Effect of vibroacoustic therapy on spasticity and heart rate variability in two young adults with cerebral palsy

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15410%2F23%3A73623489" target="_blank" >RIV/61989592:15410/23:73623489 - isvavai.cz</a>

Result on the web

<a href="https://casopis.rehabilitacia.sk/index.php/lcrh/article/view/25/20" target="_blank" >https://casopis.rehabilitacia.sk/index.php/lcrh/article/view/25/20</a>

DOI - Digital Object Identifier

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Result language

čeština

Original language name

VLIV VIBROAKUSTICKÉ TERAPIE NA SPASTICITU A VARIABILITU SRDEČNÍ FREKVENCE U DVOU MLADÝCH DOSPĚLÝCH S MOZKOVOU OBRNOU

Original language description

Background: Vibroacoustic therapy (VAT) uses sinusoidal, low-frequency sound waves in combination with music for therapeutic purposes. Previous research suggests the effectiveness of this therapy on spasticity in children with cerebral palsy (CP), but such evidence is completely lacking in adolescents and adults with CP. Goal: The aim of these two single-subject case studies (following ABA design) was to investigate the effect of VAT in persons with CP on spasticity and heart rate variability (HRV). Methods: VAT was applied through the VIBROBED rehabilitation vibroacoustic bed and the Elements program (a 20-minute musical composition with biorhythmically dosed low-frequency sound-amplitude and frequency modulation) in a girl (20 years old) and a boy (19 years old), both with spasticity, motor disorders, and other problems. Results: The application of VAT improved spasticity in both cases, by at least one grade on the Ashworth scale after each session. When the effect of VAT on HRV was analyzed, conflicting trends in the reported values of Mean HR and RMSSD parameters were found in both cases. While in the first case, the intervention increased parasympathetic activity, in the second case the intervention caused its decrease. From these measurements and subsequent analyses, it is not possible to clearly predict how VAT affects the autonomic nervous system. Conclusion: It seems that a number of influences, including interindividual differences in the reactivity of the organism, determine the resulting trend of VAT (in the direction of support of the parasympathetic or sympathetic part of the ANS). Given the limitations of this pilot study, we propose that this topic should be the subject of a new study with a modified measurement design, to examine interindividual differences in VAT reactivity and the effects of other intervening parameters in this population. © 2023, LIECREH GUTH. All rights reserved.

Czech name

VLIV VIBROAKUSTICKÉ TERAPIE NA SPASTICITU A VARIABILITU SRDEČNÍ FREKVENCE U DVOU MLADÝCH DOSPĚLÝCH S MOZKOVOU OBRNOU

Czech description

Background: Vibroacoustic therapy (VAT) uses sinusoidal, low-frequency sound waves in combination with music for therapeutic purposes. Previous research suggests the effectiveness of this therapy on spasticity in children with cerebral palsy (CP), but such evidence is completely lacking in adolescents and adults with CP. Goal: The aim of these two single-subject case studies (following ABA design) was to investigate the effect of VAT in persons with CP on spasticity and heart rate variability (HRV). Methods: VAT was applied through the VIBROBED rehabilitation vibroacoustic bed and the Elements program (a 20-minute musical composition with biorhythmically dosed low-frequency sound-amplitude and frequency modulation) in a girl (20 years old) and a boy (19 years old), both with spasticity, motor disorders, and other problems. Results: The application of VAT improved spasticity in both cases, by at least one grade on the Ashworth scale after each session. When the effect of VAT on HRV was analyzed, conflicting trends in the reported values of Mean HR and RMSSD parameters were found in both cases. While in the first case, the intervention increased parasympathetic activity, in the second case the intervention caused its decrease. From these measurements and subsequent analyses, it is not possible to clearly predict how VAT affects the autonomic nervous system. Conclusion: It seems that a number of influences, including interindividual differences in the reactivity of the organism, determine the resulting trend of VAT (in the direction of support of the parasympathetic or sympathetic part of the ANS). Given the limitations of this pilot study, we propose that this topic should be the subject of a new study with a modified measurement design, to examine interindividual differences in VAT reactivity and the effects of other intervening parameters in this population. © 2023, LIECREH GUTH. All rights reserved.

Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

50302 - Education, special (to gifted persons, those with learning disabilities)

Project

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Continuities

S - Specificky vyzkum na vysokych skolach

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Rehabilitacia

ISSN

0375-0922

e-ISSN

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Volume of the periodical

60

Issue of the periodical within the volume

2

Country of publishing house

SK - SLOVAKIA

Number of pages

11

Pages from-to

"158 "- 168

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85164442948