los resultados. Por ello, es fundamental abrir nuevas líneas de investigación comparando el empleo de RV con otros métodos específicos de intervención de fisioterapia neurológica (AU)
This study has aimed to review the literature on the effectiveness of the use of virtual reality systems (RV) to improve the functionality of the upper limb in children with cerebral palsy. A search was made of the literature from 2005 to 2011 in the major databases. Level of scientific evidence and the grade of recommendation by the Marzo and Viana Modified Scale were evaluated. The results suggest that there are improvements in functionality of the upper limb, kinematics of reaching, quality of movement, active mobility, fine motor control and in certain basic activities of daily living. However, the methodological limitations of the studies included justify a careful reading of these results. Therefore, new research lines must be opened to compare the use of RV with specific methods of intervention of neurological physiotherapy (AU)
Subject(s)
Humans , Male , Female , Child , User-Computer Interface , Cerebral Palsy/therapy , Motor Skills Disorders/therapy , Diagnosis, Computer-Assisted , Upper ExtremityABSTRACT
Objetivo Determinar si el entrenamiento con un videojuego mejora la función motriz, la coordinación, la ejecución de las actividades básicas de la vida diaria (ABVD), la calidad de vida relacionada con la salud (CVRS), así como el grado de autoestima en adultos con parálisis cerebral (PC).Material y métodos Estudio piloto prospectivo con valoración pre y post-intervención. Se reclutó a 10 pacientes con tetraparesia espástica procedentes del Centro de Referencia Estatal de León, con diagnóstico de PC tipo moderado. Se recogieron datos sobre rango de movilidad activa, actividad muscular, motricidad fina y coordinación, ejecución de las ABVD, CVRS y grado de autoestima, evaluados con el Biometrics E-Link® electrogoniométrico y electromiográfico, el Nine Hole Peg Test, el índice de Barthel, el test EQ-5D y la escala de Rosenberg, respectivamente. La intervención con el videojuego Boccia-wii® se llevó a cabo durante un periodo 2,5 meses, con 1 h y media de entrenamiento semanal, distribuido en 3 días a la semana, con 30 min de duración cada día. Resultados Se obtuvieron mejorías estadísticamente significativas en la coordinación y motricidad fina de la mano (p=0,013), en el nivel de CVRS (p=0,00059), el rango de movilidad activa en la flexión de codo (p=0,049), la extensión de muñeca (p=0,017), la desviación radial (p=0,017) y en la actividad muscular del bíceps braquial (p=0,047).Conclusiones Nuestros resultados parecen determinar que el entrenamiento con Boccia-wii® es útil en pacientes adultos con PC tetraparesia espástica, por lo que podría ser implantado como medida terapéutica coadyuvante en el tratamiento fisioterápico convencional (AU)
Objective To determine if the training with a video game improves motor function, coordination, performance of basic activities of daily living (ADL), health-related quality of life (HRQoL) parameters and self-esteem in adults with cerebral palsy (CP).Material and methods A prospective evaluation pre-and post-intervention pilot study was performed. Ten patients with spastic tetraparesis from the State Reference Center in Leon, diagnosed of moderate CP, were recruited. Data were collected on active range of motion, muscle activity, and fine motor coordination, performance of ADL, level of HRQL and grade of self-esteem, assessed with the Biometrics E-Link® electrogoniometer and electromyographic, Nine Hole Peg Test, the Index Barthel, the EQ-5D test and the Rosenberg scale, respectively. Treatment with the video game Boccia-wii® was conducted over a period of 2.5 months, with one and a half hours of weekly training, spread over 3 days a week, 30minutes each day. Results We obtained statistically significant improvements in coordination and fine motor skills of the hand (P=.013), on the level of HRQL (P=.00059), active range of motion in the elbow flexion (P=.049), extension wrist (P=.017), radial deviation (P=.017) and the biceps muscle activity (P=.047).Conclusions Our results seem to determine that the training with Boccia-wii® is useful in adult patients with spastic tetraparesis PC, so it could be established as a therapeutic adjunct in conventional physiotherapy (AU)
