This Fitness Expert Says Vibration Plates Work — Just Not How You Think by mindbodygreen

 Ask your competent? doctor if this would also work in cerebral brain clearing!

• brain clearing (11 posts to April 2012)

Which of these will guarantee brain clearing?

focal muscle vibration (7 posts to May2020)

vibration (37 posts to February 2011)

Whole Body Vibration Therapy (7 posts to January 2016) 

The latest here:

This Fitness Expert Says Vibration Plates Work — Just Not How You Think

Efficacy of vibration therapy on physical function, activity and participation in people with stroke: a systematic review and meta-analysis of randomized controlled trials

 All this vibration research and even this DOESN'T CREATE PROTOCOLS! My God, the ABSOLUTE STUPIDITY IN STROKE; no one ever accomplishes anything!

Absolutely fucking useless! You didn't write a rehab protocol from all this earlier research, did you?

• focal muscle vibration (7 posts to May2020)

• vibration (37 posts to February 2011)

• Whole Body Vibration Therapy (7 posts to January 2016)

Efficacy of vibration therapy on physical function, activity and participation in people with stroke: a systematic review and meta-analysis of randomized controlled trials

• Yage Wang,
• JingLan Wang,
• Beibei Lei,
• Di Zhang,
• Shenhong Ma,
• Heling Wang,
• Qiaohua Han &
• Weisheng Zhuang 

We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Abstract

Objective

This study aimed to explore the effectiveness of vibration therapy (VT) in improving physical function, activity, and participation in people with stroke.

Methods

We searched six databases for randomized controlled trials (RCTs) investigating VT in people with stroke. The quality of included studies was assessed using the Cochrane Risk of Bias tool, and data were analyzed using RevMan and Stata. The quality of evidence was evaluated with the GRADEpro tool.

Results

Thirty-seven RCTs involving 1492 people with stroke were included. VT significantly improved physical function, including motor (SMD = 0.46, 95% CI 0.20–0.73), spasticity (SMD =  − 0.64, 95% CI − 0.99 to − 0.29), balance (SMD = 0.52, 95% CI 0.19–0.85), and gait (SMD =  − 0.41, 95% CI − 0.66 to − 0.16). Activity was also enhanced (SMD = 0.21, 95% CI 0.06–0.35), whereas participation did not show improvement (SMD = 0.01, 95% CI − 0.33 to 0.35). Subgroup analysis and meta-regression revealed that spasticity improvement was superior in people with chronic stroke (SMD =  − 0.8, 95% CI − 1.19 to − 0.4). Single-session vibration time ≥ 20 min for gait (SMD =  − 0.84, 95% CI − 1.36 to − 0.32), cumulative vibration time > 5 h for balance (SMD = 0.86, 95% CI 0.30–1.43), and intervention duration ≥ 4 weeks for spasticity (SMD =  − 0.5, 95% CI − 0.81 to − 0.2) yielded pronounced improvements.

Conclusions

Low to moderate quality evidence suggests that VT effectively enhances physical function and activity in people with stroke, while its impact on participation remains unclear. Moreover, VT produced superior spasticity relief in people with chronic stroke compared to those in acute and subacute phases; single-session vibration time ≥ 20 min for gait, cumulative vibration time > 5 h for balance, and intervention duration ≥ 4 weeks for spasticity were particularly effective.

Effects of Segmental Muscle Vibration on Flexor and Extensor Groups of the Upper Limb in Enhancing Functional Recovery After Stroke: A Randomized Trial

Didn't your competent? doctor create a protocol on vibration years ago? Oh, you DON'T have a functioning stroke doctor, do you? Which means your board of directors is completely incompetent also! I'd fire everyone and reconstitute the hospital! I take no prisoners in getting stroke solved and will run over supposedly smart people in the process!

focal muscle vibration (9 posts to May 2020)

vibration (37 posts to February 2011)

Whole Body Vibration Therapy (7 posts to January 2016)

Effects of Segmental Muscle Vibration on Flexor and Extensor Groups of the Upper Limb in Enhancing Functional Recovery After Stroke: A Randomized Trial

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https://doi.org/10.1016/j.jbmt.2025.07.019Get rights and content

Highlights

• •
  This randomized controlled trial evaluated the differential effects of segmental vibration therapy significantly improved upper limb function, reduced spasticity, and enhanced motor recovery in post-stroke patients over six weeks.
• •
  Flexor-targeted SVT showed consistent improvements in functional ability and spasticity reduction.
• •
  Extensor-targeted SVT) demonstrated greater gains in motor recovery, suggesting potential benefits for targeting extensor pathways.
• •
  SVT may be a valuable adjunct to neurorehabilitation, with muscle-specific and phase-oriented approaches enhancing therapeutic outcomes.

