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. 2021 Sep 21;10(18):4273.
doi: 10.3390/jcm10184273.

Effects of Whole-Body Vibration Training on Lower Limb Blood Flow in Children with Myelomeningocele-A Randomized Trial

Małgorzata Domagalska-Szopa  1 , Andrzej Szopa  2 , Andrzej Siwiec  3 , Ilona Kwiecień-Czerwieniec  3 , Lutz Schreiber  4 , Józefa Dąbek  5
Affiliations

Effects of Whole-Body Vibration Training on Lower Limb Blood Flow in Children with Myelomeningocele-A Randomized Trial

Małgorzata Domagalska-Szopa et al. J Clin Med. .

Abstract

The objective of the present study was to determine the effectiveness of a three-week Whole-Body Vibration (WBV) training on the vascular blood flow of the lower limbs in children with myelomeningocele. The secondary goal was to evaluate the effect of WBV on the ROM of lower limb joints in this population. A total of 30 children with MMC (7-16 years old) were enrolled in the study. Children were randomly allocated to two groups of equal numbers, using an envelope code. The experimental group underwent a 3-week WBV training, while the control group received a 3-week conventional physiotherapy (PT) program. The examination consisted of two parts: (1) Doppler USG examination of the lower limb vascular blood flow; (2) evaluation of ROM. The results obtained revealed three main findings. First, WBV training effectively improved blood flow by increasing flow velocities in all tested arteries, while the impact of the PT program was limited to a single parameter. Second, WBV training effectively improved vascular resistance in arteries of the lower legs, while the PT program did not achieve any significant differences. Third, both types of treatment intervention significantly improved ROM in all joints of the lower limbs in MMC participants.

Keywords: Doppler ultrasound test; lower limb; myelomeningocele; range of motion; spina bifida; whole-body vibration.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Study population.
Figure 2
Figure 2
(a) Peak systolic velocity (PSV) for anterior tibial artery (ATA) in both lower limbs assessed at baseline and after intervention in the experimental and control groups. (b) End-diastolic velocity (EDV) for the popliteal artery (POPA) in both lower limbs assessed at baseline and after intervention in the experimental and control groups.
Figure 3
Figure 3
(a) Pulsatility Index (PI) for the superficial femoral artery (SFA) in the assessment of both lower limbs at baseline and after intervention in the experimental and control groups. (b) Resistivity Index (RI) for the popliteal artery (POPA) in both lower limb assessment at baseline and after intervention in the experimental and control groups.
See this image and copyright information in PMC

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