Salve a tutti,
da qualche tempo sono molto interessata alla pedana vibrante a scopo riabilitativo e navigando navigando sono riuscita a trovare i seguenti studi effettuati nelle università di Malmo e di Vienna relativi all'uso della pedana vibrante nella riabilitazione dei malati di SM.
la cosa interessante è che con la pedana, bastano solo 10 minuti al giorno di "esercizio" o meglio vibrazione, per ottenere risultati a dir poco strabilianti che risultano molto positivi anche per chi, come noi, è affetto da questa patologia.
via allego i risultati degli studi effettuati (purtroppo in inglese, ma di facile comprensione della conclusione) forse potranno essere utili a qualcuno.
n.b. lo studio riguarda pedane VIBRANTI e non le BASCULANTI che vengono vendute in tv, c'è una grandissima differenza.
buona serata a tutti.
Whole-Body Vibration Training in Multiple Sclerosis patients - a Pilot Study.
Siv Ohlin1, Edzard B. Zeinstra2
1 Department of Neurological Physiotherapy, Malmo, Sweden
2 Power Plate International, Amsterdam, The Netherlands
INTRODUCTION: The purpose of this pilot study was to examine whether a Whole-
Body Vibration device (Power Plate) leads to strength and balance increase,
endurance improvement, and improved functional performance in daily life, in
Multiple Sclerosis patients.
DESIGN: Pilot Clinical Trial Study
SETTING: Outpatient of a physiotherapy clinic in Malmo, Sweden
SUBJECTS: Ten Multiple Sclerosis patients with moderate to severe disability
(Kurtzke's Expanded Disability Status Scale 4.0 – 6.5) were included in the study.
INTERVENTION: A Whole-Body Vibration (WBV) at low frequency (30 Hz oscillations
at Low amplitude (18 m/s2)) in 10 series of 30 seconds, with 30 break pause inbetween
the series. The WBV was administered twice a week for a period of 12
weeks. Variations of squats and lunges as well as upper body and stretching
exercises were used as exercises and positions on the WBV-device.
MAIN OUTCOME MEASURES: Timed Get Up and Go Test, Timed 10 Meter Walk,
Timed 20 Meter Walk (including turn around after 10 meter), Six-minute Walk,
Timed Rise Up from a Chair and Sit Down on a Chair Ten Times, Nine Hole Peg Test
(left & right). The pre-test was performed 1 week before the intervention and the
post-test one week after the 12 week program.
RESULTS: All 10 patients finished the 12 weeks intervention program. A one tailed
T-test showed a significant group effect for the Timed Get Up and Go Test (p< 0.05)
and for the Nine Hole Peg Test for both the right and the left hand (p < 0.05). After
correcting for outliers (two SD’s from the mean) a significant effect was found for
the Rise and Sit Down 10 Times Test (p < 0.05). The other tests didn’t show a
significant increase for the group. However, most individual patients increased a
little in performance or stayed at a similar level. With the 10 Meter Walk Test seven
out of nine patients improved or stayed at the same level (one outlier). On the Six
Minutes Walk and the 20 Meter Walk Test six out of nine patients were able to
maintain or improve their performance (1 outlier).
CONCLUSION: The results of this pilot study indicate that whole-body vibration with
the Power-Plate may positively influence postural control, balance, mobility,
strength, and endurance in Multiple Sclerosis patients. Short tasks where explosive
strength and coordination was required (Get Up and Go, Rise and Sit Down, and
Nine Hole Peg Test) showed a significant improvement. While the longer test (20
meter walk, 6 minute walk) didn’t show significance increase post intervention.
Results from other studies reveal a similar finding, indicating that whole-body
vibration influences power and explosive strength, although exercises are not
performed explosively, often even statically.
In a degenerative disease like Multiple Sclerosis maintaining function and
performance is a major goal of therapy. For most people, being independent for
longer is a huge increase in quality of life, and will reduce the need for professional
help and support significantly. The results in this pilot study showed that most of
the patients maintained their level of performance which indicates the positive
benefits that could be gained with a whole-body vibrating program. Further research
with a control group need to be done in order to find out if - and how- a whole-body
vibration program is a valuable training program for Multiple Sclerosis patients.
Clin Rehabil. 2005 Dec;
Effects of whole-body vibration in patients with multiple sclerosis:
a pilot study.
Schuhfried O, Mittermaier C, Jovanovic T, Pieber K, Paternostro-Sluga T.
Department of Physical Medicine and Rehabilitation, Medical University of Vienna,
OBJECTIVE: To examine whether a whole-body vibration (mechanical oscillations) in
comparison to a placebo administration leads to better postural control, mobility and balance
in patients with multiple sclerosis. DESIGN: Double-blind, randomized controlled trial.
SETTING: Outpatient clinic of a university department of physical medicine and
rehabilitation. SUBJECTS: Twelve multiple sclerosis patients with moderate disability
(Kurtzke's Expanded Disability Status Scale 2.5-5) were allocated either to the intervention
group or to the placebo group. INTERVENTIONS: In the intervention group a whole-body
vibration at low frequency (2.0-4.4 Hz oscillations at 3-mm amplitude) in five series of 1
min each with a 1-min break between the series was applied. In the placebo group a Bursttranscutaneous
electrical nerve stimulation (TENS) application on the nondominant forearm
in five series of 1 min each with a 1-min break between the series was applied as well.
MAIN OUTCOME MEASURES: Posturographic assessment using the Sensory
Organization Test, the Timed Get Up and Go Test and the Functional Reach Test
immediately preceding the application, 15 min, one week and two weeks after the
application. The statistical analysis was applied to the change score from preapplication
values to values 15 min, one week and two weeks post intervention. RESULTS: Compared
with the placebo group the intervention group showed advantages in terms of the Sensory
Organization Test and the Timed Get Up and Go Test at each time point of measurement
after the application. The effects were strongest one week after the intervention, where
significant differences for the change score (p = 0.041) were found for the Timed Get Up
and Go Test with the mean score reducing from 9.2 s (preapplication) to 8.2 s one week
after whole-body vibration and increasing from 9.5 s (preapplication) to 10.2 s one week
after placebo application. The mean values of the posturographic assessment increased from
70.5 points (preapplication) to 77.5 points one week after whole body vibration and
increased only from 67.2 points (preapplication) to 67.5 points one week after the placebo
application. No differences were found for the Functional Reach Test. CONCLUSION: The
results of this pilot study indicated that whole-body vibration may positively influence the
postural control and mobility in multiple sclerosis patients.