title: Effects of whole body vibration on spasticity and lower extremity function in children with cerebral palsy.
abstract: OBJECTIVE
  The aim of this study was to evaluate the effect of whole body vibration (WBV) on lower extremity spasticity and ambulatory function in children with cerebral palsy (CP) with a complete crossover design.
  
  
  METHODS
  Sixteen participants aged 9.8(2.3) years received a 20-min WBV and a control condition in a counterbalanced order on two separate days. Change scores of each outcome variable were used to show the improvement.
  
  
  RESULTS
  Repeated-measures analyses revealed significant differences in condition scores among variables including active range-of-motion (active ROM, increased), relaxation index (RI, increased), Modified Ashworth Scale (MAS, decreased), timed up-and-go (TUG, decreased), and Six Minute Walk Test (6MWT, increased). Significant differences were also found in time change scores for MAS and 6MWT. Correlation results revealed that TUG was significantly correlated with RI (r=-.512, p=.042), and 6MWT (r=-.700, p=.003).
  
  
  CONCLUSIONS
  This study suggested that WBV intervention can control the spasticity, enhance ambulatory performance and increase active ROM. Along with previous results, data from this study revealed the potential use of WBV in clinical rehabilitation in children with CP. Future investigations should focus on finding the combination of treatment frequency and duration to achieve an ideal result.
authors.affiliation: Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan. Electronic address: kcheng@mail.cgu.edu.tw.
authors.forename: Hsin-Yi Kathy
authors.initials: HY
authors.lastname: Cheng
authors.affiliation: Department of Adapted Physical Education, National Taiwan Sport University, Tao-Yuan, Taiwan. Electronic address: yanju@ntsu.edu.tw.
authors.forename: Yan-Ying
authors.initials: YY
authors.lastname: Ju
authors.affiliation: Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Tao-Yuan, Taiwan. Electronic address: clingchen@gmail.com.
authors.forename: Chia-Ling
authors.initials: CL
authors.lastname: Chen
authors.affiliation: Department and Graduate Institute of Physical Therapy, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan. Electronic address: lchuang@mail.cgu.edu.tw.
authors.forename: Li-Ling
authors.initials: LL
authors.lastname: Chuang
authors.affiliation: Department and Graduate Institute of Physical Therapy, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan. Electronic address: chcheng@mail.cgu.edu.tw.
authors.forename: Chih-Hsiu
authors.initials: CH
authors.lastname: Cheng
mesh_terms: D000843:Ankle Joint / Q000502:physiology; D002547:Cerebral Palsy / Q000503:physiopathology*; D002648:Child; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000502:physiology; D008297:Male; D009128:Muscle Spasticity; D011782:Quadriplegia / Q000503:physiopathology; D014732:Vibration; D016138:Walking
keywords: Ambulation; Cerebral palsy; Rehabilitation; Spasticity; Whole body vibration