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Comparison of the effect of whole-body vibration therapy versus conventional therapy on functional balance of patients with Parkinson’s disease: adding a mixed group

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Abstract

Objective

Assess the effect of Whole-Body Vibration (WBV) therapy in functional balance status of Parkinson’s disease (PD) patients and compare this to conventional and combined therapy.

Introduction

PD patients experience a decreased mobility, inactivity, and loss of independence as consequence of disturbances in gait, posture, and balance. Rehabilitation therapy is a non-pharmacological way of improving functionality. One of the most studied modalities is WBV, with multiple studies showing improvement in motor function. However, results in this manner are inconsistent.

Methods

Forty-five patients were enrolled in a non-randomized controlled trial and divided into three groups. Group 1 received conventional therapy (thermotherapy, stretching, strengthening, coordination and balance). Group 2 received WBV therapy, and group 3 patients underwent a combined therapy protocol. A total of 20 sessions (3 per week) were conducted, assessing Berg Balance Scale (BBS) before initial and after final session.

Results

The 3 intervention groups showed significant improvement in BBS scores after concluding the 20-session trial compared to initial assessment. When comparing mean change in BBS score from initial to final assessment, the combined therapy group had a greater increase compared to conventional therapy, but no significant differences were observed comparing to WBV group. Mean change in BBS score showed no significant difference between conventional therapy and WBV therapy group.

Conclusions

WBV therapy is a useful tool as co-adjuvant in conventional therapy. The combination of both therapies is a significant therapeutic alternative for the improvement of functional balance status in PD patients compared to conventional therapy alone.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Bloem B, Grimbergen Y, Cramer M, Willemsen M, Zwinderman A (2001) Prospective assessment of falls in Parkinson's disease. J Neurol 248(11):950–958

    Article  CAS  Google Scholar 

  2. Gray P, Hildebrand K (2000) Fall risk factors in Parkinsonʼs disease. J Neurosci Nurs 32(4):222–228

    Article  CAS  Google Scholar 

  3. Ayán C, Cancela JM, Rodríguez P, Ríos P, Abal N (2013) Mejora del equilibrio en los enfermos de Parkinson mediante ejercicio calisténico-recreativo: un estudio piloto. Rehabilitacion 4:22–26

    Article  Google Scholar 

  4. Kim S, Allen N, Canning C, Fung V (2012) Postural instability in patients with Parkinson’s disease. CNS Drugs 27(2):97–112

    Article  Google Scholar 

  5. Neri GA (2017) Síntomas motores de la enfermedad de Parkinson. Neurología, neurocirugía y psiquiatría 45(2):45–50

    Google Scholar 

  6. Bloem B (1992) Postural instability in Parkinson's disease. Clin Neurol Neurosurg 94:41–45

    Article  Google Scholar 

  7. Heremans E, Nieuwboer A, Vercruysse S (2013) Freezing of gait in Parkinson’s disease: where are we now? Curr Neurol Neurosci Rep 13(6):350

    Article  Google Scholar 

  8. Nutt JG, Bloem BR, Giladi N, Hallet M, B’Horak F, Nieuwboer A (2011) Freezing of gait: moving forward on a mysterious clinical phenomenon. Lancet Neurol 10:734–744

    Article  Google Scholar 

  9. Okuma Y (2009) Freezing of gait in Parkinson’s disease. J Neurol 253(Suppl 7):VII27–32

    Google Scholar 

  10. Shine JM, Moore ST, Bolitho SJ, Morris TR, Dilda V, Naismith SL et al (2012) Assesing the utility of freezing of gait questionnaires in Parkinson’s disease. Parkinsonism Relat Disord 18:25–29

    Article  CAS  Google Scholar 

  11. Spildooren J, Vercruysse S, Desloovere K, Vandenberghe W, Kerchofs E, Nieuwboer A (2010) Freezing of gait in Parkinson’s disease: the impact of dualtasking and turning. Mov Disord 25(15):2563–2570

    Article  Google Scholar 

  12. Lewis SJG, Barker RA (2009) A pathophysiological model of freezing of gait in Parkinson’s disease. Parkinsonism Relat Disord 15:333–338

