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Immediate Effects of Local Vibration and Whole-body Vibration on Postural Control in Patients with Ataxia: an Assessor-Blind, Cross-over randomized trial

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Abstract

Vibration interventions are used in neurorehabilitation to improve postural control in recent years. Little is known about the immediate effects of vibration interventions on postural control in patients with ataxia. The aim of this study is to investigate and compare the immediate effects of local vibration (LV) and whole-body vibration (WBV) on postural control in patients with ataxia. This study was designed as cross-over, single blind randomized clinical trial. Twenty-one patients with ataxia met the inclusion criteria. LV (frequency, 80 Hz; amplitude, 1 mm) and WBV (30 Hz, 2 mm) were applied to all patients. There was a 1-week washout time between interventions. Each patient was assessed 3 times: pre-intervention and 1 and 60 min post-intervention. The assessor was blinded to the interventions. Outcome measures were limits of stability (LoS), and postural sways (Bertec Balance Check Screener), gait parameters (GAITRite), and static balance (one-leg stance test). Twenty patients completed both interventions. The mean patient age was 39.43 ± 9.67 years. LV increased the left-LoS post-vibration (1 and 60 min post) more than WBV did (p ˂ 0.05). LV increased the LoS stability score and the base of support at 1 min post-vibration, while WBV decreased them (p ˂ 0.05). This study demonstrated different immediate effects of a single session of LV versus WBV and showed that LV has better effects on postural control in patients with ataxia. ClinicalTrials.gov. nr NCT04183647

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Authors’ Contributors

GBÖ contributed to the design of the study, blind assessor, and wrote the article. EA generated the random allocation and assigned participants to interventions, collected the data, and conceived the statistical analyses. MK conceived the study, gave support to data analysis, carried out the interpretation of data, and reviewed the article for important intellectual content.

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Authors and Affiliations

  1. Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey

    Güngör Beyza Özvar, Ender Ayvat & Muhammed Kılınç

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  1. Güngör Beyza Özvar
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  2. Ender Ayvat
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  3. Muhammed Kılınç
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Correspondence to Güngör Beyza Özvar.

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This study was conducted at the Hacettepe University Faculty of Physical Therapy and Rehabilitation, between November 2018 and July 2019. All protocols and methods were approved by the Hacettepe University Clinical Research Ethics Committee (KA-180028). Written informed consent was obtained from all patients.

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The authors declare that they have no conflict of interest.

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Özvar, G.B., Ayvat, E. & Kılınç, M. Immediate Effects of Local Vibration and Whole-body Vibration on Postural Control in Patients with Ataxia: an Assessor-Blind, Cross-over randomized trial. Cerebellum 20, 83–91 (2021). https://doi.org/10.1007/s12311-020-01187-7

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