title: Focal Muscle Vibration and Progressive Modular Rebalancing with neurokinetic facilitations in post- stroke recovery of upper limb.
abstract: BACKGROUND
  Stroke is one of the leading causes for disability worldwide. Exercise therapy is a key element of stroke rehabilitation but no evidence are present in literature. Moreover recently focal muscle vibrationis described as a useful therapeutic approach in the post stroke recovery. In this study the efficacy of the vibration therapy in association to progressive modular re balancing rehabilitative approach has been evaluated and compared to the conventional therapy alone and associated to the muscle vibration.
  
  
  METHODS
  A pilot randomized controlled trial, using a pragmatic triple-blind, parallel-group study design in chronic stroke patients upper limb function.
  
  
  RESULTS
  Functional outcomes resulted increased in the group treated with vibration therapy and in particular in the group associated to progressive modular rebalancing approach.
  
  
  CONCLUSIONS
  The combining neurophysiologically-based rehabilitative technique and vibration therapy may improve functional recovery in chronic stroke patients.
authors.affiliation: Physical Medicine and Rehabilitation Unit, Department of Orthopedics, University of Rome "Sapienza".
authors.forename: C
authors.initials: C
authors.lastname: Celletti
authors.affiliation: Unit, Department of Neurology and Psichiatry, University of Rome "Sapienza".
authors.forename: E
authors.initials: E
authors.lastname: Sinibaldi
authors.affiliation: Department of Medico-Surgical Sciences and Biotechnologies, University of Rome Sapienza, Latina, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Pierelli
authors.affiliation: Unit, Department of Neurology and Psichiatry, University of Rome "Sapienza".
authors.forename: G
authors.initials: G
authors.lastname: Monari
authors.affiliation: Unit, Department of Neurology and Psichiatry, University of Rome "Sapienza".
authors.forename: F
authors.initials: F
authors.lastname: Camerota
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004311:Double-Blind Method; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000378:metabolism; D026741:Physical Therapy Modalities; D010865:Pilot Projects; D020127:Recovery of Function; D020521:Stroke / Q000628:therapy*; D000071939:Stroke Rehabilitation / Q000379:methods*; D016896:Treatment Outcome; D034941:Upper Extremity; D014732:Vibration / Q000627:therapeutic use
keywords: Progressive Modular Rebalancing; Rehabilitation; Spasticity; Stroke; Vibration Therapy