    Article  Google Scholar 

  13. Christofoletti G, McNeely ME, Campbell MC, Duncan RP, Earhart GM (2016) Investigation of factors impacting mobility and gait in Parkinson disease. Hum Mov Sci 49:308–314

    Article  Google Scholar 

  14. Giardini M, Nardone A, Godi M, Guglielmetti S, Arcolin I, Pisano F et al (2018) Instrumental or physical-exercise rehabilitation of balance improves both balance and gait in Parkinson’s disease. Neural Plast 2018:5614242

    Article  Google Scholar 

  15. Deane KHO, Clarke CE (2003) The role of rehabilitation in Parkinson’s disease: a review of the evidence. Geriatrics ag 6(9):44–48

    Google Scholar 

  16. Tomlinson CL, Patel S, Meek C, Herd CP, Clarke CE, Stowe R et al (2012) Physiotherapy intervention in Parkinson’s disease: systematic review and meta-analysis. BMJ 345:e5004

    Article  Google Scholar 

  17. Alguacil IM, Gómez M, Fraile AM, Morales M (2009) Plataformas vibratorias: bases neurofisiológicas, efectos fisiológicos y aplicaciones terapéuticas. Archivos de Medicina del deporte 130(26):119–129

    Google Scholar 

  18. Alvarez F, Del Pozo J, Del Pozo B (2016) Entrenamiento vibratorio en personas institucionalizadas mayores de 80 años para la mejora del equilibrio estático. Retos 29:38–41

    Google Scholar 

  19. De Oliveira JC, Delfino MM, Da Silva DD (2014) Análise do equilíbrio na doença de Parkinson após a utilização da plataforma vibratoria. REAS, Revista Eletrônica Acervo Saúde 1:70–76

    Google Scholar 

  20. Arias P, Chouza M, Vivas J, Cudeiro J (2009) Effect of whole body vibration in Parkinson's disease: a controlled study. Mov Disord 24(6):891–898

    Article  Google Scholar 

  21. Haas CT, Turbanski KK, Schmidtbleicher D (2006) The effects of random whole-body.vibration on motor symptoms in Parkinson’s disease. NeuroRehabilitation 21:29–36

    Article  Google Scholar 

  22. Dincher A, Schwarz M, Wydra G (2019) Analysis of the effects of whole-body vibration in Parkinson disease—systematic review and meta-analysis. PM&R 11(6):640–653

    Article  Google Scholar 

  23. Leddy AL, Crowner BE, Earhart GM (2011) Functional gait assessment and balance evaluation system test: reliability, validity, sensitivity, and specificity for identifying individuals with Parkinson disease who fall. Phys Ther 91(1):102–113

    Article  Google Scholar 

  24. Franchignoni F, Martignoni E, Ferriero G, Pasetti C (2005) Balance and fear of falling in Parkinson's disease. Parkinsonism Relat Disord 11(7):427–433

    Article  CAS  Google Scholar 

  25. Qutubuddin A, Pegg P, Cifu D, Brown R, McNamee S, Carne W (2005) Validating the Berg Balance Scale for patients with Parkinson’s disease: a key to rehabilitation evaluation. Arch Phys Med Rehabil 86(4):789–792

    Article  Google Scholar 

  26. Donoghue D, Physiotherapy Research and Older People group (PROP), Stokes E (2009) How much change is true change? The minimum detectable change of the Berg Balance Scale in elderly people. J Rehabil Med 41(5):343–346

    Article  Google Scholar 

  27. Kaut O, Allert N, Coch C, Paus S, Grezska A, Minnerop M et al (2011) Stochastic resonance therapy in Parkinson’s disease. NeuroRehabilitation 28:1–6

    Article  Google Scholar 

  28. King LK, Almeida QJ, Ahonen H (2009) Short-term effects of vibration therapy on motor impairments in Parkinson’s disease. NeuroRehabilitation 25:297–306

