Original article
Focal Muscle Vibration Method Application in Recovery of the Upper Limb Function in Patients with Cerebral Stroke in the Early Recovery Period
1 Olga V. Fuchizhi, 1,2
Marina A. Shurupova, 1,3
Galina E. Ivanova
1 Federal Center of Brain Research and Neurotechnologies, Moscow, Russian Federation
2 Lomonosov Moscow State University, Moscow, Russian Federation
3 Pirogov Russian National Research Medical University, Moscow, Russian Federation
Abstract:
Motor disorders as a result of stroke impair the mobility of the patient, limiting his participation in daily activities. Spastic paresis is oneof the most frequent consequences of the central nervous system damage. At present, a promising method of therapy for spastic paresis,due to its non-invasiveness and safety, is the application of focal muscle vibration (FMV) in stroke patients. Foreign studies demonstratethe successful use of FMV, while there are no mentions of the FMV application of in the Russian literature.Aim. To evaluate the eff ectiveness of the of FMV use in the rehabilitation of the upper limb in the early recovery period in patients whohave suff ered a cerebral stroke, with a degree of disability of 3 points on the Rankin scale.Material and methods. The study involved 40 patients of the Federal Center of Brain Research and Neurotechnologies: 20 patients of theexperimental group (13 men, 51.4±12.85 years) and 20 patients of the control group (15 men, 53.0±11.34 years). Patients of the controlgroup received a course of conventional physical therapy (individual physical therapy sessions). The participants of the experimentalgroup, in addition to conventional physical therapy classes identical to those in the control group, underwent a training course on the«Vibramoov» (Techno Concept, France) apparatus for the upper limb. To assess the eff ectiveness of rehabilitation before and after thecourse, functional scales (MRC, MAS, FMA, FAT) were used to assess the degree of the upper limb functional recovery.Results and discussion. As a result, the patients of the experimental group showed improvements in both the proximal and distal partsof the upper limb, while the patients of the control group only in the proximal.Conclusion. Due to the results obtained after the course with the use of FMV, the range of motor skills has expanded in patients that willallow them to use the upper limb more eff ectively when performing household activities, such as eating, dressing, personal hygiene, etc.
Keywords: focal muscle vibration, spasticity, rehabilitation, cerebral stroke, upper limb
For citation: Fuchizhi O.V., Shurupova M.A., Ivanova G.E. Focal Muscle Vibration Method Application in Recovery of the Upper Limb Function in Patients with Cerebral Stroke in the Early Recovery Period. Bulletin of Rehabilitation Medicine. 2022; 21 (1):34-42. https://doi.org/10.38025/2078-1962-2022-21-1-34-42
References:
- Global health estimates: Leading causes of death. Cause-specifi c mortality, 2000–2019. Available at: https://www.who.int/data/gho/data/themes/ mortality-and-global- health-estimates/ghe-leading- causes-of-death (accessed 16.08.2021)
- Zarkovsiy G. M. Kachestvo zhizni naseleniya Rossii. Psikhologicheskie sostavlyauchie [The quality of life of the population of Russia. Psychological components]. Moscow. Smysl. 2009: 320 p. (In Russ.).
- Murashova L.A. [Study of improving the quality of life of patients with ischemic stroke against the background of ongoing medical rehabilitation] Materialy VII Vserossiyskoi mezhvuzovsoy nauchno- practicheskoy konferecii molodykh uchenikh s mezhdunarodnim uchastiem [Materials of the VII All- Russian interuniversity scientifi c and practical conference of young scientists with international participation]. Tver. 2019: 457–460 (In Russ.).
- Burridge J.H., Wood D. E., Hermens H. J. et al. Theoretical and methodological considerations in the measurement of spasticity. Disability and Re- habilitation. 2005; V.27(1–2): 69–80.
- Gracies J. M. Pathophysiology of spastic paresis. II: Emergence of muscle overactivity. Muscle & Nerve. 2005; 31(5): 552–71
- Opheim A., Danielsson A., Alt Murphy M. et al. Upper-limb spasticity during the fi rst year after stroke: stroke arm longitudinal study at the University of Gothenburg. American Journal of Physical Medicine & Rehabilitation. 2014; (93): 884–896. 7. Baricich A., Picelli A., Molteni F. et al. Post-stroke spasticity as a condition: a new perspective on patient evaluation. Functional Neurology. 2016; (31): 179–180.