Abstract

Background

Upper limb motor impairment is a common sequela of stroke, often leading to long-term functional limitations. Segmental vibration therapy (SVT) has been proposed to facilitate sensorimotor recovery by enhancing proprioceptive input and cortical excitability. However, its differential effects on upper limb flexor and extensor muscle groups remain underexplored.

Objective

The objective of this study was to determine the effects of segmental vibration on flexors and extensor muscle groups for upper limb functional ability, recovery, and spasticity in post-stroke patients.

Methodology

This two-arm, parallel-design, double-blinded randomized clinical trial was conducted at Zohra Institute of Health Sciences. A total of 62 patients were recruited using a non-probability convenience sampling technique and randomized into two groups through an online randomization tool. Group A received low-frequency segmental muscle vibration (41 Hz) applied over the flexor muscles of the upper limb, along with routine physical therapy. Group B received the same vibration frequency applied to the extensor muscles of the upper limb, in addition to routine physical therapy. Stroke patients with spasticity graded 1–3 on the Modified Ashworth Scale and who were 3–6 months post-stroke were included in the study. The intervention lasted for six weeks, comprising 18 sessions (three sessions per week). The Wolf Motor Function Test (WMFT) was used to assess upper extremity functional ability, while the Fugl-Meyer Assessment (FMA) evaluated motor function. Muscle spasticity was measured using the Modified Ashworth Scale (MAS), and motor recovery stages were assessed via the Brunnstrom scale. Data analysis was performed using SPSS version 26. An independent t-test was used for between-group comparisons, and a paired t-test was applied for within-group analysis.

Results

Post-intervention, WMFT scores improved in Group A (60.93 ± 6.12) compared to Group B (58.45 ± 7.66), though the difference was not statistically significant (p = 0.207). MAS scores decreased in Group A (0.56 ± 0.58) versus Group B (0.72 ± 0.74; p = 0.151). BSMR scores improved in both Group A (4.94 ± 1.19) and Group B (5.25 ± 1.23; p = 0.148). FMA scores increased in Group A (57.41 ± 3.97) compared to Group B (53.61 ± 4.89; p = 0.151). However, none of the between-group differences reached statistical significance.

Conclusion

The findings of this study suggest that segmental vibration therapy applied to both flexor and extensor muscles effectively improves upper limb function in post-stroke patients. However, no statistically significant difference was observed between the effects of vibration therapy on the two muscle groups.

Trial Registration

The trial registration number for this study is NCT05356481. The trial started on May 2, 2022, and was completed on June 30, 2023.

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Effectiveness of a rehabilitation program involving functional proprioceptive stimulation for postural control and motor recovery among stroke patients: a double-blinded, randomized, controlled trial

Didn't your competent? doctor create a protocol on focal muscle vibration years ago? OH, you DON'T have a functioning stroke doctor, do you? Which means your board of directors is completely incompetent also! I'd fire everyone and reconstitute the hospital! I take no prisoners in getting stroke solved and will run over supposedly smart people in the process!

focal muscle vibration (9 posts to May 2020)

Effectiveness of a rehabilitation program involving functional proprioceptive stimulation for postural control and motor recovery among stroke patients: a double-blinded, randomized, controlled trial

• Agnieszka Wiśniowska-Szurlej,
• Justyna Leszczak,
• Justyna Brożonowicz,
• Gabriela Ciąpała,
• Héctor Hernández-Lázaro &
• Agnieszka Sozańska 

Journal of NeuroEngineering and Rehabilitation volume 22, Article number: 147 (2025) Cite this article

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Abstract

Background

Early and intensive rehabilitation is particularly important for increasing neuroplasticity in patients after stroke. The aim of this study was to evaluate the effects of a 4-week rehabilitation program involving functional proprioceptive stimulation (FPS) on postural control and functional recovery in patients with stroke.

Methods

This double-blinded, randomized controlled trial (RCT) was conducted at a tertiary care rehabilitation centre. Fifty patients with first stroke were recruited and randomly separated into a FPS Group (n = 25) or Sham Group (n = 25). Both groups underwent 3.5 h of rehabilitation, including physiotherapy, occupational therapy, verticalization and focal vibration on specific myotendinous junctions of the leg, for 5 days a week over 4 successive weeks. For the sham group, the focal vibrations had an amplitude of 0.1 mm with a fixed frequency of 40 Hz. For the FPS group, the stimulation consisted of focal vibrations of an amplitude of 2 mm with frequencies constantly changing between 40 and 85 Hz. Postural control evaluation was performed with the Berg Balance Scale (BBS), Functional Reach Test (FRT) and via the Alfa AC International East stabilometric platform; motor recovery was examined via the Barthel Index (BI) and ICF Rehabilitation Set. All assessments were performed at baseline and after intervention.

