journal article·2022-10-18Open access

Effects of Focal Muscle Vibration on Gait and Balance in Parkinson Patients: Preliminary Results

Paola Emilia Ferrara, Dario Mattia Gatto, Sefora Codazza, Paolo Zordan, Gioia Stefinlongo, Daniele Coraci, Maria Rita Lo Monaco, Diego Ricciardi, Gianpaolo Ronconi

Applied Sciences· Volume 12· Issue 20

Abstract

Background: Postural instability has a major impact on the mobility and daily life activities of Parkinson’s disease (PD) patients as it often leads to reduced mobility, insecure stance and falls. The aim of this study was to evaluate the effect of focal vibration on the static and dynamic balance of a group of Parkinson’s disease patients. Methods: Twenty-three idiopathic PD patients (14 M; 9 F), Hoehn and Yahr (HeY) stage II–III, underwent three weeks of focal muscle vibration applied to the quadriceps, soles of the feet and trapezius muscles bilaterally in addition to conventional physiotherapy. The static and dynamic balance was assessed at baseline (T0), after 3 weeks of treatment (T1) and after 1 month from the last treatment (T2) with the Tinetti scale and stabilometry evaluations. Results: There was a statistically significant improvement in the mean Tinetti score at T1, and in the Romberg area (CE/OE) of oscillation and oscillation velocity on the x-axis with the eyes closed at T2. Conclusions: Focal muscle vibration in conjunction with physiotherapy is a useful tool in the rehabilitation of gait and balance disorders of patients with Parkinson’s disease HeY stage II–III.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Parkinson's Disease Mechanisms and Treatments · Parkinson's Disease and Spinal Disorders · Balance, Gait, and Falls Prevention

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Ageing, Neurosciences, Head-Neck and Orthopaedics Sciences, University Polyclinic Foundation Agostino Gemelli IRCSS, Catholic University of Sacred Heart, 00168 Rome, Italy

Department of Geriatrics, Neurosciences and Orthopaedics, Catholic University of the Sacred Heart, 00168 Rome, Italy

Department of Neuroscience, Section of Rehabilitation, University of Padova, 35122 Padua, Italy

References (20)

Show source-provided references
1. Parkinson’s disease: Clinical features and diagnosis10.1136/jnnp.2007.131045 ↗
2. Postural stability of Parkinson’s disease patients is improved by decreasing rigidity10.1111/j.1468-1331.2004.00942.x ↗
3. The sensory role of the sole of the foot: Review and update on clinical perspectives10.1016/j.neucli.2019.12.003 ↗
4. Postural deformities in Parkinson’s disease10.1016/S1474-4422(11)70067-9 ↗
5. Proprioceptive deficits in Parkinson’s disease patients with freezing of gait10.1016/j.neuroscience.2011.06.071 ↗
6. Axial kinesthesia is impaired in Parkinson’s disease: Effects of levodopa10.1016/j.expneurol.2010.06.016 ↗
7. Spolaor, F., Romanato, M., Annamaria, G., Peppe, A., Bakdounes, L., To, D.-K., Volpe, D., and Sawacha, Z. (2021). Relationship between Muscular Activity and Postural Control Changes after Proprioceptive Focal Stimulation (Equistasi®) in Middle-Moderate Parkinson’s Disease Patients: An Explorative Study. Sensors, 21.10.3390/s21020560 ↗
8. Romberg ratio coefficient in quiet stance and postural control in Parkinson’s disease10.1007/s10072-018-3423-1 ↗
9. Proprioceptive Focal Stimulation (Equistasi®) May Improve the Quality of Gait in Middle-Moderate Parkinson’s Disease Patients. Double-Blind, Double-Dummy, Randomized, Crossover, Italian Multicentric Study10.3389/fneur.2019.00998 ↗
10. Local Application of Vibration in Motor Rehabilitation–Scientific and Practical Considerations
11. Focal vibration in neurorehabilitation
12. Long-Term Effects on Cortical Excitability and Motor Recovery Induced by Repeated Muscle Vibration in Chronic Stroke Patients10.1177/1545968310376757 ↗
13. The effects of whole body vibration on mobility and balance in Parkinson disease: A systematic review
14. Effects of vibratory stimulation on balance and gait in Parkinson’s disease: A systematic review and meta-analysis
15. Focal Muscle Vibration Improves Gait in Parkinson’s Disease: A Pilot Randomized, Controlled Trial10.1002/mdc3.12323 ↗
16. The European Physiotherapy Guideline for Parkinson’s Disease: Implications for Neurologists
17. Performance-oriented assessment of mobility problems in elderly patients10.1111/j.1532-5415.1986.tb05480.x ↗
18. Volpe, D., Giantin, M.G., and Fasano, A. (2014). A Wearable Proprioceptive Stabilizer (Equistasi®) for Rehabilitation of Postural Instability in Parkinson’s Disease: A Phase II Randomized Double-Blind, Double-Dummy, Controlled Study. PLoS ONE, 9.10.1371/journal.pone.0112065 ↗
19. Serio, F., Minosa, C., De Luca, M., Conte, P., Albani, G., and Peppe, A. (2019). Focal Vibration Training (Equistasi®) to Improve Posture Stability. A Retrospective Study in Parkinson’s Disease. Sensors, 19.10.3390/s19092101 ↗
20. Interventions for preventing falls in Parkinson’s disease