- Khat’kova S.E., Shikhkerimov R. K., Prokopenko S. V. Diagnostika i lechenie sindroma spastichnosti u vzroslyh pacientov s ochagovymi porazheni- yami central’noj nervnoj sistemy i ih posledstviyami v ramkah okazaniya stacionarnoj i ambulatornopoliklinicheskoj medicinskoj pomoshchi: klinicheskie rekomendacii [Diagnosis and treatment of spasticity syndrome in adult patients with focal lesions of the central nervous system and their consequences in the provision of inpatient and outpatient care: clinical guidelines]. Moscow. 2016: 18 p. (In Russ.).
- Shaw L., Price C., van Wijck F. et al. Botulinum toxin for the upper limb after stroke (BoTULS) trial: Eff ect upon impairment, activity limitation and pain. Stroke. 2011; (42): 1371–1379.
- Chervyakov A.V., Poidasheva A. G., Korzhova Yu.E., Suponeva N. A., Chernikova L. A., Piradov M. A. Ritmicheskaya transkranial’naya magnitnaya stimulyaciya v nevrologii i psihiatrii [Rhythmic transcranial magnetic stimulation in neurology and psychiatry]. S. S. Korsakov Journal of Neurology and Psychiatry. 2015; (12): 7–18. https://doi.org/10.17116/jnevro20151151127-18 (In Russ.).
- Umay E., Yaylaci A., Saylam G., Gundogdu I., Gurcay E., Akcapinar D., Kirac Z. The effect of sensory level electrical stimulation of the masseter muscle in early stroke patients with dysphagia: A randomized controlled study. Neurology India. 2017; 65(4): 734–42. https://doi.org/10.4103/neuroindia.NI_377_16
- Gerasimenko M. Yu., Afoshin S. A. Fizicheskie faktory v kompleksnoj reabilitacii bol’nyh s ostrym narusheniem mozgovogo krovoobrashcheniya [Physical factors in the complex rehabilitation of patients with acute cerebrovascular accident]. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2011; (4): 46–50 (In Russ.).
- Krewer C., Hartl S., Muller F., Koenig E. The eff ects of repetitive peripheral magnetic stimulation on upper-limb spasticity and impairment in pa- tients with spastic hemiparesis: a randomized, double- blind, sham-controlled study. Archives of Physical Medicine and Rehabilitation. 2014; 95(6): 1039–1047. https://doi.org/10.1016/j.apmr.2014.02.003
- Portnov V.V., Medalieva R. H. Obshchaya i lokal’naya vozdushnaya krioterapiya. Metodicheskoe posobie dlya vrachej [General and local air cryo- therapy. Methodological guide for doctors]. Moscow. RMAPO. 2016: 19 p. (In Russ.).
- Caliandro P., Celletti C., Padua L., Minciotti I., Russo G., Granata G. et al. Focal muscle vibration in treatment of upper limb spasticity: a pilot ram- domized controlled trial in patients with chronic stroke. Archives of Physical Medicine and Rehabilitation. 2012; (93): 1656–1661. 17. Marconi B., Guido M., Filipi G., Koch G., Giacobbe V., Pecchioli C. et al. Long-term eff ects on cortical excitability and motor recovery induced by repeater muscle vibration in chronic stroke patients. Neurorehabilitation and Neural Repair. 2011; (25): 48–60.
- Noma T., Matsumoto S., Shimodozono M., Etho S., Kawahira K. Anti-spastic eff ects of the direct application of vibratory stimuli to the spastic mus- cles of hemiplegic limbs in post-stroke patients: a proof-of-principle study. Journal of Rehabilitation Medicine. 2012; (44): 325–30.
- Conrad M.O., Scheid R. A., Schmit B. D. Eff ects of wrist tendon vibration on arm tracking in people poststroke. Journal of Neurophysiology. 2011; (106): 1480–1488.
- Paternostro- Sluga T., Grim- Stieger M., Posch M., Schuhfried O., Vacariu G., Mittermaier C., Bittner C., Fialka- Moser V. Reliability and validity of the Medical Research Council (MRC) scale and a modifi ed scale for testing muscle strength in patients with radial palsy. Journal of Rehabilitation Medicine. 2008; 40(8): 665–71. https://doi.org/10.2340/16501977-0235
- Lance J. W. The control of muscle tone, reflexes, and movement: Robert Wartenberg Lecture. Neurology. 1980; (30): 1303–1313. https://doi.org/10.1212/wnl.30.12.1303
- Bruce H. Dobkin. The Clinical Science of Neurologic Rehabilitation. Oxford University Press. 2003: 284–285, 290–291.
- Baude M., Mardale V., Loche C. M., Hutin E., Gracies J. M., Bayle N. Intra- and inter- rater reliability of the Modified Frenchay Scale to measure active upper limb function in hemiparetic patients. Annals of Physical and Rehabilitation Medicine. 2016; (59): 59–60. https://doi.org/10.1016/j.rehab.2016.07.13