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Effects of Whole-body Vibration Exercise on Stroke Patients

Not Applicable
Completed
Conditions
Hemiplegia
Stroke
Interventions
Device: Whole body vibration
Other: Exercise
Registration Number
NCT03375346
Lead Sponsor
Samsung Medical Center
Brief Summary

The purpose of this study is to investigate the effect of the whole body vibration exercise on cortical activity and gait function in patients with chronic stroke.

Detailed Description

Whole body vibration exercise can provide proper somatosensory stimulation and improve muscle strength and postural control in stroke patients. However, there has not yet been a report on the cortical activity changes induced by whole body vibration exercise.

Patients will be randomly assigned to one of the two groups. One group will go through whole body vibration with exercise and the other will only perform exercise. The primary outcome measurement of this study was cerebral cortex activity based on changes in oxygenated hemoglobin concentration using functional near-infrared spectroscopy. Behavioral assessments were performed before and after the intervention session using the 10-meter walk test, timed up and go test, Fugl-Meyer Assessment, and Tinetti Performance Oriented Mobility Assessment.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
29
Inclusion Criteria
  • Unilateral stroke with hemiplegia
  • 3 months after stroke onset
  • Able to walk at least 10 meters without assistive devices
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Exclusion Criteria
  • Subjects under 18 years and above 80 years old,
  • Unable to perform a half squat on a vibrator (eg. visual field defects, fracture, and severe muscle paralysis)
  • Musculoskeletal disorders
  • Risk of falling due to dizziness
  • Pregnant women
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Whole body vibration groupWhole body vibrationWhole body vibration group performed a single session of whole body vibration exercise via a vibrating platform (Galileo® Advanced Plus, Novotec Medical, Pforzheim, Germany) with a magnitude of 20 Hz and an amplitude of 4 mm.
Exercise only groupExerciseThe control group performed the same session without vibration.
Whole body vibration groupExerciseWhole body vibration group performed a single session of whole body vibration exercise via a vibrating platform (Galileo® Advanced Plus, Novotec Medical, Pforzheim, Germany) with a magnitude of 20 Hz and an amplitude of 4 mm.
Primary Outcome Measures
NameTimeMethod
Cerebral cortex activitycheck before, during and directly after intervention(for approximately 14 minutes)

cerebral cortex activity was measured based on changes in oxygenated hemoglobin concentration using fNIRS

Secondary Outcome Measures
NameTimeMethod
10 meter walk testbefore and after intervention(Approximately 14 minutes)

performance measure used to assess walking speed in metres per second over a short distance. It can be Blender3D NormalWalkCycle.gifemployed to determine functional mobility, gait, and vestibular function.

Fugl-Meyer Assessmentbefore and after intervention(Approximately 14 minutes)

a stroke-specific, performance-based impairment index. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia.

Timed up and go testbefore and after intervention(Approximately 14 minutes)

test for gait speed and gait balance

Tinetti Performance Oriented Mobility Assessmentbefore and after intervention(Approximately 14 minutes)

Task-oriented outcome measure that assesses gait and balance ability; is composed of a 9-item gait portion (POMA-G) and 7-item balance portion (POMA-B)

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