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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Main Authors: Shih-Ting Tsai, Cyuan-Fong Li, Kai-Chiao Chi, Li-Wei Ko, Cory Stevenson, Yi-Jen Chen, Chia-Hsin Chen
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/57/10/1037
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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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