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Neurological Sciences
Published in: Neurological Sciences 1/2020

01-01-2020 | Stroke | Review Article

Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review

Authors: Claudia Celletti, Antonio Suppa, Edoardo Bianchini, Sheli Lakin, Massimiliano Toscano, Giuseppe La Torre, Vittorio Di Piero, Filippo Camerota

Published in: Neurological Sciences | Issue 1/2020

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Abstract

Objective

Several focal muscle vibration (fMV) and whole body vibration (WBV) protocols have been designed to promote brain reorganization processes in patients with stroke. However, whether fMV and WBV should be considered helpful tools to promote post-stroke recovery remains still largely unclear.

Methods

We here achieve a comprehensive review of the application of fMV and WBV to promote brain reorganization processes in patients with stroke. By first discussing the putative physiological basis of fMV and WBV and then examining previous observations achieved in recent randomized controlled trials (RCT) in patients with stroke, we critically discuss possible strength and limitations of the currently available data.

Results

We provide the first systematic assessment of fMV studies demonstrating some improvement in upper and lower limb functions, in patients with chronic stroke. We also confirm and expand previous considerations about the rather limited rationale for the application of current WBV protocols in patients with chronic stroke.

Conclusion

Based on available information, we propose new recommendations for optimal stimulation parameters and strategies for recruitment of specific stroke populations that would more likely benefit from future fMV or WBV application, in terms of speed and amount of post-stroke functional recovery.
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Metadata
Title
Promoting post-stroke recovery through focal or whole body vibration: criticisms and prospects from a narrative review
Authors
Claudia Celletti
Antonio Suppa
Edoardo Bianchini
Sheli Lakin
Massimiliano Toscano
Giuseppe La Torre
Vittorio Di Piero
Filippo Camerota
Publication date
01-01-2020
Publisher
Springer International Publishing
Keyword
Stroke
Published in
Neurological Sciences / Issue 1/2020
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-04047-3

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