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The effect of whole-body vibration on lower extremity function in children with cerebral palsy: A meta-analysis
The aim of this meta-analysis was to evaluate the effect of whole-body vibration training on lower limb motor function in children with cerebral palsy in randomized-controlled trials (RCTs). Two independent reviewers systematically searched the records of nine databases (PubMed, Cochrane, Web of Sci...
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Published in: | PloS one 2023-03, Vol.18 (3), p.e0282604-e0282604 |
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description | The aim of this meta-analysis was to evaluate the effect of whole-body vibration training on lower limb motor function in children with cerebral palsy in randomized-controlled trials (RCTs).
Two independent reviewers systematically searched the records of nine databases (PubMed, Cochrane, Web of Science, EMBASE, CNKI, etc.) from inception to December 2022. Tools from the Cochrane Collaboration were used to assess risk of bias. Standard meta-analyses were performed using Stata 16.0 and Revman 5.3. For continuous variables, the arms difference was calculated as the weighted mean difference (WMD) between the values before and after the intervention and its 95% confidence interval (95% CI).
Of the 472 studies identified, 13 (total sample size 451 participants) met the inclusion criteria. Meta-analysis showed that WBV training could effectively improve GMFM88-D [WMD = 2.46, 95% CI (1.26, 3.67), P |
doi_str_mv | 10.1371/journal.pone.0282604 |
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Two independent reviewers systematically searched the records of nine databases (PubMed, Cochrane, Web of Science, EMBASE, CNKI, etc.) from inception to December 2022. Tools from the Cochrane Collaboration were used to assess risk of bias. Standard meta-analyses were performed using Stata 16.0 and Revman 5.3. For continuous variables, the arms difference was calculated as the weighted mean difference (WMD) between the values before and after the intervention and its 95% confidence interval (95% CI).
Of the 472 studies identified, 13 (total sample size 451 participants) met the inclusion criteria. Meta-analysis showed that WBV training could effectively improve GMFM88-D [WMD = 2.46, 95% CI (1.26, 3.67), P<0.01] and GMFM88-E [WMD = 3.44, 95% CI (1.21, 5.68), P = 0.003], TUG [WMD = -3.17, 95% CI (-5.11, -1.24), P = 0.001], BBS [WMD = 4.00,95% CI (3.29, 4.71), P<0. 01] and the range of motion of ankle joint and the angle of ankle joint during muscle reaction in children with cerebral palsy. The effect of WBV training on 6MWT walking speed [WMD = 47.64, 95% CI (-25.57, 120.85), p = 0.20] in children with cerebral palsy was not significantly improved.
WBV training is more effective than other types of conventional physical therapy in improving the lower limb motor function of children with cerebral palsy. The results of this meta-analysis strengthen the evidence of previous individual studies, which can be applied to the clinical practice and decision-making of WBV training and rehabilitation in children with cerebral palsy.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0282604</identifier><identifier>PMID: 36897858</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Ankle ; Bias ; Biology and Life Sciences ; Bone surgery ; Care and treatment ; Cerebral palsied children ; Cerebral Palsy ; Child ; Children ; Children & youth ; Clinical trials ; Confidence intervals ; Continuity (mathematics) ; Decision making ; Evaluation ; Extremities, Lower ; Health aspects ; Humans ; Joints (anatomy) ; Leg ; Literature reviews ; Lower Extremity ; Medicine and Health Sciences ; Meta-analysis ; Methods ; Muscles ; Paralysis ; Patients ; Physical Examination ; Physical Sciences ; Physical therapy ; Physical Therapy Modalities ; Physiological aspects ; Range of motion ; Rehabilitation ; Research and Analysis Methods ; Risk assessment ; Therapeutics, Physiological ; Training ; Vibration ; Vibration - therapeutic use ; Vibration analysis ; Walking</subject><ispartof>PloS one, 2023-03, Vol.18 (3), p.e0282604-e0282604</ispartof><rights>Copyright: © 2023 Cai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Cai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Cai et al 2023 Cai et al</rights><rights>2023 Cai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c693t-f3c140da8b255d6c00fc240d71f9118ff33ffe2caab76c4d928c877cbdc2df23</citedby><cites>FETCH-LOGICAL-c693t-f3c140da8b255d6c00fc240d71f9118ff33ffe2caab76c4d928c877cbdc2df23</cites><orcidid>0000-0002-3226-2430 ; 0000-0002-3262-5692</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2785634088/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2785634088?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36897858$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Steinberg, Nili</contributor><creatorcontrib>Cai, Xiaoye</creatorcontrib><creatorcontrib>Qian, Guoping</creatorcontrib><creatorcontrib>Cai, Siyuan</creatorcontrib><creatorcontrib>Wang, Feng</creatorcontrib><creatorcontrib>Da, Yingjuan</creatorcontrib><creatorcontrib>Ossowski, Zbigniew</creatorcontrib><title>The effect of whole-body vibration on lower extremity function in children with cerebral palsy: A meta-analysis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The aim of this meta-analysis was to evaluate the effect of whole-body vibration training on lower limb motor function in children with cerebral palsy in randomized-controlled trials (RCTs).
