Upper extremity function and disability recovery with vibration therapy after stroke: a systematic review and meta-analysis of RCTs
2024

Vibration Therapy for Stroke Recovery

Sample size: 1621 publication 10 minutes Evidence: high

Author Information

Author(s): Lu Yueh-Hsun, Chen Hung-Ju, Liao Chun-De, Chen Po-Jung, Wang Xin-Miao, Yu Chieh-Hsiang, Chen Po-Yin, Lin Chueh-Ho

Primary Institution: National Health Research Institutes

Hypothesis

This study aimed to investigate the therapeutic effects of vibration therapy for improving upper extremity motor impairment, function, and disability recovery in people with stroke.

Conclusion

Vibration therapy may be a reliable rehabilitation program to improve upper extremity motor functions and disabilities.

Supporting Evidence

  • Vibration therapy significantly reduces upper extremity motor impairment.
  • Vibration therapy enhances upper extremity motor function.
  • Vibration therapy improves disability outcomes in people with stroke.
  • Combining vibration therapy with standard rehabilitation is recommended.
  • Both low and high vibration frequencies are effective.
  • Focal muscle vibration is particularly beneficial for disability recovery.
  • Interventions lasting 4–8 weeks show significant improvements.
  • Vibration therapy should be performed as early as possible after stroke.

Takeaway

Vibration therapy helps people who had a stroke move their arms better and do daily activities more easily.

Methodology

The study followed systematic review and meta-analysis guidelines, analyzing randomized controlled trials that evaluated the effects of vibration therapy on upper extremity motor impairment, function, and disability recovery post-stroke.

Potential Biases

The methodological quality assessment revealed that 14 studies were classified as high quality and 16 as medium quality, indicating potential risks of bias.

Limitations

Function and disability are interrelated, and clinical assessment tools may not solely assess motor function or disability elements alone.

Participant Demographics

Participants had a diagnosis of stroke with hemiplegia or hemiparesis, with a mean age of 60.4 years.

Statistical Information

P-Value

p<0.00001

Confidence Interval

95% CI 0.69–1.33

Statistical Significance

p<0.00001

Digital Object Identifier (DOI)

10.1186/s12984-024-01515-6

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