Results

Following the intervention, the FPS Group demonstrated clinically significant improvements in postural control and functional status (BBS p = 0.041 and BI p = 0.037). A statistically significant improvement was also obtained in the Sham Group in the FTR test. Patients in the FPS Group experienced significantly greater improvement than those in the Sham Group on D420 (transferring oneself) and D640 (performing housework activities).

Conclusions

Our study showed that conventional rehabilitation and rehabilitation combined with functional proprioceptive stimulation both improve balance and functional efficiency in people after.

Trial registration

The study was registered at ClinicalTrials.gov (NCT05550987).

Introduction

Stroke is a leading neurological disorder, affecting 15 million people globally each year a number expected to rise [1]. Poststroke disability is also increasing [2], with over 85% of survivors experiencing hemiplegia within 6–12 months, impairing mobility and independence [3]. Intensive rehabilitation during the acute phase of stroke can enhance spontaneous recovery [4] and actively stimulate neuroplasticity [5,6,7], thereby promoting more effective functional restoration. Optimal recovery, however, depends on a comprehensive assessment that integrates multiple dimensions of the patient’s condition including physical, psychological, environmental, social, and personal factors guided by the International Classification of Functioning, Disability and Health (ICF) framework.

The process of neuroplasticity involves molecular and cellular mechanisms that are responsible for the reconstruction of damaged neuronal networks [8]. This form of poststroke recovery involves axonal sprouting, tumorisation and strengthening of synapses, as well as compensatory mechanisms to restore lost functions [9]. The aim of early and intensive rehabilitation is to increase neuroplasticity in order to achieve better functional results [7]. Although several non-pharmacological methods are available to enhance the effects of therapy, such as electrotherapy, shockwave therapy, neuromodulation and stretching, evidence of their effectiveness is limited [10].

A promising and emerging method involves applying focal vibration near the muscle-tendon junction to elicit a kinaesthetic sensation of movement [11]. This type of stimulation is called functional proprioceptive stimulation (FPS). FPS activates muscle spindles, i.e., stretches receptors that signal changes in muscle length [12]. FPS at frequencies between 20 and 100 Hz induces a sensation of muscle stretching and causes the perception of movement [13]. It also increases the excitability of the sensorimotor cortex [14].

According to recent scientific reports, FPS has been shown to be safe, well tolerated, and easy to use. It can be an important complementary therapy for promoting motor recovery in patients who have recently had a stroke [15]. Wang et al. reported that vibration therapy effectively improves upper limb motor function in patients with subacute stroke. The effectiveness of sensory pathways is increased by the underlying mechanism of vibration, which reorganises and induces plastic changes in the motor and somatosensory cortex [16].

There is no consensus in the literature on the most effective rehabilitation protocol for improving the condition of poststroke patients. According to a review by Wang et al., further research is required to determine the optimal vibration parameters and dosage for FPS protocols in post-stroke patients [17].(Well fuck, write a provisional protocol on this you blithering idiots! So, we don't have repeated useless research on this done again!) Modern rehabilitation should incorporate both traditional methods and innovative technological solutions [18]. Therefore, it is crucial for specialists in clinical practice to identify the most effective rehabilitation method for helping poststroke patients regain lost function. Accordingly, the purpose of Dour study was to evaluate the effects of rehabilitati

on via functional proprioceptive stimulation, on top of conventional therapy, on postural control and functional performance in poststroke patients.

More at link.

Upper extremity function and disability recovery with vibration therapy after stroke: a systematic review and meta-analysis of RCTs

 Absolutely fucking useless! You didn't write a rehab protocol from all this earlier research, did you?

• focal muscle vibration (7 posts to May2020)

• vibration (37 posts to February 2011)

• Whole Body Vibration Therapy (7 posts to January 2016)

Upper extremity function and disability recovery with vibration therapy after stroke: a systematic review and meta-analysis of RCTs

• Yueh-Hsun Lu,
• Hung-Ju Chen,
• Chun-De Liao,
• Po-Jung Chen,
• Xin-Miao Wang,
• Chieh-Hsiang Yu,
• Po-Yin Chen &
• Chueh-Ho Lin 

Journal of NeuroEngineering and Rehabilitation volume 21, Article number: 221 (2024) Cite this article

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Abstract

Background

This study aimed to investigate the therapeutic effects of vibration therapy for improving upper extremity motor impairment, function, and disability recovery in people with stroke.

Design

We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. PubMed, EMBASE, the Cochrane Library Database, Physiotherapy Evidence Database (PEDro), China Knowledge Resource Integrated Database, and Google Scholar were searched from inception to May 31, 2024. Randomized controlled trials (RCTs) that evaluated the effects of vibration therapy on upper extremity motor impairment, function, and disability recovery post-stroke were analyzed.

Setting and participants

Participants with a diagnosis of stroke with hemiplegia (or hemiparesis) were recruited.