Two independent reviewers systematically searched the records of nine databases (PubMed, Cochrane, Web of Science, EMBASE, CNKI, etc.) from inception to December 2022. Tools from the Cochrane Collaboration were used to assess risk of bias. Standard meta-analyses were performed using Stata 16.0 and Revman 5.3. For continuous variables, the arms difference was calculated as the weighted mean difference (WMD) between the values before and after the intervention and its 95% confidence interval (95% CI).
Of the 472 studies identified, 13 (total sample size 451 participants) met the inclusion criteria. Meta-analysis showed that WBV training could effectively improve GMFM88-D [WMD = 2.46, 95% CI (1.26, 3.67), P<0.01] and GMFM88-E [WMD = 3.44, 95% CI (1.21, 5.68), P = 0.003], TUG [WMD = -3.17, 95% CI (-5.11, -1.24), P = 0.001], BBS [WMD = 4.00,95% CI (3.29, 4.71), P<0. 01] and the range of motion of ankle joint and the angle of ankle joint during muscle reaction in children with cerebral palsy. The effect of WBV training on 6MWT walking speed [WMD = 47.64, 95% CI (-25.57, 120.85), p = 0.20] in children with cerebral palsy was not significantly improved.
WBV training is more effective than other types of conventional physical therapy in improving the lower limb motor function of children with cerebral palsy. The results of this meta-analysis strengthen the evidence of previous individual studies, which can be applied to the clinical practice and decision-making of WBV training and rehabilitation in children with cerebral palsy.</description><subject>Ankle</subject><subject>Bias</subject><subject>Biology and Life Sciences</subject><subject>Bone surgery</subject><subject>Care and treatment</subject><subject>Cerebral palsied children</subject><subject>Cerebral Palsy</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Continuity (mathematics)</subject><subject>Decision making</subject><subject>Evaluation</subject><subject>Extremities, Lower</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Joints (anatomy)</subject><subject>Leg</subject><subject>Literature reviews</subject><subject>Lower Extremity</subject><subject>Medicine and Health Sciences</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Muscles</subject><subject>Paralysis</subject><subject>Patients</subject><subject>Physical Examination</subject><subject>Physical Sciences</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>Physiological aspects</subject><subject>Range of motion</subject><subject>Rehabilitation</subject><subject>Research and Analysis Methods</subject><subject>Risk assessment</subject><subject>Therapeutics, Physiological</subject><subject>Training</subject><subject>Vibration</subject><subject>Vibration - 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Two independent reviewers systematically searched the records of nine databases (PubMed, Cochrane, Web of Science, EMBASE, CNKI, etc.) from inception to December 2022. Tools from the Cochrane Collaboration were used to assess risk of bias. Standard meta-analyses were performed using Stata 16.0 and Revman 5.3. For continuous variables, the arms difference was calculated as the weighted mean difference (WMD) between the values before and after the intervention and its 95% confidence interval (95% CI).
Of the 472 studies identified, 13 (total sample size 451 participants) met the inclusion criteria. Meta-analysis showed that WBV training could effectively improve GMFM88-D [WMD = 2.46, 95% CI (1.26, 3.67), P<0.01] and GMFM88-E [WMD = 3.44, 95% CI (1.21, 5.68), P = 0.003], TUG [WMD = -3.17, 95% CI (-5.11, -1.24), P = 0.001], BBS [WMD = 4.00,95% CI (3.29, 4.71), P<0. 01] and the range of motion of ankle joint and the angle of ankle joint during muscle reaction in children with cerebral palsy. The effect of WBV training on 6MWT walking speed [WMD = 47.64, 95% CI (-25.57, 120.85), p = 0.20] in children with cerebral palsy was not significantly improved.
WBV training is more effective than other types of conventional physical therapy in improving the lower limb motor function of children with cerebral palsy. The results of this meta-analysis strengthen the evidence of previous individual studies, which can be applied to the clinical practice and decision-making of WBV training and rehabilitation in children with cerebral palsy.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36897858</pmid><doi>10.1371/journal.pone.0282604</doi><tpages>e0282604</tpages><orcidid>https://orcid.org/0000-0002-3226-2430</orcidid><orcidid>https://orcid.org/0000-0002-3262-5692</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Ankle Bias Biology and Life Sciences Bone surgery Care and treatment Cerebral palsied children Cerebral Palsy Child Children Children & youth Clinical trials Confidence intervals Continuity (mathematics) Decision making Evaluation Extremities, Lower Health aspects Humans Joints (anatomy) Leg Literature reviews Lower Extremity Medicine and Health Sciences Meta-analysis Methods Muscles Paralysis Patients Physical Examination Physical Sciences Physical therapy Physical Therapy Modalities Physiological aspects Range of motion Rehabilitation Research and Analysis Methods Risk assessment Therapeutics, Physiological Training Vibration Vibration - therapeutic use Vibration analysis Walking |
title | The effect of whole-body vibration on lower extremity function in children with cerebral palsy: A meta-analysis |
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