Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke Patients
<i>Background and Objectives:</i> Whole body vibration is widely used to enhance muscle performance, but evidence of its effects on the tendon stiffness of the knee extensor tendon in stroke remains inconclusive. Our study was aimed to determine the difference in patellar and quadriceps...
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MDPI AG
2021-09-01
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author | Shih-Ting Tsai Cyuan-Fong Li Kai-Chiao Chi Li-Wei Ko Cory Stevenson Yi-Jen Chen Chia-Hsin Chen |
author_facet | Shih-Ting Tsai Cyuan-Fong Li Kai-Chiao Chi Li-Wei Ko Cory Stevenson Yi-Jen Chen Chia-Hsin Chen |
author_sort | Shih-Ting Tsai |
collection | DOAJ |
description | <i>Background and Objectives:</i> Whole body vibration is widely used to enhance muscle performance, but evidence of its effects on the tendon stiffness of the knee extensor tendon in stroke remains inconclusive. Our study was aimed to determine the difference in patellar and quadriceps tendon stiffness between hemiparetic and unaffected limbs in stroke patients and to investigate the immediate effect of whole body vibration on tendon stiffness. <i>Materials and Methods:</i> The patellar and quadriceps tendon stiffness of first-ever hemiplegic stroke patients was evaluated with elastography to compare the differences between hemiparetic and unaffected limbs. After one 20 min session of whole body vibration exercise in the standing position, tendon stiffness was again measured to evaluate the immediate effects of whole body vibration on tendon stiffness. <i>Results:</i> The results showed no significant differences in the tendon stiffness of the patellar and quadriceps tendons between hemiparetic and unaffected limbs. However, significant associations were found between the tendon stiffness of the patellar and quadriceps tendons and knee extensor spasticity on the hemiparetic side (ρ = 0.62; <i>p</i> = 0.044). There were no significant changes in tendon stiffness after a single session of whole body vibration. <i>Conclusions:</i> In conclusion, knee extensor tendon stiffness in hemiparetic limbs is positively correlated to the degree of knee extensor spasticity in stroke patients. However, a single session of whole body vibration does not alter tendon stiffness. |
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spelling | doaj.art-8823509ea3ac4d71be9906102f05b3eb2023-11-22T19:03:50ZengMDPI AGMedicina1010-660X1648-91442021-09-015710103710.3390/medicina57101037Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke PatientsShih-Ting Tsai0Cyuan-Fong Li1Kai-Chiao Chi2Li-Wei Ko3Cory Stevenson4Yi-Jen Chen5Chia-Hsin Chen6Department of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung 807, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung 807, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung 807, TaiwanInstitute of Bioinformatics and Systems Biology, National Yang Ming Chiao Tung University, Hsinchu 30010, TaiwanInstitute of Bioinformatics and Systems Biology, National Yang Ming Chiao Tung University, Hsinchu 30010, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung 807, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan<i>Background and Objectives:</i> Whole body vibration is widely used to enhance muscle performance, but evidence of its effects on the tendon stiffness of the knee extensor tendon in stroke remains inconclusive. Our study was aimed to determine the difference in patellar and quadriceps tendon stiffness between hemiparetic and unaffected limbs in stroke patients and to investigate the immediate effect of whole body vibration on tendon stiffness. <i>Materials and Methods:</i> The patellar and quadriceps tendon stiffness of first-ever hemiplegic stroke patients was evaluated with elastography to compare the differences between hemiparetic and unaffected limbs. After one 20 min session of whole body vibration exercise in the standing position, tendon stiffness was again measured to evaluate the immediate effects of whole body vibration on tendon stiffness. <i>Results:</i> The results showed no significant differences in the tendon stiffness of the patellar and quadriceps tendons between hemiparetic and unaffected limbs. However, significant associations were found between the tendon stiffness of the patellar and quadriceps tendons and knee extensor spasticity on the hemiparetic side (ρ = 0.62; <i>p</i> = 0.044). There were no significant changes in tendon stiffness after a single session of whole body vibration. <i>Conclusions:</i> In conclusion, knee extensor tendon stiffness in hemiparetic limbs is positively correlated to the degree of knee extensor spasticity in stroke patients. However, a single session of whole body vibration does not alter tendon stiffness.https://www.mdpi.com/1648-9144/57/10/1037stroketendon stiffnesswhole body vibrationrehabilitationelastography |
spellingShingle | Shih-Ting Tsai Cyuan-Fong Li Kai-Chiao Chi Li-Wei Ko Cory Stevenson Yi-Jen Chen Chia-Hsin Chen Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke Patients Medicina stroke tendon stiffness whole body vibration rehabilitation elastography |
title | Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke Patients |
title_full | Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke Patients |
title_fullStr | Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke Patients |
title_full_unstemmed | Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke Patients |
title_short | Immediate Effect of Whole Body Vibration on Knee Extensor Tendon Stiffness in Hemiparetic Stroke Patients |
title_sort | immediate effect of whole body vibration on knee extensor tendon stiffness in hemiparetic stroke patients |
topic | stroke tendon stiffness whole body vibration rehabilitation elastography |
url | https://www.mdpi.com/1648-9144/57/10/1037 |
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