    Article  Google Scholar 

  29. Ebersbach G, Edler D, Kaufhold O, Wissel J (2008) Whole body vibration versus conventional physiotherapy to improve balance and gait in Parkinson’s disease. Arch Phys Med Rehabil 89:399–403

    Article  Google Scholar 

  30. Park JH, Kang YJ, Horak FB (2015) What is wrong with balance in Parkinson's disease? Mov Disord 8(3):109–114

    Article  Google Scholar 

  31. Pickering RM, Grimbergen YA, Rigney U, Ashburn A, Mazibrada G, Wood B et al (2007) A meta-analysis of six prospective studies of falling in Parkinson’s disease. Mov Disord 22:1892–1900

    Article  Google Scholar 

  32. Kerr GK, Worringham CJ, Cole MH, Lacherez PF, Wood JM, Silburn PA (2010) Predictors of future falls in Parkinson disease. Neurology 75:116–124

    Article  CAS  Google Scholar 

  33. Konczak J, Li KY, Tuite PJ, Poizner H (2008) Haptic perception of object curvature in Parkinson’s disease. PLoS ONE 3(7):e2625

    Article  CAS  Google Scholar 

  34. Chastan N, Debono B, Maltête D, Weber J (2008) Discordance between measured postural instability and absence of clinical symptoms in Parkinson's disease patients in the early stages of the disease. Mov Disord 23(3):366–372

    Article  Google Scholar 

  35. Elangovan N, Tuite P, Konczak J (2018) Somatosensory training improves proprioception and untrained motor function in Parkinson’s disease. Front Neurol 9:1053

    Article  Google Scholar 

  36. Gaßner H, Janzen A, Schwirtz A, Jansen P (2014) Random whole-body vibration over 5 weeks leads to effects similar to placebo: a controlled study in Parkinson’s disease. Parkinsons Dis 2014:386495

    PubMed  PubMed Central  Google Scholar 

  37. Schmidtbleicher D, Turbanski S, Haas CT (2004) Effects of whole-body vibration on postural control in Parkinson’s disease. Mov Disord 19(Suppl 9):S185

    Google Scholar 

Download references

Funding

No funding was required for the conduction or elaboration of this manuscript.

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Authors and Affiliations

  1. Sports Medicine and Rehabilitation Department, University Hospital “Dr. José E. González”, Universidad Autónoma de Nuevo León, Monterrey, México

    Eduardo Guadarrama-Molina, Carlos Enrique Barrón-Gámez, Paola Ramírez-Castañeda, Rosa María Gisela Hernández-Suárez, Minerva Menchaca-Pérez & Oscar Salas-Fraire

  2. Neurology Division, Internal Medicine Department, University Hospital “Dr. José E. González”, Universidad Autónoma de Nuevo León, Madero y Gonzalitos S/N, Monterrey, Nuevo León, 64700, México

    Ingrid Estrada-Bellmann & Jesús D. Meléndez-Flores

  3. Faculty of Medicine, Universidad Autónoma de Nuevo León, Monterrey, México

    Jesús D. Meléndez-Flores

Authors
  1. Eduardo Guadarrama-Molina
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  2. Carlos Enrique Barrón-Gámez
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  3. Ingrid Estrada-Bellmann
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  4. Jesús D. Meléndez-Flores
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  6. Rosa María Gisela Hernández-Suárez
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  8. Oscar Salas-Fraire
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Corresponding author

Correspondence to Ingrid Estrada-Bellmann.

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Research involving human participants

All procedures performed in the study were in accordance with the ethical standards in compliance of the 1964 Helsinki Declaration and its later amendments and received approval by the ethics committee of our institution.

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Informed consent was obtained from all individual participants included in the study.

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Guadarrama-Molina, E., Barrón-Gámez, C.E., Estrada-Bellmann, I. et al. Comparison of the effect of whole-body vibration therapy versus conventional therapy on functional balance of patients with Parkinson’s disease: adding a mixed group. Acta Neurol Belg 121, 721–728 (2021). https://doi.org/10.1007/s13760-020-01439-7

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  • DOI: https://doi.org/10.1007/s13760-020-01439-7

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