J Musculoskelet Neuronal Interact, 2015; 15(2): 137-44, PMID: 26032205
The effects of whole body vibration on mobility and balance in children with cerebral palsy: a systematic review with meta-analysis.
Year: 2015
Saquetto M, Carvalho V, Silva C, Conceicao C, Gomes-Neto M
Departamento de Biofuncao, Curso de Fisioterapia da Universidade Federal da Bahia - UFBA.
Abstract
OBJECTIVE: We performed a meta-analysis to evaluate the effects of whole-body vibration on physiologic and functional measurements in children with cerebral palsy. DESIGN AND METHODS: We searched MEDLINE, Cochrane Controlled Trials Register, EMBASE, Scielo, CINAHL (from the earliest date available to November 2014) for randomized controlled trials, that aimed to investigate the effects of whole-body vibration versus exercise and/or versus control on physiologic and functional measurements in children with cerebral palsy. Two reviewers independently selected the studies. Weighted mean differences (WMDs) and 95% confidence intervals (CIs) were calculated. RESULTS: Six studies with 176 patients comparing whole-body vibration to exercise and/or control were included. Whole-body vibration resulted in improvement in: gait speed WMDs (0.13 95% CI: 0.05 to 0.20); gross motor function dimension E WMDs (2.97 95% CI: 0.07 to 5.86) and femur bone density (1.32 95% CI: 0.28 to 2.36). The meta-analysis also showed a nonsignificant difference in muscle strength and gross motor function dimension D for participants in the whole-body vibration compared with control group. No serious adverse events were reported. CONCLUSIONS: Whole-body vibration may improve gait speed and standing function in children with cerebral palsy and could be considered for inclusion in rehabilitation programs.Keywords: Cerebral Palsy, Exercise, Whole-body Vibration, Mobility, Metaanalysis
GID: 3884; Last update: 17.06.2015