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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2011; 21(04): 183-191
DOI: 10.1055/s-0031-1280812
Übersicht
Georg Thieme Verlag KG Stuttgart · New York

Die Wirkung der Biomechanischen Stimulation bei neurologischen Erkrankungen an ausgewählten Beispielen

The Effect of Whole Body Vibration for Neurological Diseases by Selected Examples
D. Loudovici
1   Universitätsklinikum Jena, Institut für Physiotherapie, Jena
› Author Affiliations
Further Information

Publication History

eingereicht: 28 April 2011

angenommen: 06 June 2011

Publication Date:
24 August 2011 (online)

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Zusammenfassung

Fragestellung:

Die Biomechanische Stimulation (BMS) wurde in den letzten Jahren vermehrt in die Trainingstherapie und physiotherapeutische Behandlung integriert. Es stellt sich die Frage nach der Effektivität dieser Behandlungsform. Diese systematische Übersichtsarbeit zielt auf eine Untersuchung der Wirksamkeit der BMS hinsichtlich neurologischer Erkrankungen ab.

Material und Methoden:

14 Studien konnten den Ein- und Ausschlusskriterien zufolge in die Untersuchung mit eingeschlossen werden. Die Bewertung der methodischen Qualität erfolgte mittels der PEDro-Skala. Die Daten wurden einheitlich extrahiert und unter den Diagnosegruppen Morbus Parkinson, Schlaganfall, Multiple Sklerose und Zerebralparese zusammengefasst.

Ergebnisse:

Die Ergebnisse der einzelnen Studien weichen teilweise voneinander ab. Die Muskelkraft und die posturale Kontrolle können durch die Vibrationstherapie verbessert werden. Weitere positive Effekte, die aber nicht konstant oder auch von anderen Therapieformen erreicht werden können, sind die Senkung des Muskeltonus, die Verbesserung der Mobilität und der Koordination.

Schlussfolgerung:

Die BMS bietet das Potenzial die Symptome und Folgeerscheinungen von neurologischen Erkrankungen, je nach Zielstellung, zu verbessern. Die BMS ergänzt das Therapiespektrum, sollte aber nicht als alleinige Behandlungsmethode genutzt werden. Weitere Vorteile sind in der Kombination mit anderen Therapiemethoden zu finden.

Abstract

Purpose:

Whole body vibration (WBV) is getting more and more used in exercise therapy and physical therapy treatment. The question about effectivity of this kind of treatment arises. This systematic review investigates the effectiveness of WBV concerning neurological diseases.

Material and Methods:

14 studies were included in this overview due to in- and exclusion criteria. The methodical quality was assessed using the PEDro-scale. The data were extracted in a systematic way and summarized by means of the diagnosis groups entitled Parkinson’s Disease, Stroke, Multiple Sclerosis and Cerebral Palsy.

Results:

The results of the single studies are partly diverging. Muscle power and postural control can be improved through vibration therapy. Further positive effects, which cannot be reached constantly or even through some other therapies are the reduction of tonicity, the improvement of mobility and coordination.

Conclusion:

WBV offers the potential to improve the symptoms and sequelaes of neurological diseases due to the followed treatment aim. WBV supplements the therapeutical possibilities, but should not be used as the only applied practice. Further benefits are given in combination with other therapeutical methods.

Schlüsselwörter

Biomechanische Stimulation - Wirksamkeit - neurologische Erkrankungen - Muskelkraft - posturale Kontrolle

Key words

whole body vibration - effectivity - neurological diseases - muscle power - postural control
 

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