Whole-body vibration training compared with resistance training: Effect on spasticity, muscle strength and motor performance in adults with cerebral palsy

Whole-body vibration training compared with resistance training: Effect on spasticity, muscle strength and motor performance in adults with cerebral palsy
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DOI:
10.1080/16501970600680262
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发表时间:
2006-09-01
影响因子:
3.5
通讯作者:
Julin, Per
Julin, Per
中科院分区:
医学3区
文献类型:
--
作者:
Ahlborg, Lotta;Andersson, Christina;Julin, Per

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目的:比较8周全身振动训练与阻力训练对成人脑瘫患者痉挛状态、肌力和运动能力的影响。方法:将14例21~41岁的痉挛双瘫患者随机分为全身振动训练组和阻力训练组,每组7例。训练前后采用改良Ashworth量表评定痉挛状态,等速测力法测定肌力,6min步行试验测定步行能力,计时起跳平衡试验测定平衡能力,粗大运动功能测定测定大运动成绩。结果:全身振动组伸膝肌群痉挛程度降低。抗阻训练组肌力以30度/S速度增加,两组均以90度/S速度增加,6min步行试验和计时起跳试验变化不明显。结论:全身振动训练或阻力训练干预8周可提高脑性瘫痪患者的肌力,而对痉挛状态无不良影响。
Objective: The aim of this study was to evaluate the effect on spasticity, muscle strength and motor performance after 8 weeks of whole-body vibration training compared with resistance training in adults with cerebral palsy.Methods: Fourteen persons with spastic diplegia (21-41 years) were randomized to intervention with either whole-body vibration training (n = 7) or resistance training (n = 7). Pre- and post-training measures of spasticity using the modified Ashworth scale, muscle strength using isokinetic dynamometry, walking ability using Six-Minute Walk Test, balance using Timed Up and Go test and gross motor performance using Gross Motor Function Measure were performed.Results: Spasticity decreased in knee extensors in the whole-body vibration group. Muscle strength increased in the resistance training group at the velocity 30 degrees/s and in both groups at 90 degrees/s. Six-Minute Walk Test and Timed Up and Go test did not change significantly. Gross Motor Function Measure increased in the whole-body vibration group.Conclusion: These data suggest that an 8-week intervention of whole-body vibration training or resistance training can increase muscle strength, without negative effect on spasticity, in adults with cerebral palsy.