The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/21/6759 |
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| author | Márk Ágoston Pulay Rita Nagy Tamás Kói Andrea Harnos Nóra Zimonyi Miklós Garami Ákos Gasparics Péter Hegyi Ibolya Túri Éva Feketéné Szabó |
| author_facet | Márk Ágoston Pulay Rita Nagy Tamás Kói Andrea Harnos Nóra Zimonyi Miklós Garami Ákos Gasparics Péter Hegyi Ibolya Túri Éva Feketéné Szabó |
| author_sort | Márk Ágoston Pulay |
| collection | DOAJ |
| description | Nowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects of WBV on the musculoskeletal system in children with CP. Randomized controlled trials (RCTs) were sought in the most frequent databases. The intervention studied was WBV combined with conventional physiotherapy (PT) compared with conventional PT as the control; the main outcomes were changes in the musculoskeletal system. Weighted mean differences with 95%CIs were calculated. A random-effects model was applied, and the publication bias was checked using funnel plots. On the basis of the inclusion and exclusion criteria, 16 articles, including 414 patients, were considered in the final analysis. The improvement in walking performance (speed and step length) was statistically significant (<i>p</i> < 0.05), and although there were no significant differences in the further outcomes, a clear positive tendency was visible in the case of improved muscle strength, decreased spasticity, enhanced gross motor functions, and overall stability. Based on the findings, a clear assessment of the usefulness of this intervention cannot be made; nonetheless, due to the promising results, it would be worthwhile to conduct additional RCTs to enhance the available evidence in this field. Due to the wide range of vibration configurations, including varying durations and intensities, it is suggested to establish guidelines and a strategy for the incorporation of this additional treatment. |
| first_indexed | 2024-03-11T11:27:01Z |
| format | Article |
| id | doaj.art-11fdb1bc4b6f4e5580d552edf13ea937 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T11:27:01Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-11fdb1bc4b6f4e5580d552edf13ea9372023-11-10T15:06:20ZengMDPI AGJournal of Clinical Medicine2077-03832023-10-011221675910.3390/jcm12216759The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical TrialsMárk Ágoston Pulay0Rita Nagy1Tamás Kói2Andrea Harnos3Nóra Zimonyi4Miklós Garami5Ákos Gasparics6Péter Hegyi7Ibolya Túri8Éva Feketéné Szabó9Centre for Translational Medicine, Semmelweis University, 1085 Budapest, HungaryCentre for Translational Medicine, Semmelweis University, 1085 Budapest, HungaryCentre for Translational Medicine, Semmelweis University, 1085 Budapest, HungaryCentre for Translational Medicine, Semmelweis University, 1085 Budapest, HungaryCentre for Translational Medicine, Semmelweis University, 1085 Budapest, HungaryPediatric Center, Semmelweis University, 1085 Budapest, HungaryDepartment of Obstetrics and Gynecology, Semmelweis University, 1088 Budapest, HungaryCentre for Translational Medicine, Semmelweis University, 1085 Budapest, HungaryAndrás Pető Faculty, Semmelweis University, 1125 Budapest, HungaryAndrás Pető Faculty, Semmelweis University, 1125 Budapest, HungaryNowadays, whole-body vibration (WBV) has become increasingly popular as an additional therapy in the intervention of patients with cerebral palsy (CP). However, the impact of WBV remains a subject of debate. Consequently, a systematic review and meta-analysis were undertaken to evaluate the effects of WBV on the musculoskeletal system in children with CP. Randomized controlled trials (RCTs) were sought in the most frequent databases. The intervention studied was WBV combined with conventional physiotherapy (PT) compared with conventional PT as the control; the main outcomes were changes in the musculoskeletal system. Weighted mean differences with 95%CIs were calculated. A random-effects model was applied, and the publication bias was checked using funnel plots. On the basis of the inclusion and exclusion criteria, 16 articles, including 414 patients, were considered in the final analysis. The improvement in walking performance (speed and step length) was statistically significant (<i>p</i> < 0.05), and although there were no significant differences in the further outcomes, a clear positive tendency was visible in the case of improved muscle strength, decreased spasticity, enhanced gross motor functions, and overall stability. Based on the findings, a clear assessment of the usefulness of this intervention cannot be made; nonetheless, due to the promising results, it would be worthwhile to conduct additional RCTs to enhance the available evidence in this field. Due to the wide range of vibration configurations, including varying durations and intensities, it is suggested to establish guidelines and a strategy for the incorporation of this additional treatment.https://www.mdpi.com/2077-0383/12/21/6759cerebral palsyvibration therapyinterventionmotor developmentmobilitymusculoskeletal system |
| spellingShingle | Márk Ágoston Pulay Rita Nagy Tamás Kói Andrea Harnos Nóra Zimonyi Miklós Garami Ákos Gasparics Péter Hegyi Ibolya Túri Éva Feketéné Szabó The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials Journal of Clinical Medicine cerebral palsy vibration therapy intervention motor development mobility musculoskeletal system |
| title | The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials |
| title_full | The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials |
| title_fullStr | The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials |
| title_full_unstemmed | The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials |
| title_short | The Effect of Additional Whole-Body Vibration on Musculoskeletal System in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Clinical Trials |
| title_sort | effect of additional whole body vibration on musculoskeletal system in children with cerebral palsy a systematic review and meta analysis of randomized clinical trials |
| topic | cerebral palsy vibration therapy intervention motor development mobility musculoskeletal system |
| url | https://www.mdpi.com/2077-0383/12/21/6759 |
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