Vibration-Assisted Home Training Program for Children With Spinal Muscular Atrophy

Author:

Stark Christina12ORCID,Duran Ibrahim3ORCID,Cirak Sebahattin4,Hamacher Stefanie5,Hoyer-Kuhn Heike-Katharina1,Semler Oliver16,Schoenau Eckhard123

Affiliation:

1. Children’s and Adolescent’s Hospital, University of Cologne, Cologne, Germany

2. Cologne Center for Musculoskeletal Biomechanics (CCMB), University of Cologne, Cologne, Germany

3. Centre of Prevention and Rehabilitation, University of Cologne, Cologne, Germany

4. Cologne Center for Molecular Medicine, Children’s and Adolescent’s Hospital, University of Cologne, Cologne, Germany

5. Institute of Medical Statistics and Computational Biology, University of Cologne, Cologne, Germany

6. Centre for Rare Skeletal Diseases in Childhood, University of Cologne, Cologne Germany

Abstract

The aim of this study was to determine the effect of a new method of vibration-assisted neuromuscular rehabilitation in patients with spinal muscular atrophy types II and III. In this retrospective observational study, 38 children (mean age: 4.64 ± 1.95 years) were analyzed. The physiotherapy program, Auf die Beine, combines 6 months of home-based side-alternating whole-body vibration with interval blocks of intensive, goal-directed rehabilitation: 13 days at the start and 6 days after 3 months. Assessments were applied at the beginning (M0), after 6 months of home-based training (M6), and after 6 months of follow-up (M12). Motor abilities were assessed by the Gross Motor Function Measure 66 and Hammersmith Functional Mobility Scale. The Gross Motor Function Measure showed an increase of 1.69 (3.73) points ( P = .124) and the Hammersmith Functional Mobility Scale a significant increase of 2.73 ± 1.79 points ( P = .007) after 12 months; however, whether this leads to a long-term clinical benefit requires further investigation.

Publisher

SAGE Publications

Subject

General Economics, Econometrics and Finance

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