Whole-body vibration on parallel bar device for gait and balance rehabilitation in stroke patients

被引:0
作者
de Morais A.V. [1 ]
Tomaz G., Jr [1 ]
Lazzareschi L. [1 ]
de Almeida D.V. [2 ]
dos Santos M.F. [1 ]
da Silva Boschi S.R.M. [1 ]
Martini S.C. [1 ]
Scardovelli T.A. [1 ]
da Silva A.P. [1 ]
机构
[1] Technology Research Center, University of Mogi das Cruzes, (UMC), Mogi das Cruzes
[2] Mechanical Engineering Department, University of Sao Paulo, (USP), São Paulo
来源
Research on Biomedical Engineering | 2019年 / 35卷 / 02期
关键词
Balance; Gait; Rehabilitation; Stroke; Vibrating platform; Whole-body vibration;
D O I
10.1007/s42600-019-00014-1
中图分类号
学科分类号
摘要
Purpose: Stroke is a condition that affects the cerebral vessels with focal or global involvement of the central nervous system. There is an increase in the use of whole-body vibrations (WBV) as a complement to neurological rehabilitation. Some studies on vibratory performance in a controlled way can improve muscle performance and balance in young adults. Therefore, this paper aims to present the design, development, and validation of a vibratory platform with unidirectional oscillation of controlled amplitude and frequency to aid in the gait and balance rehabilitation of ischemic stroke. Methods: The vibrating platform was built with 2 m length allowing mobility and diversity of gait training. It is actuated by an interchangeable eccentric mechanism that allows amplitude change. Frequency control is done by analog signal given by a potentiometer to a frequency inverter that allows real-time control. The project was submitted to Finite Elements Analysis in appropriate software. The device was built predominantly in structural steel following safety criteria and physically tested in the same project configuration, with frequency, amplitude, and applied load of 26 Hz, 4 mm, and 100 kgf, respectively positioned in three points of the platform, validated in terms of amplitude, frequency, and working load. Results: Obtained data demonstrated reproducibility and repeatability, such as an appropriate device to aid the gait and balance treatment in stroke patients. Conclusion: Although the equipment has been positively analyzed in operation by a board of physiotherapists specializing in neurological rehabilitation, it is convenient to evaluate protocol in asymptomatic previously to the stroke. © 2019, Sociedade Brasileira de Engenharia Biomedica.
引用
收藏
页码:123 / 129
页数:6
相关论文
共 24 条
[1]  
Bruyere O., Wuidart M.A., Di Palma E., Gourlay M., Ethgen O., Richy F., Reginster J.Y., Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents, Arch Phys Med Rehabil, 86, 2, pp. 303-307, (2005)
[2]  
Campos M.A., Neto B.C., Treinamento Funcional Resistido: Para Melhoria Da Capacidade Funcional E reabilitação De lesões musculoesqueléticas, (2004)
[3]  
Cardinale M.A.J.W., Wakeling J., Whole body vibration exercise: are vibrations good for you?, Br J Sports Med, 39, 9, pp. 585-589, (2005)
[4]  
Dean C.M., Richards C.L., Malouin F., Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial, Arch Phys Med Rehabil, 81, 4, pp. 409-417, (2000)
[5]  
Delecluse C., Roelants M., Verschueren S., Strength increase after whole-body vibration compared with resistance training, Med Sci Sports Exerc, 35, 6, pp. 1033-1041, (2003)
[6]  
Greenberg D.A., Aminoff M.J., Simon R.P., Neurologia clínica-8. AMGH Editora, (2014)
[7]  
Khalifeloo M., Naghdi S., Ansari N.N., Akbari M., Jalaie S., Jannat D., Hasson S., A study on the immediate effects of plantar vibration on balance dysfunction in patients with stroke, J Exerc Rehabil, 14, 2, pp. 259-266, (2018)
[8]  
Lee G., Does whole-body vibration training in the horizontal direction have effects on motor function and balance of chronic stroke survivors? A preliminary study, J Phys Ther Sci, 27, 4, pp. 1133-1136, (2015)
[9]  
Lee D.K., Han J.W., Effects of active vibration exercise using a flexi-bar on balance and gait in patients with chronic stroke, J Phys Ther Sci, 30, pp. 832-834, (2018)
[10]  
Liao L.R., Ng Y.F., Jones A.Y., Chung R.C.K., Pang M.Y.C., Effects of vibration intensity, exercise, and motor impairment on leg muscle activity induced by whole-body vibration in people with stroke, J Am Phys Ther Assoc, 10, pp. 2522-2562, (2015)