WHOLE-BODY VIBRATION THERAPY IN CHILDREN WITH SEVERE MOTOR DISABILITIES
2015 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 47, no 3, 223-228 p.Article in journal (Refereed) Published
Objective: To study the effect of whole-body vibration therapy on bone mass, bone turnover and body composition in severely disabled children. Methods: Nineteen non-ambulatory children aged 5.1-16.3 years (6 males, 13 females) with severe motor disabilities participated in an intervention programme with standing exercise on a self-controlled dynamic platform, which included whole-body vibration therapy (vibration, jump and rotation movements). Whole-body vibration therapy was performed at 40-42 Hz, with an oscillation amplitude of 0.2 mm, 5-15 min/treatment, twice/week for 6 months. Bone mass parameters and bone markers were measured at the study start, and after 6 and 12 months. Results: Whole-body vibration therapy was appreciated by the children. Total-body bone mineral density increased during the study period (p less than0.05). Z-scores for total-body bone mineral density ranged from -5.10 to -0.60 at study start and remained unchanged throughout. Approximately 50% of the subjects had increased levels of carboxy-terminal telopeptides of type I collagen and decreased levels of osteocalcin at the start. Body mass index did not change during the intervention period, but had increased by the 12-month follow-up (pless than 0.05). Conclusion: Whole-body vibration therapy appeared to be well tolerated by children with severe motor disabilities. Total-body bone mineral density increased after 6 months of whole-body vibration therapy. Higher carboxy-terminal telopeptides of type I collagen and lower osteocalcin values indicated that severely disabled children have a reduced capacity for bone acquisition.
Place, publisher, year, edition, pages
Foundation for Rehabilitation Information , 2015. Vol. 47, no 3, 223-228 p.
bone; cerebral palsy; dual-energy X-ray absorptiometry; fracture; osteoporosis; paediatric
IdentifiersURN: urn:nbn:se:liu:diva-117248DOI: 10.2340/16501977-1921ISI: 000351256900005PubMedID: 25613047OAI: oai:DiVA.org:liu-117248DiVA: diva2:807083
Funding Agencies|Royal Wedding Fund; Linnea and Josef Carlssons Foundation; Petter Silfverskiold Memorial Fund; Norrbacka Eugenia Foundation; Promobilia; County Council of Ostergotland, Sweden2015-04-222015-04-212016-03-11