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 and 3 others
PMID 40616147WHAT IT FOUND
With physiotherapy, standing practice and daily-activity training in both groups, adding real focal vibration improved balance more than sham vibration in stroke patients.
Key findings
01The focal vibration group improved more than the sham group on functional balance, with mean increases of 9.4 and 5.92 points on a 56-point scale.
02The focal vibration group also improved more than the sham group on daily-activity independence and standing reach.
03The groups did not differ in improvement of centre-of-gravity path length.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
There was no planned follow-up after the 4-week intervention. All patients received the same conventional rehabilitation. Only patients aged 18 to 65, 2 to 6 months after stroke, able to maintain an upright position without assistance or with a walker, with Abbreviated Mental Test Score greater than 6, and without severe comorbidities or lower-limb Ashworth level 4 were included. Patients outside those criteria were not studied. The study was done in one tertiary care rehabilitation centre. Several balance measures did not show a between-group difference, including Trunk Impairment Scale and centre-of-gravity path length.
The easy way to misread this
Do not conclude that focal vibration alone caused the improvement. Every participant also received individual physiotherapy, standing practice and daily-activity training, and the sham group improved on several outcomes. The study also had no follow-up after the 4-week intervention.