Methods

Methodological quality assessment was performed using the PEDro quality score. Upper extremity motor impairment, function, and disability were the primary outcomes. Upper extremity motor impairment was measured using the Fugl-Meyer Assessment scale and other methods. Upper extremity functions were evaluated using the Wolf Motor Function test or other tools assessing manipulative activities. Disability was assessed using the Functional Independence Measure, Barthel index, and other methods.

Results

Overall, 30 RCTs including 1621 people with stroke were selected. Compared with the control, vibration therapy exerted significant effects on upper extremity motor impairment [standardized mean difference (SMD) = 1.19; p < 0.00001)], function (SMD = 0.62; p < 0.00001), and disability recovery (SMD = 1.01; p < 0.00001). The subgroup analysis revealed that focal vibration therapy (SMD = 2.14) had favorable effects on disability recovery compared with whole-body vibration therapy (SMD = 2.0). Interventions lasting 4–8 weeks showed significant improvements in motor impairment (SMD = 1.19), motor function (SMD = 0.57), and disability (SMD = 0.84); additionally, the effects of vibration therapy combined with conventional rehabilitation (SMD = 1.03) were superior to those of vibration therapy alone (SMD = 0.21).

Conclusions

Vibration therapy may be(You aren't familiar with earlier research, are you?  YOU'RE FIRED!) a reliable rehabilitation program to improve upper extremity motor functions and disabilities. Furthermore, vibration therapy should be performed at the earliest possibility after stroke for at least 4–8 weeks.

Trial registration The protocol of this study was registered with PROSPERO (Registration number: CRD42022301119).

Background

Brief Summary Vibration therapy (VT) significantly reduces upper extremity (UE) motor impairment, enhances UE motor function, and improves disability outcomes in people with stroke. Combining VT with standard rehabilitation is recommended, starting as early as possible after a stroke and continuing for at least 8 weeks. Both low and high vibration frequencies are effective, but focal muscle vibration is particularly beneficial for disability recovery.

Feeding, dressing, and writing are the most common activities of daily living that require motor function and participation of the upper limbs [1, 2]. These activities are essential for maintaining independence and quality of life. Neurologic disorders such as stroke, which often results in hemiparesis, where one side of the body becomes weak or paralyzed, may lead to poor motor function, muscle weakness, spasticity in paretic limbs, and disability [1, 2].

Full recovery of motor function and disabilities of the upper limbs occurs in less than 20% of people with stroke undergoing rehabilitation programs [1, 3]. Hence, many of these people with stroke have poor motor function and disability in the upper limbs, affecting their quality of life substantially [4, 5]. This impairment often necessitates long-term rehabilitation and support to manage daily activities [2, 3]. Consequently, independence and social participation can be significantly compromised for these individuals.

Compared with previous rehabilitation programs, vibration therapy (VT) stimulates muscle activity through the excitation of the tonic vibration reflex which activates efferent Ia, resulting in α-motor neuron excitation to generate muscle fiber strength and induce motor function performance [6, 7]. This implies that weak muscle activity and motor function in paretic limbs could be improved using VT. Recent studies investigated the effects of the whole-body vibration (WBV) on improving disabilities in the upper limbs for people with stroke by asking them to sit on a chair and place their hands on the WBV platform [8, 9]. After 4 weeks of the intervention, the people with stroke in the experimental group treated with WBV showed better motor function improvements in the upper limbs than those in the control group undergoing a traditional rehabilitation program [8, 9]. Furthermore, several studies have developed focal muscle vibration (FMV) to improve motor function and disabilities in people with stroke [10,11,12].

However, vibration force transmission from WBV or FMV to the targeted upper limbs is different being a complex process that could be influenced by various biomechanical mechanisms and result in different outcomes according to the type of vibration application [13, 14]. Previous studies often used vibrations < 20 Hz for muscle relaxation and reduction of spasticity [15, 16]. Research also shows that vibrations in the range of 20–30 Hz can improve gait balance [17]. Since the resonance frequencies of some important human organs are between 5 and 20 Hz, previous studies have considered 20 Hz as a safety threshold for vibration frequency [18].

Hence, optimal vibration protocols to improve motor function and disabilities should be established with strong evidence before applying them to improve motor and functional recovery in individuals with stroke in the clinical setting [7, 19, 20]. Therefore, it is crucial to develop an optimal evidence-based VT protocol for improving motor function and disability recovery to help clinical therapists enhance upper limb recovery in people with stroke.

Despite the potential of VT, its use in the upper extremities (UEs) and benefits on function and disability recovery have rarely been discussed; furthermore, evidence-based treatment effects are not well-established. Therefore, this meta-analysis aimed to investigate the effects of VT protocols on UE motor impairment, function, and disability recovery in people with stroke.

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